1. Constantly strengthen safety awareness education, promptly remind unsafe factors found in the work, and propose corrective measures. Taking the nursing errors inside and outside the hospital as an example, we can organize discussion and study for reference, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm ring constantly.
2. Strengthen the management of key periods, such as night shift, middle shift and holidays. Implement flexible shift scheduling system, reasonably match the old, middle-aged and young people on duty, and pay attention to cultivating the cautious and independent spirit of nurses when they are on duty independently.
3. Strengthen the management of key sick children, such as critically ill children in intensive care unit and critically ill children in Pu 'er ward, take the above-mentioned children as the focus of discussion in the morning meeting and handover, evaluate the existing and potential risks of patients, and reach a * * * knowledge, which will attract the attention of each class.
4. Improve nursing records and reduce potential safety hazards. Standardize nursing records and conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness.
5. Improve the nursing emergency risk plan, pay attention to cultivating nurses' emergency ability in daily work, and make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The nurses in the office class sincerely receive the newly admitted children, send them to the bedside, and take the initiative to give admission education and health education to their families.
2. Ask the responsible nurse to communicate with the children's families every day, including health education, understanding the patient's condition, life needs, the effect and reaction after taking the medicine, etc. , and conscientiously implement the notification procedures of various nursing operations, respect parents' right to know, and relieve their concerns.
3. 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.
Three, in-depth development of "people-oriented" holistic nursing work. Refine the workflow and clarify the job responsibilities.
1. Revise the duties of each class, change the shift arrangement mode, refine the work flow of each class, find out the weak links, clarify the division of nursing, and strive to make the new duties more reasonable and practical.
2. Pay special attention to basic nursing, specialist nursing and nurse responsibility system. Provide holistic nursing service for patients, closely observe patients' condition, communicate with patients at any time, do a good job in patients' life nursing and basic nursing, ensure patients' safety and embody humanized nursing.
3. Deepen the hierarchical use of nurses, assign responsible nurses according to the patient's condition, nursing difficulty and technical requirements, and the nurses with high seniority and strong ability are responsible for critically ill patients, reflecting the corresponding energy level.
Fourthly, nurses implement performance distribution.
Distribution principle: give priority to efficiency and quality, distribute according to work, and give consideration to fairness and justice.
Distribution basis: patient satisfaction, workload, existing risks, nursing quality and sense of responsibility.
Fifth, strengthen patient health education.
1, by the responsible nurse every day according to the department of common disease treatment and nursing routine, special diet, disease.
Precautions in prevention and medication, detailed instructions for patients, health education and rehabilitation guidance for patients, and psychological care.
2. Hold a nursing meeting once a month, and each nurse reports her work and feelings. Conduct patient satisfaction survey every month, and listen carefully to patients' opinions and suggestions on quality care. Timely feedback the existing problems, put forward rectification measures, continuously improve the quality of nursing, and improve patient satisfaction.
Six, new business, new technology
1, focusing on the development of children's rehabilitation and health care, sent 1-2 nurses to pursue further studies in children's rehabilitation and health care.
2. Enhance scientific research awareness and strive to develop 1-2 new technologies during the year.
The second work plan of neonatal nursing in 2020 is to achieve sustainable development and strive for a third-level maternal and child health hospital. On the basis of summing up and analyzing the experience, according to the key points of the five-year planning of hospital nursing and the evaluation requirements of the third-level maternity hospital, the work plan of neonatal nursing in the second half of 20xx is now drawn up as follows:
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks and provide high-quality, safe and orderly nursing services for sick children.
1. Constantly strengthen safety awareness education, promptly remind unsafe factors found in the work, and propose corrective measures. Taking the nursing errors inside and outside the hospital as an example, we can organize discussion and study for reference, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm ring constantly.
2, the implementation of various rules and regulations, regular and irregular inspection, supervision in place, and supervision and inspection records.
3. Strengthen the management of key periods, such as night shift, middle shift and holidays. Implement flexible shift scheduling system, reasonably match the old, middle-aged and young people on duty, and pay attention to cultivating the cautious and independent spirit of nurses when they are on duty independently.
4. Strengthen the management of key sick children, such as critically ill children in intensive care unit and critically ill children in Pu 'er ward, take the above-mentioned children as the focus of discussion in the morning meeting and shift handover, evaluate the existing and potential risks of patients, reach a * * * knowledge, and attract the attention of each class.
5. Manage key employees such as intern nurses, rotating nurses and new nurses, educate them on legal awareness, improve their awareness and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
6. Improve nursing records and reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, standardize nursing document records, conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness, and avoid irregular writing, such as missing words, unclear alteration and inconsistency with doctors' records. , which not only reflects the comprehensive nursing problem records, but also reflects the symptoms of specialties, so that the nursing documents are standardized and standardized.
7. Strengthen nurses' own occupational protection, organize general nurses to study the Guiding Principles of HIV Occupational Exposure Protection for Medical Staff and the Regulations on AIDS Protection, and formulate occupational exposure reporting system, occupational exposure prevention measures and specific treatment measures and procedures after occupational exposure.
8. Improve the risk plan of nursing emergencies, pay attention to cultivating nurses' emergency ability at ordinary times, make a retrospective evaluation of each emergency work, learn from it, and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The nurses in the office class sincerely receive the newly admitted children, send them to the bedside, and take the initiative to give admission education and health education to their families.
2. Strengthen service awareness education and improve the concept of humanized active service.
3. Ask the nurse in charge to communicate with the children's families every day, including health education, to understand the patient's' prognosis', life needs, effects and reactions after medication, etc. Nurse-patient communication can shorten the distance between nurses and patients, which is the premise and necessary condition of all nursing work.
4. Seriously implement the notification procedures before and after clinical treatment, respect the family members' right to know, and relieve their concerns.
5. 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.
Three, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.
1, 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.
2, constantly modify and improve all kinds of nursing quality standards, and organize learning, according to the standard implementation of nursing work.
3. The head nurse conducts regular and irregular quality inspections, analyzes the reasons for the deficiencies, makes timely rectification, and strengthens the service awareness and quality awareness of nursing staff.
4, every month on the quality control team, the head nurse quality inspection, nursing department quality inspection feedback information comprehensive analysis, find out the reason, formulate feasible corrective measures, and check the implementation of the rectification.
Fourth, strictly implement the three basics and three strictness training plan to improve the overall quality of nursing staff.
1, according to the "three basics and three strictness" training plan, train nursing staff at all levels, and organize theoretical examinations and technical operation examinations every month.
2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge.
3. Make use of the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and seriously implement it.
4, often review the knowledge of nursing emergency risk plan and conduct simulation exercises to improve the emergency ability of nurses.
5. Conduct a first-aid technical drill every quarter to master the use of first-aid equipment and instruments.
6. Conduct a comprehensive evaluation on the implementation of the three basics and three strictness plan every quarter.
Work plan of neonatal nursing in 2020 3 1. Strengthen the on-the-job education of nurses, improve the professional quality of nursing staff, strengthen the study and mastery of relevant professional knowledge, organize nurses to give lectures regularly every month, take turns to give lectures, and carry out professional training in rules and regulations and neurology. In case of special difficulties, you can invite department directors and doctors to teach and update your knowledge and skills. Learn from each other, discuss nursing cases and make detailed records. The development of nursing level and medical technology is unbalanced, so some nurses are sent out to study in a planned way to improve the quality of nursing staff and optimize the nursing team. Constantly update nursing knowledge.
Second, nursing safety is the focus of nursing management, and the safety supervisor should pay attention to the link monitoring of persistent nursing staff: strengthen the management of newly transferred nurses and thoughtful and emotional nurses, and make key explanations and key followers. Do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents and patients' bad complaints, and ensure patients' medical safety. Patient link monitoring: monitoring patients newly admitted to hospital, newly transferred to hospital, critically ill patients, bedridden patients and patients with potential risks of medical disputes. Time link monitoring: during holidays, weekends, busy working hours, fatigue-prone hours and shift changes, the supervision and management of wards should be strengthened. Critically ill patients and bedridden patients should strictly implement the monitoring of bedside shift nursing operation: strictly check the system, take medicine in the main class every day, and check the doctor's orders twice with the class, so as to make three checks before, during and after the operation. Check the bed number, name, drug name, dosage, time, concentration and usage. Standardize the implementation of intravenous infusion, blood transfusion, injection, various allergy tests, oral care and other nursing operations. Although it is a daily nursing work, if there is a problem, it will endanger the life of patients. As the focus of monitoring in nursing management, we should check the hidden dangers of nursing safety from time to time, find and solve problems, analyze the causes of accidents from the perspective of ourselves and departments, draw profound lessons, and put forward preventive and improvement measures.
Third, change the concept of nursing, improve the quality of service, continue to strengthen the construction of medical ethics and enhance the sense of responsibility. Strengthen the training of nursing staff, establish the concept of "patient-centered", take the patient's voice as the first signal, take the patient's needs as the first need, take the patient's interests as the first consideration and take the patient's satisfaction as the first standard. Implement a whole-hearted, all-round, whole-process and multi-channel systematic nursing for ward patients. Strengthen nurses' awareness of active service, quality and safety, improve nurse-patient communication skills, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work on the basis of further standardizing nursing operations. Pay attention to the collection of nursing service demand information, mainly through understanding the opinions of return visits, talking and communicating with hospitalized patients and their families, issuing satisfaction questionnaires regularly, and holding public holiday forums every month. , to obtain patients' needs and feedback information, often listen to the opinions and suggestions of department directors and department doctors, put forward improvement measures in time, and at the same time motivate department nurses, mobilize the enthusiasm of general nurses, establish self-confidence in work and enhance the cohesion of departments. Do a real active service in thought and action. Apply the service concept of "smile and serve with heart, create and touch patients" to practical work. Strengthen the responsibility of safety management and put an end to major mistakes and accidents. Improve nursing quality on the basis of safety. Deepen family service and improve service quality. Improve the communication ability between nurses and patients. Advocate smiling service and cultivate nurses to establish a good professional image. At the same time, draw lessons from other departments, carry out "quality nursing service", strengthen clinical nursing in an all-round way, strengthen basic nursing, improve nursing service, explore new methods and ways for the development of nursing discipline, and truly implement the "patient-centered" service concept.
Four, rational use of human resources in departments, five departments have fewer nurses and heavy nursing work. According to the patient's situation and the nursing workload of the department, the human resources should be allocated reasonably, and the scheduling should be reasonable and flexible, so as to increase the number of people working at peak hours. General nursing staff can be on call when they need to work, and provide satisfactory nursing services for patients with good quality and quantity.
Verb (abbreviation of verb) strengthens legal awareness and standardizes the writing of nursing documents. With the improvement of people's legal awareness and the promulgation of the Regulations on Handling Medical Accidents, how to strengthen the legal construction in nursing services and improve nurses' legal awareness has become an important link in nursing management. In 20xx, the nursing records were complete and objective in strict accordance with the requirements of the provincial health department's nursing document writing specification. Clarify the significance of writing nursing documents, standardize the writing of nursing documents, negotiate with brother departments and nursing departments, and clarify how to write nursing documents well to meet the standard requirements.
The nursing work plan of neonatal department in 2020 is 4 20xx years. With the care and support of hospital leaders at all levels, the environmental facilities in pediatric wards have been greatly improved. In the new year, with the improvement of department conditions, higher requirements are put forward for nursing work. According to the 20xx nursing work plan of the nursing department, combined with the actual work of our department, the 20xx pediatric nursing work plan is formulated as follows:
First, strengthen the construction of medical ethics and improve patient satisfaction.
1, issue satisfaction questionnaires to inpatients, select nurses and encourage them. And the problems existing in the satisfaction survey, and implement the rectification measures.
2, standardize the language behavior of nurses, and implement the civilized language of nurses in daily work.
3. Strict pre-job professional ethics education, rules and regulations, and nurses' code of conduct education, and the newly assigned nurses are assessed for basic nursing knowledge, professional knowledge and nursing technical operation, and they can only take up their posts after passing the examination.
4, the department held a symposium on a regular basis, solicit opinions from patients and solve problems.
Second, the implementation of the overall nursing responsibility system, improve clinical nursing service:
1, try to carry out responsibility system holistic nursing, standardize nursing procedures, improve the quality of holistic nursing records, enrich the content of health education, and better carry out holistic nursing for children.
2. Organize pediatric study, be familiar with the etiology, pathology and pathogenesis of related diseases, and enrich the contents of health education. The responsible nurse went deep into the ward, strengthened the health education for the children's families, improved the problem-solving ability by using nursing methods, and promoted the children's early recovery.
2. Let experienced old nurses give lectures to new nurses and impart holistic nursing experience. When the concept is vague, let's discuss and solve the problem together.
3. Organize a teaching ward round once a month, analyze the existing problems and put forward improvement measures.
Third, pay attention to the quality training of nursing staff.
Based on Basic Nursing (5th Edition), we continue to learn professional knowledge. Strengthen the training of eleven nursing skills and first aid ability, improve nursing quality, and cultivate a nursing team with excellent professional skills and high quality.
1. Make a 20xx-year training plan, with nurses with outstanding professional ability in the department as training teachers. Strengthen eleven nursing techniques, improve the success rate of scalp venipuncture in children, strengthen the legal awareness of nursing staff, strengthen the legal concept, organize and learn relevant legal knowledge, and apply it flexibly to work. Encourage nurses to study by themselves and make good reading notes.
2, senior nurses to strengthen emergency and first aid ability training. In the work, we should set an example for junior nurses, set an example, and carry forward the fine style of unity and cooperation in pediatrics.
3. Praise and reward the nurses who have achieved excellent results in previous assessments, stimulate the enthusiasm of nurses to love their jobs and provide better care services for children.
Fourth, strengthen basic nursing and standardize work order.
1, strictly implement the disinfection and isolation system. Wash your hands before each operation; Do a good job in daily air disinfection in treatment rooms and wards to prevent iatrogenic infection.
2, do a good job in morning and evening care, basic care in place. Keep the bed clean and tidy, and the environment is warm and comfortable.
3, cooperate with the nursing department to do a good job of monthly nursing quality inspection, night rounds, business rounds and other systems.
2020 Newborn Nursing Work Plan 5 In order to achieve sustainable development and strive for a third-level maternal and child health hospital, on the basis of summing up and analyzing experience, according to the five-year planning points of hospital nursing work and the evaluation requirements of third-level maternity hospitals, the 20xx neonatal nursing work plan is drawn up as follows:
First, standardize nursing management and conscientiously implement various systems and tasks.
(1) Organize general nurses to seriously study various rules and regulations issued by hospitals and nursing departments, and further standardize and implement various operating procedures.
(2) Further improve and refine the specialized nursing management system and work system suitable for neonatal nursing work, and ensure that all the work has rules to follow.
Two, strengthen the management of nursing human resources and professional training, improve the professional quality of nursing staff.
Management objective: the training rate of nurses at all levels is ≥ 90%; The passing rate of "three basics" theory is ≥90%(80 points are qualified); The qualified rate of nursing technology operation 100% (90 points are qualified); The annual turnover rate of nurses is ≤ 10%, and the awareness rate of nurses on performance distribution of departments is ≥ 80%; The awareness rate of emergency nursing human resources allocation is 100%.
Implementation scheme:
(a) in strict accordance with the hospital nursing post management implementation plan, hierarchical management of department nursing; Update the roster of department nurses in time.
(2) Take the hospital performance distribution scheme as the overall deployment, and further refine the departments.
Performance distribution plan, including workload, work quality, satisfaction, etc. Incorporate it into the monthly performance appraisal of nurses, so that nurses can fully understand the performance distribution scheme and mobilize their enthusiasm.
(3) Strengthen the professional training of nurses, and draw up an annual training plan, covering "three basics" knowledge training, core system training, neonatal specialized nursing knowledge training, neonatal specialized nursing skills training and other aspects, so that there will be assessment after each training.
(4) Constantly update nursing knowledge, and increase the opportunities for nurses to go out for study and further study. It is planned that some nurses will obtain the qualification of neonatal specialist nurse this year.
(5) Implement flexible scheduling for nurses in departments, further improve the allocation scheme and process of emergency nursing human resources, and strengthen training and assessment.
Third, strengthen the process control and continuous improvement of nursing quality, and further promote quality nursing work.
Management objective: the qualified rate of basic nursing is ≥ 95%; The qualified rate of specialized nursing is ≥ 95%; The qualified rate of nursing for critically ill patients is ≥ 95%; The qualified rate of ward management is ≥ 95%; The quality of first-aid articles is 95 points, and the intact rate of first-aid drugs is100%; The qualified rate of nursing documents is ≥ 90%; Children's family satisfaction ≥ 95%; The awareness rate of health education is ≥85%.
Implementation measures:
(a) continue to implement the two-level management of nursing quality, give full play to the quality control role of the quality control team of the department, and improve the ability of nurses to find and solve problems.
Nursing work plan of neonatal department in 2020 1. Strengthen on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(a) according to the standardized training of nurses and nurses on-the-job implementation plan to do a good job in the training and assessment of nurses' "three basics" and specialist skills.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. The nursing department plans to strengthen basic nursing knowledge in the first half of the year and increase the number of examinations until it reaches the standard.
2. Strengthen the training of specialized skills: each department formulates the assessment plan of specialized theory and skills training within the cycle, and organizes 2-3 examinations every year. Theoretical examination should have examination papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.
1, organize the study of hospital service etiquette culture, strengthen nurses' understanding of modern nursing culture, discuss it at the long-term level of nurses first, and then carry out literacy improvement activities in the whole hospital after reaching * * * knowledge, and formulate training plans and specific implementation plans.
Arrange lectures in the whole hospital and try to learn nurses' social etiquette and professional service etiquette by sending them out and inviting them in. Carry out a nurse etiquette competition, use the "5. 12" Nurses' Day to set off an activity month of learning etiquette and stressing literacy, and organize an entertaining holiday party.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing. The development of nursing level and medical technology is unbalanced, and the head nurses in various departments organize to learn professional knowledge. In case of developing new technology projects and special diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching documents, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their academic level.
Second, strengthen nursing management and improve the management level of head nurses.
(1) A hospital head nurse management class was held at the beginning of the year, mainly to update management concepts, management skills and cultivate humanistic spirit in nursing service, the current social demand for nursing service, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with the assessment of head nurses.
(3) Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting of head nurses' work experience to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the two-level management system of nursing quality, especially to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2) Establish inspection, evaluation and feedback system and establish traceability mechanism. Nurses often go deep into various departments for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records, listen to doctors' opinions, find problems in nursing work and put forward rectification measures.
(3) Further standardize the writing of nursing documents, start with details, strengthen the three-level evaluation system of each nursing document from quality controller to head nurse to nursing department, regularly analyze and improve the defects of nursing records, increase the weight of deducting points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(four) to strengthen the safety management in the process of nursing:
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments should put forward the hidden dangers of nursing safety every month and do a good job of attribution analysis of nursing errors, defects and nursing complaints, analyze the reasons from the perspective of themselves and departments, analyze the lessons to be learned, and put forward preventive and improvement measures. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the equipment in good condition.
Fourth, deepen family services and improve service quality.
(1) On the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
(2) Pay attention to the collection of nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, issuing satisfaction questionnaires, etc., and puts forward improvement measures in time, at the same time encouraging nurses to work and mobilizing their work enthusiasm.
Five, do a good job in teaching and scientific research
(1) Designate nurses with nursing titles or above to be responsible for teaching interns.
Work, hold regular evaluation meetings, and listen to the opinions of teachers and interns.
(2) The head nurses in all subjects are the general teachers, pay attention to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the teachers, arrange small lectures, understand the completion of the internship plan, and do a good job in theoretical and operational examinations.
(3) The nursing department should do a good job in pre-job training for interns, do not regularly check the teaching quality of the next department, and organize an excellent teaching teacher selection activity before the end of each internship.
(4) Enhance scientific research awareness, and strive to introduce or develop 1 ~ 2 new technology projects during the year.
(5) Plan and make the nursing garden network, upload the nursing trends in our hospital, deliver the nursing learning materials in time, give full play to the spatial advantages of local area network, and enrich the study life of nurses.
We believe that as long as we work hard to carry out the above work, we will certainly achieve good results in the work of 20xx.