Summary of hospital nursing work in 2019
In 2006, under the care, support and attention of the hospital leaders, the nursing work of the hospital successfully completed the nursing work plan issued at the beginning of the year, and actively participated in the “creative” construction activities and The " Hospital Management Year" activities, in accordance with the standards, work on a case-by-case basis, through two activities, effectively promote the institutionalization and standardization of nursing management in our hospital, and the quality of care is steadily improved, which is summarized as follows:
I. Basic situation Nursing staff The total number of nursing staff in the hospital is 157, including 149 nurses, 8 contract nurses and 1 nursing staff. Practice qualification structure: 137 nurse practitioners and 132 registered nurses. There are 129 nursing staff belonging to the business management of the nursing department, accounting for 38% of the hospital's health technicians. It is distributed in 126 people in the clinical line, 20 in other nursing posts, and 11 in non-care posts. Educational structure: 39 people in college, accounting for 24%, 113 in technical secondary school, 5 people without academic qualifications, 13 in college, and 3 in university. Title structure: 73 supervisors, 51 nurses, 33 nurses. Age structure: The average age of nurses in the hospital is 36.75 years old, and the average age of clinical first-line nurses is 34.06 years old. Calculated according to the number of planned beds 295, the ratio of bed to ward nurse is 1:0.32. 18 temporary nurses were hired. ×
Nursing workload Table 1
Judging from the above two figures, the aging phenomenon of the nursing team in our hospital has been alleviated compared with last year, but the echelon is not reasonable enough to affect the rational use of nursing manpower. The shortage of nursing staff is prominent, the nurses' beds are relatively low, and the proportion of medical care is obviously out of balance. The existing nursing staff configuration can not meet the needs of growing hospital care services, quality and safety, and there are potential safety hazards, which also restricts the deep improvement of nursing quality.
Second, strengthen the nursing management, and strive to improve the level of nursing management to strengthen the management awareness of the head nurse. In February this year, the nursing department organized a training course on in-hospital care management. The training content is mainly the update of the management concept of the head nurse, management skills and The humanistic spirit of nursing service and the quality of nursing continued to improve. At the same time, half-day discussions were arranged. The nurses, while reviewing the work of the previous year, started the discussion on how to deepen the humanized service in the New Year and further understand in the discussion. The connotation of the "people-oriented" nursing service reached a consensus.
The monthly and year-end evaluation of the head nurse's target management was intensified, the wenmi.net head nurse's work flow and evaluation criteria were clarified, and its key role in the quality management of the department was established. The nurses' day three meeting and three rounds rounding system were established. The head nurse's consultation system has effectively improved the ability of the head nurse to predict-control-improve work. Closed the relationship between nurses and patients and reduced the patient complaint rate.
Carefully guide the new head nurses to work: This year, two new nursing units will be added. In addition to actively assisting in the construction of nursing units, the nursing department will take the form of follow-up, guidance and communication to the newly appointed head nurses to help the newly appointed head nurses to change roles as soon as possible. In a relatively short period of time, take up the care management of the department.
Strengthened nursing safety management to ensure care safety
1. Strengthen the safety awareness of advance care and pay attention to the feedback of dangerous information. This year, a three-level nursing safety monitoring network, namely the nursing department-head nurse-safety monitoring nurse, collected the nursing risk factors step by step, organized the nursing safety discussion session 1 - 2 times, discuss existing and potential security issues, and propose practical precautions. This year, a total of 63 safety hazards were investigated and 12 safety measures were proposed. Formulate three measures for system and process improvement. Effectively prevent the occurrence of serious care errors.
2. Strengthened the attribution analysis of nursing defects and nursing complaints: establish an internal truthful registration reporting system, and hold the parties and the head nurse responsible for the intentional concealment. The Nursing Department organizes discussions on each of the nursing defects and complaints, analyzes the causes, analyzes the lessons learned, proposes improvement measures, and has a deep understanding of the recurring departments and personal responsibilities of the same problem, and rectifies within a time limit. The departmental nursing problem is linked to the department head nurse's monthly and year-end assessment.
3. Enhance the risk awareness, legal awareness, evidence awareness of nursing staff, strengthen nursing staff compliance, and organize examinations of nursing rules and regulations and related laws and regulations this year, and timely transmit case warnings about nursing errors to nursing staff in the hospital. At the same time, it further standardized the medical check-up process, the drug check-up process, formulated the key link nursing management program and emergency procedures, and prevented the inpatient fall system and various catheter anti-shedding systems. Effectively ensure that the nursing staff in the hospital have rules to ensure the safety of care.
Third, strengthen the quality control of nursing, improve the quality of clinical care, establish a quality inspection and assessment system for nursing, and the staff of the nursing department conduct in-depth examination, supervision, and evaluation of the department, and organize the cross-check of the head nurses every quarter to promote the head nurse. Learning and communication between departments and departments, learning from each other's strengths, effectively promoted the unity and improvement of the quality of care in the hospital.
Improve the quality of care quality control system, pay attention to the quality control function of the quality control team of the department. Each department has defined the duties and working methods of the quality control team. Each quality control team exchanges information every month, and the quality control personnel have their own Quality control point. This measure has better promoted the nurses' participation in quality management awareness, motivated nurses' work enthusiasm, and played a great role in grasping the quality control of the links.
Further standardizing the writing of nursing documents, starting from the details, strengthened the three-level evaluation system of the quality control staff-head nurse-care department for each nursing record, and organized a monthly nursing record review to ensure unqualified Medical records are not filed. In the year-end nursing document examination and evaluation, the top three departments for quality are: ENT, Pediatrics, and Infectious Diseases.
In response to the requirements of “Chuangman” construction activities and “ Hospital Management Year” activities, this year, we will continue to do a good job in the evaluation of grade nursing and health education, and these two tasks will be used as the main line of nursing work this year in the monthly nursing quality assessment. To strengthen the awareness of nurses in carrying out health education and implement a comprehensive responsibility system for responsible nurses. Health education coverage is 100%, but the patient health knowledge awareness rate is not ideal.
The quality of care has reached the standard
1. The pass rate of basic care is 97.7%; 2. The pass rate of primary care is 98%;
3, the head nurse management assessment rate of 96.8%; 4, night care quality inspection 98.8 points;
5. The pass rate of rescue items management is 98.5%; 6. The pass rate of disinfection and isolation is 98.7%;
7. The pass rate of nursing documents is 98.2%; 8. The satisfaction of nursing work is 94.9%.
9. The qualified rate of technical operation of nursing staff is 95%; 10. The pass rate of nursing staff is 100%;
11. The pass rate of sterilization and sterilization of conventional instruments is 100%; 12. The execution rate of one person, one needle, one tube and one tube is 100%;
13. The incidence of nursing accidents is 0; 14. The incidence of acne is 0.
Fourth, the adoption of multi-channel to improve the overall quality of the nursing team has developed a nurse education and training system, nurse assessment system, supporting the implementation of nurse standardized training and nurses continuing education implementation plan, set the cycle, set the training program, especially increased The standardized training of new nurses and low-grade nurses clarifies the content and requirements of standardized training. After passing the training and assessment, the standardized training certificate can be entered into the continuing education stage.
Introduced the management software of nursing education credits in Guangzhou General Hospital , piloted nursing education training and information management of nurses' work assessment, and managed nurses' assessment, work quality and service attitude in the form of credits, which is important for nurses' promotion, appointment, and re-registration. in accordance with.
Strengthened the training of “three basics” and special technical ability. This year, the nursing department changed the practice of separation and separation in the past. The examination was closer to the clinical, and the on-site assessment and on-site evaluation, physical teaching and normative demonstration were adopted. In combination, the organization of post training, held a nursing operation competition during the "5.12" nurses' day, organized a theoretical examination three times throughout the year, the pass rate was 100%, the nursing technology operation assessment was 2 times, and the pass rate was 95%. However, due to the lack of attention of some nurses, the foundation is weak, and the training has not reached the expected goal.
The on-the-job education of nurses was strengthened. The Nursing Department organized 12 whole-study business studies, which were lectures on new theories, new technologies and practical knowledge. At the same time, the Ministry of Nursing gave full play to the resource advantages of the district network and timely uploaded care. Lecture presentations enriched the learning content of nurses and were well received by nurses.
Going out to participate in the short-term training class and academic exchanges 9 times, after the returning students returned to the hospital, they gave oral or written study reports to the nursing department, and arranged for the internal and internal learning to be communicated 6 times. However, the training plan at the beginning of the year was not completed.
V. Teaching and research work This year, we received 4 nurses from township hospitals, and received 24 internships from provincial and municipal health schools. We also did a good job in pre-job training and arranged clinical teaching, and each department could organize nursing students. Out of the theory and operational assessment. At the many intern seminars held by the students, the students reflected that most of the teachers were caring for the students, and they had a strong sense of responsibility and a high quality of teaching. According to the results of the intern feedback form, the departments with better teaching atmosphere had a different one. Department, internal medicine, external two departments, obstetrics and gynecology. Through the issuance of the teacher evaluation form, the students think that the better teachers are: ××× is good at summing up the experience in clinical nursing work, based on innovation, this year the hospital nursing self-selection project ××× “passed the city’s scientific and technological achievements acceptance, filled There is no gap in the county's no-care research, and the pediatrics has launched two new technology projects: ×××, which greatly improved the standard of treating severely ill children. The hospital wrote 10 nursing papers and published 10 provincial papers.
Sixth, "patient-centered" in-depth development of humanized services, and achieved significant social benefits. First, the Ministry of Nursing conducted an in-depth investigation on how to embody "humanization" in nursing services, and widely listened to the opinions of outpatients, especially the focus. Listening to the opinions of patients who have visited the hospital in the foreign hospital and talking with the inpatients, issuing inpatients' opinions and reading letters, reading the return letters, etc. to obtain the patient's demand information for the nursing services, identifying the gaps, and formulating corresponding humanized service measures. Specification is made in specific details.
Secondly, we will carry out service concept education, strengthen a change, that is, change the service concept, advocate more active positional thinking, and provide comfortable and safe care from the clothes, food, housing, transportation and treatment of patients. For example, the maternity ward provides a backrest stool for the convenience of maternal breastfeeding; the responsible nurse is the intimate person of the patient, and uses the free time after the treatment for the patient to talk to the patient cordially, to teach them the knowledge of disease rehabilitation, and to send comfort to their loved ones. The nurse is also like a nitrile rain watch. In the morning greetings, the patient is informed in time that the weather is warm and cold, reminding to increase or decrease the clothes. Every New Year, Teacher's Day, Army Day, Old Man's Day, Children's Day, the nurses don't forget to greet the patients, and some send greeting cards. Some nurses also personally folded the paper cranes for the patients and expressed their best wishes. In addition to treatment, pediatric nurses also tell stories, counseling assignments, etc. for small patients. Parents are deeply touched. The internal medicine department also distributes heart-to-heart cards for discharged patients and extends family services. It is the nurse's kind, caring words, and thoughtful service that make the patient feel the warmth of the home, not that the relatives are better than their loved ones. Many patients left a tribute on the consultation form, and a patient in the emergency department also presented a bouquet of flowers to the general nurse during the nurse's day to express his respect for the nurse. This year, I received 4 letters of commendation from the nurses. According to the results of the opinion polls, the most satisfied nurses who were praised by the name reached more than 50 people. The top three most satisfactory departments for the patients are: Chinese Medicine, ENT, Obstetrics and Gynecology, and Infectious Diseases. The top ten most satisfied nurses are: ×××爱岗 Dedicated, enthusiastically helping patients, doing good things for patients: this year, the three external departments admitted a lonely elderly in Gongjiang Township Hospital, admitted to hospital in a car accident, full of filth when entering the hospital, hair Untidy, no one cares for life, the head nurses of the three departments lead the nurses to wipe out the filth of the patient, cut the hair for the patient, shave the beard, and bring the clothes from the house for the patient. Send water, buy rice
I. Basic situation Nursing staff The total number of nursing staff in the hospital is 157, including 149 nurses, 8 contract nurses and 1 nursing staff. Practice qualification structure: 137 nurse practitioners and 132 registered nurses. There are 129 nursing staff belonging to the business management of the nursing department, accounting for 38% of the hospital's health technicians. It is distributed in 126 people in the clinical line, 20 in other nursing posts, and 11 in non-care posts. Educational structure: 39 people in college, accounting for 24%, 113 in technical secondary school, 5 people without academic qualifications, 13 in college, and 3 in university. Title structure: 73 supervisors, 51 nurses, 33 nurses. Age structure: The average age of nurses in the hospital is 36.75 years old, and the average age of clinical first-line nurses is 34.06 years old. Calculated according to the number of planned beds 295, the ratio of bed to ward nurse is 1:0.32. 18 temporary nurses were hired. ×
Nursing workload Table 1
Judging from the above two figures, the aging phenomenon of the nursing team in our hospital has been alleviated compared with last year, but the echelon is not reasonable enough to affect the rational use of nursing manpower. The shortage of nursing staff is prominent, the nurses' beds are relatively low, and the proportion of medical care is obviously out of balance. The existing nursing staff configuration can not meet the needs of growing hospital care services, quality and safety, and there are potential safety hazards, which also restricts the deep improvement of nursing quality.
Second, strengthen the nursing management, and strive to improve the level of nursing management to strengthen the management awareness of the head nurse. In February this year, the nursing department organized a training course on in-hospital care management. The training content is mainly the update of the management concept of the head nurse, management skills and The humanistic spirit of nursing service and the quality of nursing continued to improve. At the same time, half-day discussions were arranged. The nurses, while reviewing the work of the previous year, started the discussion on how to deepen the humanized service in the New Year and further understand in the discussion. The connotation of the "people-oriented" nursing service reached a consensus.
The monthly and year-end evaluation of the head nurse's target management was intensified, the wenmi.net head nurse's work flow and evaluation criteria were clarified, and its key role in the quality management of the department was established. The nurses' day three meeting and three rounds rounding system were established. The head nurse's consultation system has effectively improved the ability of the head nurse to predict-control-improve work. Closed the relationship between nurses and patients and reduced the patient complaint rate.
Carefully guide the new head nurses to work: This year, two new nursing units will be added. In addition to actively assisting in the construction of nursing units, the nursing department will take the form of follow-up, guidance and communication to the newly appointed head nurses to help the newly appointed head nurses to change roles as soon as possible. In a relatively short period of time, take up the care management of the department.
Strengthened nursing safety management to ensure care safety
1. Strengthen the safety awareness of advance care and pay attention to the feedback of dangerous information. This year, a three-level nursing safety monitoring network, namely the nursing department-head nurse-safety monitoring nurse, collected the nursing risk factors step by step, organized the nursing safety discussion session 1 - 2 times, discuss existing and potential security issues, and propose practical precautions. This year, a total of 63 safety hazards were investigated and 12 safety measures were proposed. Formulate three measures for system and process improvement. Effectively prevent the occurrence of serious care errors.
2. Strengthened the attribution analysis of nursing defects and nursing complaints: establish an internal truthful registration reporting system, and hold the parties and the head nurse responsible for the intentional concealment. The Nursing Department organizes discussions on each of the nursing defects and complaints, analyzes the causes, analyzes the lessons learned, proposes improvement measures, and has a deep understanding of the recurring departments and personal responsibilities of the same problem, and rectifies within a time limit. The departmental nursing problem is linked to the department head nurse's monthly and year-end assessment.
3. Enhance the risk awareness, legal awareness, evidence awareness of nursing staff, strengthen nursing staff compliance, and organize examinations of nursing rules and regulations and related laws and regulations this year, and timely transmit case warnings about nursing errors to nursing staff in the hospital. At the same time, it further standardized the medical check-up process, the drug check-up process, formulated the key link nursing management program and emergency procedures, and prevented the inpatient fall system and various catheter anti-shedding systems. Effectively ensure that the nursing staff in the hospital have rules to ensure the safety of care.
Third, strengthen the quality control of nursing, improve the quality of clinical care, establish a quality inspection and assessment system for nursing, and the staff of the nursing department conduct in-depth examination, supervision, and evaluation of the department, and organize the cross-check of the head nurses every quarter to promote the head nurse. Learning and communication between departments and departments, learning from each other's strengths, effectively promoted the unity and improvement of the quality of care in the hospital.
Improve the quality of care quality control system, pay attention to the quality control function of the quality control team of the department. Each department has defined the duties and working methods of the quality control team. Each quality control team exchanges information every month, and the quality control personnel have their own Quality control point. This measure has better promoted the nurses' participation in quality management awareness, motivated nurses' work enthusiasm, and played a great role in grasping the quality control of the links.
Further standardizing the writing of nursing documents, starting from the details, strengthened the three-level evaluation system of the quality control staff-head nurse-care department for each nursing record, and organized a monthly nursing record review to ensure unqualified Medical records are not filed. In the year-end nursing document examination and evaluation, the top three departments for quality are: ENT, Pediatrics, and Infectious Diseases.
In response to the requirements of “Chuangman” construction activities and “ Hospital Management Year” activities, this year, we will continue to do a good job in the evaluation of grade nursing and health education, and these two tasks will be used as the main line of nursing work this year in the monthly nursing quality assessment. To strengthen the awareness of nurses in carrying out health education and implement a comprehensive responsibility system for responsible nurses. Health education coverage is 100%, but the patient health knowledge awareness rate is not ideal.
The quality of care has reached the standard
1. The pass rate of basic care is 97.7%; 2. The pass rate of primary care is 98%;
3, the head nurse management assessment rate of 96.8%; 4, night care quality inspection 98.8 points;
5. The pass rate of rescue items management is 98.5%; 6. The pass rate of disinfection and isolation is 98.7%;
7. The pass rate of nursing documents is 98.2%; 8. The satisfaction of nursing work is 94.9%.
9. The qualified rate of technical operation of nursing staff is 95%; 10. The pass rate of nursing staff is 100%;
11. The pass rate of sterilization and sterilization of conventional instruments is 100%; 12. The execution rate of one person, one needle, one tube and one tube is 100%;
13. The incidence of nursing accidents is 0; 14. The incidence of acne is 0.
Fourth, the adoption of multi-channel to improve the overall quality of the nursing team has developed a nurse education and training system, nurse assessment system, supporting the implementation of nurse standardized training and nurses continuing education implementation plan, set the cycle, set the training program, especially increased The standardized training of new nurses and low-grade nurses clarifies the content and requirements of standardized training. After passing the training and assessment, the standardized training certificate can be entered into the continuing education stage.
Introduced the management software of nursing education credits in Guangzhou General Hospital , piloted nursing education training and information management of nurses' work assessment, and managed nurses' assessment, work quality and service attitude in the form of credits, which is important for nurses' promotion, appointment, and re-registration. in accordance with.
Strengthened the training of “three basics” and special technical ability. This year, the nursing department changed the practice of separation and separation in the past. The examination was closer to the clinical, and the on-site assessment and on-site evaluation, physical teaching and normative demonstration were adopted. In combination, the organization of post training, held a nursing operation competition during the "5.12" nurses' day, organized a theoretical examination three times throughout the year, the pass rate was 100%, the nursing technology operation assessment was 2 times, and the pass rate was 95%. However, due to the lack of attention of some nurses, the foundation is weak, and the training has not reached the expected goal.
The on-the-job education of nurses was strengthened. The Nursing Department organized 12 whole-study business studies, which were lectures on new theories, new technologies and practical knowledge. At the same time, the Ministry of Nursing gave full play to the resource advantages of the district network and timely uploaded care. Lecture presentations enriched the learning content of nurses and were well received by nurses.
Going out to participate in the short-term training class and academic exchanges 9 times, after the returning students returned to the hospital, they gave oral or written study reports to the nursing department, and arranged for the internal and internal learning to be communicated 6 times. However, the training plan at the beginning of the year was not completed.
V. Teaching and research work This year, we received 4 nurses from township hospitals, and received 24 internships from provincial and municipal health schools. We also did a good job in pre-job training and arranged clinical teaching, and each department could organize nursing students. Out of the theory and operational assessment. At the many intern seminars held by the students, the students reflected that most of the teachers were caring for the students, and they had a strong sense of responsibility and a high quality of teaching. According to the results of the intern feedback form, the departments with better teaching atmosphere had a different one. Department, internal medicine, external two departments, obstetrics and gynecology. Through the issuance of the teacher evaluation form, the students think that the better teachers are: ××× is good at summing up the experience in clinical nursing work, based on innovation, this year the hospital nursing self-selection project ××× “passed the city’s scientific and technological achievements acceptance, filled There is no gap in the county's no-care research, and the pediatrics has launched two new technology projects: ×××, which greatly improved the standard of treating severely ill children. The hospital wrote 10 nursing papers and published 10 provincial papers.
Sixth, "patient-centered" in-depth development of humanized services, and achieved significant social benefits. First, the Ministry of Nursing conducted an in-depth investigation on how to embody "humanization" in nursing services, and widely listened to the opinions of outpatients, especially the focus. Listening to the opinions of patients who have visited the hospital in the foreign hospital and talking with the inpatients, issuing inpatients' opinions and reading letters, reading the return letters, etc. to obtain the patient's demand information for the nursing services, identifying the gaps, and formulating corresponding humanized service measures. Specification is made in specific details.
Secondly, we will carry out service concept education, strengthen a change, that is, change the service concept, advocate more active positional thinking, and provide comfortable and safe care from the clothes, food, housing, transportation and treatment of patients. For example, the maternity ward provides a backrest stool for the convenience of maternal breastfeeding; the responsible nurse is the intimate person of the patient, and uses the free time after the treatment for the patient to talk to the patient cordially, to teach them the knowledge of disease rehabilitation, and to send comfort to their loved ones. The nurse is also like a nitrile rain watch. In the morning greetings, the patient is informed in time that the weather is warm and cold, reminding to increase or decrease the clothes. Every New Year, Teacher's Day, Army Day, Old Man's Day, Children's Day, the nurses don't forget to greet the patients, and some send greeting cards. Some nurses also personally folded the paper cranes for the patients and expressed their best wishes. In addition to treatment, pediatric nurses also tell stories, counseling assignments, etc. for small patients. Parents are deeply touched. The internal medicine department also distributes heart-to-heart cards for discharged patients and extends family services. It is the nurse's kind, caring words, and thoughtful service that make the patient feel the warmth of the home, not that the relatives are better than their loved ones. Many patients left a tribute on the consultation form, and a patient in the emergency department also presented a bouquet of flowers to the general nurse during the nurse's day to express his respect for the nurse. This year, I received 4 letters of commendation from the nurses. According to the results of the opinion polls, the most satisfied nurses who were praised by the name reached more than 50 people. The top three most satisfactory departments for the patients are: Chinese Medicine, ENT, Obstetrics and Gynecology, and Infectious Diseases. The top ten most satisfied nurses are: ×××爱岗 Dedicated, enthusiastically helping patients, doing good things for patients: this year, the three external departments admitted a lonely elderly in Gongjiang Township Hospital, admitted to hospital in a car accident, full of filth when entering the hospital, hair Untidy, no one cares for life, the head nurses of the three departments lead the nurses to wipe out the filth of the patient, cut the hair for the patient, shave the beard, and bring the clothes from the house for the patient. Send water, buy rice
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