Operating room care work plan

In order to conscientiously implement the key points of hospital work in xx years, we will fully implement ISO9001-2000 quality management standards around “taking patients as the center and quality as the core”, continuously strengthen the scientific and standardized management of nursing work, and promote the comprehensive improvement of nursing quality. According to the service spirit of the Ministry of Nursing and the actual situation of the Department of Nursing, the objectives and plans for nursing management are as follows:
1. Update the concept of nursing management and service to improve the quality of care. We will make people-oriented, pay attention to humanized services, and carry out the activities of “patient satisfaction in the department”. Strict implementation of the protective medical system, for the sake of patients at any time, the patient's condition, surgical results, surgical complications, etc., will not be discussed during surgery. Practically change the service concept and work mode, ensure that the patient is served with the best nursing work status, meet all reasonable needs of the patient, create a warm and comfortable operating environment for the patient, and achieve the patient's satisfaction with the nursing work ≥95%. At work, we pay attention to strengthen communication with doctors, collect patient information, gain understanding, trust and support, and continuously improve the quality of internal services so as to better cooperate with surgery to achieve clinicians' satisfaction with operating room nursing work ≥98%.
2. Strengthen the quality and safety management of nursing to ensure that the annual accident rate is zero. Formulate strict departmental rules and regulations, regularly organize analysis and analysis of errors, and propose rectification opinions for recurring problems to prevent the occurrence of errors. Use the morning meeting, nursing business learning and other forms to enhance the nurse's service awareness, to achieve active service, warm reception, and careful introduction. Each treatment and treatment operation should greet the patient, use encouraging language, and be gentle in movement, so that the patient feels the warmth of a loved one.
3. Strictly abide by the "Regulations on Hospital Infection Management" and conscientiously implement the "Disinfection and Isolation System". Further improve the work system of each class and strictly control the flow of personnel. Strict implementation of aseptic technique, timely correction of people and things that violate the principle of sterility, prevention of nosocomial infection, 100% implementation rate of one person, one tube and one tube, infection rate of sterile incision ≤0.5%, and pass rate of sterilization of conventional instruments 100% .
4. Do a good job in the management of first-aid medicines to ensure that the rate of first-aid medicines is 100%. Carefully check each shift when you transfer, and make sure that the account is in good condition. Strengthen the training of first-aid knowledge, rescue work procedures, rescue medicines, and rescue instruments for nursing staff, so that everyone can master and apply. Received emergency patient notification, can quickly start surgery in the shortest possible time, and can be agile, flexible and skilled to cooperate with the rescue work.
5. According to the requirements of the "Standards for Writing Medical Care Documents in Shandong Province", strengthen the writing management of nursing documents, so that writing is serious, timely and standardized, consistent with the actual nursing process, and the qualified rate of nursing documents is ≥95%.
6. Strengthen the on-the-job training of nursing staff and continuously improve the level of business technology. The average level of nursing staff is ≥75 points; the qualified rate of nursing technology operation is ≥95%; the nursing staff are supported to participate in continuing education and training, and the continuing education credits are ≥25 points per person per year. Encourage nursing staff to participate in self-study, correspondence and various classes and seminars, so that nursing staff can grasp the new development of nursing work and new theories and new technologies related to nursing, continuously improve the business level of nursing staff, and better cooperate with the surgical department. Carry out new business and new technologies. Encourage the majority of nursing staff to actively write papers, and strive to publish or exchange papers ≥ 4 in general publications at or above the municipal level. According to the nursing training program, the staff will go out for further study and improve the level of specialist nursing, so as to drive the technical level of the general staff.
7. Charge strictly according to the charging standard, so that it should be collected and receivable, and should not be collected. In case of doubts and disputes, timely verification and handling. Regularly collect and collect medical and office supplies from departments to reduce waste and loss. The person in charge is responsible for the maintenance of the medical equipment, so that the performance and use of the equipment are well known and the clinical operation is guaranteed.
8. Establish a sound monitoring system for nursing quality. The quality control team of the department will increase the self-examination and find problems in a timely manner. Regularly search for hidden dangers and analyze and feedback to make the work stylized and standardized. Through the statistics of operating procedures, satisfaction surveys, whether there are errors and negligence and complaints, inspection of health areas and other indicators, improve and promote nursing work, and constantly improve the quality of operating room care.
9. Strengthen clinical teaching management and do a good job in teaching. According to the requirements of the internship program, we will formulate teaching plans and arrange special personnel to teach. We will continue to improve the teaching methods according to the clinical teaching experience, strengthen the training and improvement of the teaching ability of teaching teachers, conscientiously implement the "360 Project", and successfully complete the teaching work. .
10. Prepare for the relocation of the ward building. Conscientiously implement the ISO quality management standards, strengthen the quality control of undergraduate nursing, further standardize the nursing work process, conduct quantitative assessment and quality analysis on time, and all quality control indicators meet the ISO quality target requirements. Organize the knowledge of the laminar flow clean operating room and prepare for the relocation of the ward building.
11. All the nursing staff of our department will cooperate closely with clinicians under the leadership of the hospital and the nursing department to ensure medical safety, improve service attitude, improve the quality of care, ensure that all quality control indicators meet ISO quality objectives, and create good results. Social and economic benefits.

First, strengthen the on-the-job education of nurses and improve the overall quality of nursing staff

According to the standardized training of nurses and the on-the-job continuing education implementation plan for nurses, the "three basics" of nurses and the training and assessment of specialized science and technology can be done.

1. Focus on strengthening the assessment of new admission nurses, employed nurses, and low-grade nurses, and strengthen their learning awareness. The Ministry of Nursing plans to strengthen basic nursing knowledge in the first half of the year, and increase the number of assessments until reaching the standard.

2. Strengthen the training of special science and technology: Each department develops the training and assessment plan for the specialty theory and skills in the cycle. It organizes examinations and assessments 2-3 times a year. The theoretical examinations must have papers and the head nurses organize closed-book examinations. Pay attention to practical results, not in the form, to lay a solid foundation for the training of specialist nurses.

3, basic skills assessment: nurses who are standardized training objects, all of the 16 basic skills must be up to standard within the year, the assessment requirements in the actual work to take the test. Other levels of nurses plan to operate the exam once and the theoretical exam twice.

4. Strengthen the learning and mastery of relevant knowledge, organize an actual assessment of the rules and regulations, combine theoretical tests with clinical application, and check the implementation of compliance.

Strengthen the study of humanities knowledge and improve the overall quality of nurses

1. Organize the hospital service etiquette culture and strengthen the nurses' awareness of modern nursing culture. First discuss at the level of the head nurses. After reaching a consensus, carry out the promotion of literacy activities within the hospital, and develop training plans and specific implementation plans.

Arrange the whole hospital lectures and strive to send out, please come in to learn the nurses' social etiquette and professional service etiquette. Conduct a nurse etiquette competition, and use the "5.12" during the nurse's day to celebrate the etiquette and literacy activities, and organize a festive evening for educational and entertainment.

And update professional theoretical knowledge to improve the level of specialist nursing technology. With the current situation of imbalance between the level of nursing and the development of medical technology, the head nurses of various departments organize the study of specialist knowledge. In case of new technology projects and special difficult diseases, doctors can be taught, literature can be retrieved, and the nursing department organizes nursing ward rounds. Update knowledge and skills in the form of nursing consultations and other forms. At the same time, some of the nurses who plan to send some of them go out to study and study to improve their academic standards.

Second: strengthen nursing management and improve the management level of head nurses

At the beginning of the year, we held a training course for head nurses in the hospital, mainly to update management concepts, management skills and humanistic spirit in nursing services, the demand for nursing services in today's society, the outlook for new year nursing work and the emotional communication of head nurses. Communication, etc.

Strengthen the target management assessment of the head nurse, combine the monthly assessment with the year-end assessment, and link the quality of the nursing care with the examination of the head nurse.

To promote the exchange of learning between nurses and departments, organize cross-checks on the quality of care every quarter, and hold a work experience exchange meeting for head nurses to learn from the level of care management.

Third, strengthen the quality control process to ensure that the nursing work is safe and effective

Continue to implement the secondary management system for nursing quality, especially the need to develop and improve the ability of the head nurse to find problems and solve problems. At the same time, it is necessary to give play to the quality control function of the quality control team of the department, clarify their respective quality control points, and enhance the participation of all employees in quality management. Awareness to improve the quality of care.

Establish inspection, evaluation, and feedback systems, and establish a traceability mechanism. The staff of the nursing department often go deep into the inspection, supervision, and evaluation of various departments. The assessment method is to evaluate the nurses on the spot and view the patients, view the records, listen to the doctors' opinions, find the problems in the nursing work, and propose corrective measures.

Further standardize the writing of nursing documents, start from the details, strengthen the three-level evaluation system of the quality control staff-head nurse-care department for each nursing document, regularly analyze and improve the defect of nursing records, and increase the defect of discharge medical records. Decentralization, emphasizing that unqualified nursing documents are not filed. The year-end nursing instruments were judged to be the first, second and third in the collective.
Strengthen safety management during care:

1. Continue to strengthen the three-level monitoring and management of nursing safety. The department and the nursing department conduct monthly investigations on the safety hazards and the attribution analysis of nursing errors and nursing complaints, and analyze them from the perspective of themselves and departments. Reasons, lessons should be learned, and preventive and improvement measures should be proposed. The departments and individuals who repeatedly appear on the same issue are responsible for the management of the head nurse and the individual responsibility.

2. Strictly implement the check-up system, emphasize the implementation of the secondary checkup, strengthen the management of nursing students, and clarify the safety management responsibility of teaching teachers.

To prevent serious errors and accidents.

3, strengthen the head nurse to the department hardware

The routine inspection awareness of the facility, regular inspection of performance and safety, timely detection of problems and timely maintenance, to maintain the integrity of the equipment.