New nurse training program

Part 1: New Nurse Training Program

First, the purpose:
Enrich the theoretical knowledge of nursing, master the nursing system and disease care, and carry out basic operational skills training. Through training, it is the new nurse to establish a sterile concept, strictly observe the operating procedures in the operation, cultivate the spirit of cautiousness, and do a good job of nursing.
Second, the method:
1, theory
1) Participate in the business study, nursing rounds, and the position training test held in the hospital on Wednesdays;
2) Participate in the hospital's ECG knowledge and case discussion;
3) Learning three basic knowledge through self-study;
2. Skills:
Trained and assessed by the teacher.
Third, the theoretical training content:
1. Responsibilities and standards of each class, learning the duties of nurses;
2. The core system----the nursing check system, the handover system, the reporting system for nursing adverse events, etc.;
3, the contraindications of common drugs;
4. Use of emergency medicines;
5, hospital knowledge, occupational exposure process.
Fourth, the operation of training content:
Intravenous infusion, intramuscular injection, subcutaneous injection, intradermal injection, cardiopulmonary resuscitation, catheterization, placement of gastric tube, dressing change, sucking, etc.
V. Specific arrangements:
1. The first month of admission:
Familiar with the working environment, the duties of each class, the core system, the name of commonly used drugs, the name and dosage of first-aid drugs in hospitals, the six-step washing method, the occupational exposure process, the isolation and treatment of infectious diseases;
2. The second month:
Proficiency in 10 nursing operations and passing the assessment; the assessment content is determined by the teacher.
Sixth, the assessment applies:
The probation period is two months, and the labor contract can be signed through the examination.

Part 2: New Nurse Training Program

1. Wear masks, hats, and new nurse training programs in the operating room. *** Room management rules, up, off work and meal system.
Operating room environment introduction
The operating objectives and beliefs of the operating room, the organizational structure of the staff.
Operating room rules and regulations
Afternoon: Classification and selection of surgical needles and sutures
Recognize the commonly used instruments, dressings and their use, cleaning and maintenance methods, and familiar with the postoperative instrument cleaning process.
Know the needle, the blade, the needle, the blade, the needle, and the scalpel.
Disinfection and monitoring: Recognize the indicator tape, learn the packaging method of the surgical instrument, and identify the discoloration identification of the indicator tape before and after sterilization.
Management of disposable sterile items in the operating room.
The next day: surgical hand washing, wearing a surgical gown, wearing/removing gloves, ascending ascending, toweling, teacher demonstration of new nurses, playing CDs.
Aseptic technique practice and demonstration.
Day 3: Safe use of electrosurgery in the operating room: management of high-frequency electrosurgical knives, single-pole double plates, incubators, and smog boxes. The teacher demonstrates the explanation and the new nurse exercises.
Treatment of pathological specimens.
The range and replacement of various disinfectants commonly used in our department.
Operating room sharps processing procedures and methods.
Occupational safety protection and laws and regulations in the operating room.
Day 4: Design and application of various nursing forms in the operating room.
On/off adjustment of the shadowless lamp, disinfection of the operating room and switching of the ultraviolet lamp.
Surgical position review.
The type of operation bed and the method of use, the common surgical position placement method, the teacher demonstrates the explanation, the new nurse exercises.
Day 5: The role, function and quality of the nurse in the modern operating room
2 hand washing / patrolling nurse duties, duties of each class
3 Indwelling needle puncture: teacher demonstration, new nurse practice.
4 week training summary, feedback Q & A.

Part 3: New Nurse Training Program

First, the 13 nurses are all female, aged 22 to 28 years old, including 1 assistant nurse, 3 nurses within 1 year of nursing age, 3 nurses aged 1 to 2 years, 2 years to 3 years of nursing age 3 nurses, 3 nurses aged 3 to 4 years. Nurses within 2 years of nursing age need to complete basic nursing operation training, and other nurses need to complete special nursing operation training.
Second, the arrangement of the table design on the computer using Excel worksheets, one-year training time in the order of the month, vertical arrangement of the training of the operation items, the row and column of cells to write a list of nurses to be trained.
III. Methods At the beginning of each training year, the head nurses of the department shall, according to the training plans of nurses at all levels, uniformly prepare the “Basic Table of Nurses' Operational Skills Training and Assessment at All Levels”. Fill in the items to be trained in the form item column. The item arrangement is filled in the order of the nurses' annual training plan for each level, and each level is a paragraph. In the form name field, fill in the list of all nurses who will be involved in the training program during the month. If a certain level of nurses need to complete a number of training programs in the month, they can merge the columns of the training programs and fill in the list of nurses. If a nurse at a certain level has to complete a training program for 2 months or more, the month can be The line where it is merged. In the month when the district head and department head nurses need to take the test, combine the columns of all the items taken for the test, and fill in the list of nurses who took the test from the district or department head nurse. After completing the schedule, the head nurse of the department handed over to the head nurse of each ward as a guide for the annual training of the nurses. When the district head nurse arranges the training assessment every month, he only needs to check the items corresponding to the nurse list in the ward in the current month. The demonstration project will be arranged in the first ten days, and the assessment will be arranged in the middle and late tense.

Part 4: New Nurse Training Program

Through pre-employment training for newly recruited nurses, they can adapt to the role of nurses as soon as possible, be competent in various nursing work, standardize nursing behaviors, improve the quality of nursing services, meet the nursing needs of patients, and adapt to modern nursing development.
Method: Develop various training programs. The newly recruited nurses will be pre-job training according to the plan, and the rotation system will be used within the six-month rotation system.
Results: Through the pre-job standardized training, the nurse's service awareness was enhanced, and the nurse's “three basics” ability, learning ability, operational skills and specialist nursing ability were improved.
Conclusion: Pre-employment training for new nurses can make them have a good sense of professional ethics and service, improve the theoretical level, technical level and comprehensive ability of nurses, and improve the professional quality of nurses.
First, the training object
From April 2008 to April 2019, 68 newly recruited junior college students and nursing staff from nursing school graduated from our school.
Second, the training method
1. Establish a standardized training system: organize new nurses to learn the rules and regulations of the hospital. The basic theory and technical operation level of the newly graduated nurses before going to work must meet the prescribed standards. Implement a rotation system within one year to train general nursing personnel. The nursing department is responsible for the personnel, and the undergraduate department conducts spot checks and assessments of business capabilities. Each round of a department, the teacher with the teacher to fill out an identification, spot checks, assessment results and identification records and personal assessment files. Before the appointment, the nursing department will organize the theoretical examination and the technical operation examination once. According to the examination results and write a paper based on clinical practice, the target can be officially fixed.
2. Learn about nurse etiquette: Organize and watch the “Nursing Behavior Code” video to help them understand the neat instrumentation, the beautiful language, the awkward attitude, the skilled operation skills, the thoughtful service, and the effect on the patient's healing. Please ask the head nurses and senior nurses in the hospital to explain the communication skills, language skills, language requirements for nurses, language training, civilized language when receiving patients, and standardize services to stimulate their learning and work enthusiasm. .
3. Study relevant laws and regulations: Organize and study the "Nursing Regulations", "Administrative Measures for Nurses of the People's Republic of China", "Regulations on Hospital Infection Management", "Administrative Measures for Medical Wastes" and "Implementation Rules for Accident Handling", etc. , the right to choose, the right to security, the right to be respected, the right to copy medical records and other legal knowledge. Familiar with the business and the relationship between France and Germany, to prevent precautions, combined with the actual situation of the hospital and the relevant data accumulated over the years to explain. Make them realize that laws and regulations are the lifeline of medical work, and any omissions and mistakes in their work will not only aggravate the disease, but even endanger the lives of patients, and will inevitably bring immeasurable influence to hospitals, departments and parties, and even bear legal liability. Through learning, it will improve the legal concept and standardize the practice behavior.
4. Strictly abide by the rules and regulations: organize the study of various rules and regulations, as well as the post responsibility system, relevant hospital regulations and work systems, and the "medical care technology operation routine" as the main content, fully understand the rigor of nursing work, and require nurses to continue with medical reform. In-depth, reviewing the daily nursing work from a legal point of view, especially paying more attention to the potential legal issues in the work. It should be explained in depth with the experience and lessons of the positive and negative aspects of the actual work, so that the new nurses strictly abide by the rules and regulations. It is further recognized that various nursing rules and regulations are effective measures to ensure the quality of care and must be strictly followed.

Part 5: New Nurse Training Program

the first week
1. Familiar with the environment
2, familiar with the staff on and off the process, patient visit process
3. Familiar with job duties
4, the basic principle of hemodialysis
5, hemodialysis indications
6, understand: the working principle of the machine and maintenance, disinfection, cleaning program; the composition of dialysate; the composition of the dialyzer
7, the composition and installation of the vascular circuit
the second week
1, familiar with the application of heparin
2, master the machine layout button and screen display content
3, preliminary processing machine alarm
4, understand the choice of vascular access
5. Understand the reuse of dialyzers
6, understand the machine disinfection
The third week
1. Consolidate what you learned last week.
2, can basically handle common fault alarms
3. Master vascular access selection and care
4, master the machine technology
the fourth week
1, skilled in handling machine alarms
2, master the machine technology
3, master the treatment of acute complications
4, understand the basic operating principles of HP
5. Master the reuse of dialyzers
Five weeks to the eighth week
1, skilled upper and lower machine operation
2. Nursing care of long-term complications of proficient hemodialysis patients
3, can independently handle dialysis complications and machine alarms
4, health education
Week 9 to Week 12
1, skilled HP operation and treatment of complications
2. Master the emergency plans and procedures of various specialties
3. Familiar with relevant laws and regulations
4, assessment