Summary of Pediatric Nursing in 2019
Pediatrics is a young team full of vitality, love and hard work. We have been working conscientiously for half a year with the relocation of the new hospital. The whole department never forgets the tenet of “taking all patients as the center and taking quality as the core”. With its own love and sincerity, it satisfies the needs of every inpatient, and the work style of “saving the wounded and dying” runs through the whole process of nursing work. Under the leadership of the hospital and the nursing department, according to the work goals set up half a year ago, the general nursing staff seriously implemented the tasks and completed the tasks, and won the satisfaction of most inpatients.
First, the basic situation of the department
1. There are 9 general nursing staff, including 5 nurses, 1 nurse, 4 nurses, 4 nurses, 2 junior college students, 2 undergraduates, and 5 technical secondary school. There are 40 beds in total, with 1313 inpatients in the whole year, 489 in the first half of the year, and 824 in the second half of the year. In the second half of the year, the total number of patients in the first half of the year increased by 25.5%. In the second half of the year, 126 critically ill patients were rescued and 9 died. The success rate was 92.9%. There were 468 venous blood samples, including 12 jugular veins, 2 femoral veins, 472 skin tests, 148 intramuscular injections, blood transfusions, 126 catheterizations, 18 gastric lavage rescues, 3 deaths, and gastric salvage success rate 83 %. Intubation of 3 people, successful intubation of 2 people and positive pressure breathing using a ventilator. Strict nursing operation routine, strict disinfection, sterilization, and isolation measures are implemented. There is no cross-infection in the hospital for internal and infestation comprehensive departments, and no error occurs.
Second, department equipment, material operation and related systems
1. The department has rescue equipment: 2 gastric lavage machines, 1 baby thermostat, 1 defibrillator, 1 adult suction device, 1 baby sucker, normal operation and ready for standby. All rescue equipments are managed by Yang Dongzhi, the responsible person. Every week, the operation, maintenance and records are checked regularly. The rescue cabinets and medicine cabinets are managed by the responsible person, Li Mei, and regularly checked. If there is a shortage of drugs or drugs, they will be immediately added. Standby and record; all kinds of disinfectant and materials are regularly changed every week, the special treatment class is responsible, the main class is checked once a day, and problems should be reported immediately and resolved immediately.
2. The department conducts a strict check-time system, and the class check is conducted every Friday and is closely linked. In the past six months, the drug leaks in the department have been blocked 10 times, and 5 cases of leaking treatment have been detected. They have been filled in time, and no adverse consequences have been caused. The division of labor has clearly blamed each other, coordinated and cooperated, and there has been no apparent overwork caused by excessive delays.
Third, the completion of the department's nursing work in the past six months to the completion of our nursing work: the average basic care of 93 points, 95 points of critical care, 94 points of nursing forms, 89 points of first aid items, 95 points of ward disinfection rate, satisfaction Investigate 87, 5 points and manage 86 points. Strict management of disposable medical supplies, all after use, sub-packaging, disinfection, destruction, burning and recording. Strictly perform aseptic operation, the injection can be done by one person, one needle, one tube and one belt, and there is no infusion or transfusion reaction.
Fourth, department business learning and the introduction of new technologies
1. Under the guidance of Director Wu and Director Xiong Zhen, after many studies, each doctor in our department can use the ECG machine. Each nurse can understand the ECG of common clinical abnormalities. The department discussed each case of death and difficult cases, summed up the deficiencies, and developed a complete treatment plan and put it on the wall for reference. The treatment options on the wall are: cerebral hemorrhage blood pressure regulation program, upper gastrointestinal bleeding rescue flow chart, pediatric respiratory failure, heart failure emergency flow chart, acute myocardial infarction rescue treatment program and rapid arrhythmia rescue treatment program. Most patients with cerebral hemorrhage received comprehensive and scientific treatment and care in our department, which won the trust of the people and retained many patients. This year, we also carried out the first case of tracheal intubation in our department, using the precedent of breathing in the ventilator, and carried out a series of cares on the patient's eyes, mouth, trachea, catheterization, hemorrhoids, life, psychology, etc. Finishing and binding into a book. The nursing staff also learned the new technology introduced from the provincial doctors: the use and care of the indwelling needle, the application of magnesium sulfate wet compress, the oxygen therapy of patients with hemorrhoids, and achieved a good therapeutic effect, which is now used in our department. At the same time, we also learned the pathogenesis, clinical manifestations and care of various diseases, and can provide doctors with medical treatment basis instantly and accurately.
Sixth, internal management
1. In the past year, the department held regular meetings twice a month to communicate the problems that occurred during this period and the opinions and suggestions put forward by the patients and family members at the meeting, and to take appropriate measures to address the existing problems:
1) Send a satisfaction questionnaire to the patient's family to collect opinions and suggestions, so that we can grasp and understand the satisfaction of some patients on our doctors, nurses, and ward management in a timely manner.
2) In order to improve the awareness of medical staff to respect and maintain the rights and interests of patients, through learning, we basically understand and master the communication skills with patients, promote the harmonious relationship between doctors and patients, medical care, enhance the feelings, let patients believe us, willing Stay in our section.
3) In order to give patients a warm medical environment, we have focused on the theme of “tree industry new wind, creating first-class service”, starting from small links, requiring medical staff to do “four light” and “seven sounds” services, some The patients who can't solve the most basic living and hospitalization expenses, our general staff generously donated a helping hand, and let the patients feel the warmth, patience, care and heart of the four-hearted service, and feel the warmth of home.
4) After this year's "Medical Quality Management" inspection, we realized that our management is not perfect. The main problem is the lack of medical safety: the medical records are not timely and irregular, and the treatment principles for various diseases are not standardized. Abuse of antibiotics, opaque fees, and incomplete records.
5) In order to realize the humanized management, the department has studied the “Quantitative Assessment and Grading System for Nursing Staff” formulated by the Nursing Department. However, in order to make the duty staff feel relaxed and do not have emotional work, our department did not completely deduct the penalty according to the system. Instead, we ask everyone to help each other, each class check each other, and immediately solve the problem of correcting and helping to fill and recycle. If they are not corrected immediately, the two classes will be jointly punished. In the past six months, they have been punished only for environmental sanitation, image and coordination issues. .
7. Social Benefits of Nursing Work Our department's nursing staff are proficient in conventional techniques. The puncture technique for small veins in children's scalp can achieve accurate and skilled movements, and the high blood pressure rate is high. The two responsible nurses have a strong initiative and responsibility, and provide an environment introduction and life support for each patient. Explain the treatment and care plan and the health guidance and return visit after discharge. In the first quarter of the relocation, the satisfaction survey received 100% of the good results, and the patient received a thank-you letter of 3, and the patient received a pennant in the second quarter. Thanks for the letter, but the satisfaction survey fell to 75%, indicating that the work of our responsibility class has not been sustained, ignoring psychotherapy and return visits. If every return visit can make the patient feel that you are treating him with care, remembering him, caring about him, and being intimate, it will give us good social benefits.
Eight, the shortcomings of existence
1. The rotation of nursing staff is too fast and difficult to manage;
2. The ability of mutual cooperation between nursing staff is relatively poor;
3. The nursing staff lacks communication with the outside world and the service awareness is not strong;
XX year internal medicine work plan
1. Work in strict accordance with the "Guidelines for Hospital Management Evaluation" and related systems in the hospital;
2. Strengthen business learning and improve the level of nursing technology;
3. Select nursing backbone to go to provincial hospital for further training in cardiology and neonatology;
4. Strengthen the construction of the wind and achieve quality service.
First, the basic situation of the department
1. There are 9 general nursing staff, including 5 nurses, 1 nurse, 4 nurses, 4 nurses, 2 junior college students, 2 undergraduates, and 5 technical secondary school. There are 40 beds in total, with 1313 inpatients in the whole year, 489 in the first half of the year, and 824 in the second half of the year. In the second half of the year, the total number of patients in the first half of the year increased by 25.5%. In the second half of the year, 126 critically ill patients were rescued and 9 died. The success rate was 92.9%. There were 468 venous blood samples, including 12 jugular veins, 2 femoral veins, 472 skin tests, 148 intramuscular injections, blood transfusions, 126 catheterizations, 18 gastric lavage rescues, 3 deaths, and gastric salvage success rate 83 %. Intubation of 3 people, successful intubation of 2 people and positive pressure breathing using a ventilator. Strict nursing operation routine, strict disinfection, sterilization, and isolation measures are implemented. There is no cross-infection in the hospital for internal and infestation comprehensive departments, and no error occurs.
Second, department equipment, material operation and related systems
1. The department has rescue equipment: 2 gastric lavage machines, 1 baby thermostat, 1 defibrillator, 1 adult suction device, 1 baby sucker, normal operation and ready for standby. All rescue equipments are managed by Yang Dongzhi, the responsible person. Every week, the operation, maintenance and records are checked regularly. The rescue cabinets and medicine cabinets are managed by the responsible person, Li Mei, and regularly checked. If there is a shortage of drugs or drugs, they will be immediately added. Standby and record; all kinds of disinfectant and materials are regularly changed every week, the special treatment class is responsible, the main class is checked once a day, and problems should be reported immediately and resolved immediately.
2. The department conducts a strict check-time system, and the class check is conducted every Friday and is closely linked. In the past six months, the drug leaks in the department have been blocked 10 times, and 5 cases of leaking treatment have been detected. They have been filled in time, and no adverse consequences have been caused. The division of labor has clearly blamed each other, coordinated and cooperated, and there has been no apparent overwork caused by excessive delays.
Third, the completion of the department's nursing work in the past six months to the completion of our nursing work: the average basic care of 93 points, 95 points of critical care, 94 points of nursing forms, 89 points of first aid items, 95 points of ward disinfection rate, satisfaction Investigate 87, 5 points and manage 86 points. Strict management of disposable medical supplies, all after use, sub-packaging, disinfection, destruction, burning and recording. Strictly perform aseptic operation, the injection can be done by one person, one needle, one tube and one belt, and there is no infusion or transfusion reaction.
Fourth, department business learning and the introduction of new technologies
1. Under the guidance of Director Wu and Director Xiong Zhen, after many studies, each doctor in our department can use the ECG machine. Each nurse can understand the ECG of common clinical abnormalities. The department discussed each case of death and difficult cases, summed up the deficiencies, and developed a complete treatment plan and put it on the wall for reference. The treatment options on the wall are: cerebral hemorrhage blood pressure regulation program, upper gastrointestinal bleeding rescue flow chart, pediatric respiratory failure, heart failure emergency flow chart, acute myocardial infarction rescue treatment program and rapid arrhythmia rescue treatment program. Most patients with cerebral hemorrhage received comprehensive and scientific treatment and care in our department, which won the trust of the people and retained many patients. This year, we also carried out the first case of tracheal intubation in our department, using the precedent of breathing in the ventilator, and carried out a series of cares on the patient's eyes, mouth, trachea, catheterization, hemorrhoids, life, psychology, etc. Finishing and binding into a book. The nursing staff also learned the new technology introduced from the provincial doctors: the use and care of the indwelling needle, the application of magnesium sulfate wet compress, the oxygen therapy of patients with hemorrhoids, and achieved a good therapeutic effect, which is now used in our department. At the same time, we also learned the pathogenesis, clinical manifestations and care of various diseases, and can provide doctors with medical treatment basis instantly and accurately.
Sixth, internal management
1. In the past year, the department held regular meetings twice a month to communicate the problems that occurred during this period and the opinions and suggestions put forward by the patients and family members at the meeting, and to take appropriate measures to address the existing problems:
1) Send a satisfaction questionnaire to the patient's family to collect opinions and suggestions, so that we can grasp and understand the satisfaction of some patients on our doctors, nurses, and ward management in a timely manner.
2) In order to improve the awareness of medical staff to respect and maintain the rights and interests of patients, through learning, we basically understand and master the communication skills with patients, promote the harmonious relationship between doctors and patients, medical care, enhance the feelings, let patients believe us, willing Stay in our section.
3) In order to give patients a warm medical environment, we have focused on the theme of “tree industry new wind, creating first-class service”, starting from small links, requiring medical staff to do “four light” and “seven sounds” services, some The patients who can't solve the most basic living and hospitalization expenses, our general staff generously donated a helping hand, and let the patients feel the warmth, patience, care and heart of the four-hearted service, and feel the warmth of home.
4) After this year's "Medical Quality Management" inspection, we realized that our management is not perfect. The main problem is the lack of medical safety: the medical records are not timely and irregular, and the treatment principles for various diseases are not standardized. Abuse of antibiotics, opaque fees, and incomplete records.
5) In order to realize the humanized management, the department has studied the “Quantitative Assessment and Grading System for Nursing Staff” formulated by the Nursing Department. However, in order to make the duty staff feel relaxed and do not have emotional work, our department did not completely deduct the penalty according to the system. Instead, we ask everyone to help each other, each class check each other, and immediately solve the problem of correcting and helping to fill and recycle. If they are not corrected immediately, the two classes will be jointly punished. In the past six months, they have been punished only for environmental sanitation, image and coordination issues. .
7. Social Benefits of Nursing Work Our department's nursing staff are proficient in conventional techniques. The puncture technique for small veins in children's scalp can achieve accurate and skilled movements, and the high blood pressure rate is high. The two responsible nurses have a strong initiative and responsibility, and provide an environment introduction and life support for each patient. Explain the treatment and care plan and the health guidance and return visit after discharge. In the first quarter of the relocation, the satisfaction survey received 100% of the good results, and the patient received a thank-you letter of 3, and the patient received a pennant in the second quarter. Thanks for the letter, but the satisfaction survey fell to 75%, indicating that the work of our responsibility class has not been sustained, ignoring psychotherapy and return visits. If every return visit can make the patient feel that you are treating him with care, remembering him, caring about him, and being intimate, it will give us good social benefits.
Eight, the shortcomings of existence
1. The rotation of nursing staff is too fast and difficult to manage;
2. The ability of mutual cooperation between nursing staff is relatively poor;
3. The nursing staff lacks communication with the outside world and the service awareness is not strong;
XX year internal medicine work plan
1. Work in strict accordance with the "Guidelines for Hospital Management Evaluation" and related systems in the hospital;
2. Strengthen business learning and improve the level of nursing technology;
3. Select nursing backbone to go to provincial hospital for further training in cardiology and neonatology;
4. Strengthen the construction of the wind and achieve quality service.
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