Summary of the work of the Ministry of Nursing in 2019

2019 is an extraordinary year. The nursing department closely focuses on the purpose of quality, safety and service, and continues to extend the hospital management year activities, further improve various rules and regulations, improve service procedures, improve the hospitalization environment, and pursue social benefits and maintenance. The interests of the people, the construction of a harmonious relationship between nurses and patients in the first place, strengthen the quality control of nursing, increase the intensity of nursing supervision, pay attention to the training of nursing backbone, optimize the nursing team, strengthen the training of three basic and three strict, and pay close attention to business management, within Strong quality and external image create creative work. In the past year, under the correct guidance and support of the leaders of the hospital, and with the close cooperation of various departments, the work has been successfully completed. The annual nursing work is summarized as follows:

I: Strengthen legal awareness, implement strict systems, and ensure the safety of nursing

1: Enhance the legal awareness, evidence awareness and risk prevention awareness of nursing staff. After the promulgation of the new Nurses Regulations, all nurses and nurses will be organized in time for special training and interpretation. In May, special personnel will be assigned to participate in the regulations training organized by the Ministry of Health in the provincial government. To enable the nursing staff to further understand their own powers and obligations, to provide a basis for better performance of their duties and to practice medicine according to law, to ensure law-abiding and law-abiding, to better apply legal weapons to protect themselves and the interests of others. The rate of employment is 100%.

2: Implementation of strict core system Since the beginning of this year, the Ministry of Nursing has focused on the implementation of the five core systems of checking the system, implementing the medical order system, shifting system, nursing quality defect registration reporting system, and graded nursing system. The nursing department is strict in the department. Assessment, on-site spot checks, on-site medical check-up and handover, master the implementation of the system, through two weeks of inspection and implementation, so that nursing staff truly understand the connotation of the core system, know how to use the system to guide the actual work. Carefully implement the registration system for nursing quality defects, encourage nursing staff to report adverse nursing events in a timely manner, develop defect culture sharing, and draw on typical cases of adverse nursing events, closely link with actual work, organize discussions, find reasons, learn lessons, and propose rectification Measures. This year, the Ministry of Nursing organized four cases of defects caused by lax implementation of the grading care system, defects caused by untrue records of nursing documents, defects in the patient's transfer and auxiliary examination, and defects in the medical examination. Nursing quality defects seminar, the hospital's nurses benefited a lot

3: In the 100-day safety rectification activities of medical quality organized by the hospital , the safety objectives and assessment rules were formulated, strictly implemented, and the responsibility documents for nursing safety were signed at the same level, and the responsibility was added to the people, which further enhanced everyone's legal awareness and safety intention consciousness. .

Second: strengthen management and improve the quality of care

1: Strengthen the construction of nursing management team, strive to improve the level of nursing management, give full play to the subjective initiative of head nurses, encourage young head nurses to develop their thinking, be brave in innovation, and achieve the characteristics of science management. Each subject has long-term development according to its own characteristics. The doctor's treatment, treatment, and implementation schedules, the design of the test receipt and delivery form, the responsible nurse to establish a carry-on record book, when the observation, treatment and communication, always find the problem to record, so that the written case avoids the peak of treatment It can guarantee the truthfulness, objectivity and accuracy of the document records, and ensure the orderly and correct nursing work.

2: Strengthen the head nurse's management awareness, adhere to the nurses' regular meeting and the nurse's long night round room system, arrange the annual plan, monthly key, and weekly arrangements in a timely manner, organize and implement, and formulate "one on the basis of the pastor's routine night round ward round this year." The focus of the daily round of the house is to highlight the key points, and to supervise and promote the spirit of the regular meeting, effectively improve the quality of care and ensure the safety of care.

Increased the assessment of the head nurse's target management, clarified the head nurse's work process and assessment criteria, established its key role in the quality management of the department, effectively improved the ability of the head nurse's forecast-control-improvement work, and carefully guided the new appointment. The head nurses work to help them take up the nursing management of the department in a short period of time. The nursing department in-depth department urges the head nurse to arrange daily work, and insists on checking the room four times a day, focusing on new admission, before and after surgery. Critical

And patients who cannot take care of themselves and have potential risks of medical disputes, conduct supervision and inspection, master the situation of the implementation of nursing work, strengthen the quality control of the links, and reduce the occurrence of nursing defects.

3: Strengthening Nursing Human Resource Management Nursing Human Resource Management Implement a game of chess in the whole hospital. The Nursing Department focuses on the management concept of “exploiting the potential of employees, exerting the highest efficiency and creating maximum value”, and rationally deploying human resources. Strict work requirements, careful care in life, implementation of humanized management, guidance of flexible classroom scheduling, strengthening of holidays, rest days, noon and night duty, busy, fatigue-time nursing manpower, scheduling to achieve new and old Collaborate with each other

Taking into account the reasonable distribution of the quality of personnel and the level of technology, and exerting their complementarity, some young families with special conditions, poor health, waiting for labor and lactation, care for the shift, so that they can work and family. Fully mobilize the enthusiasm and subjective initiative of nurses, create a harmonious atmosphere of work, enhance management efficiency, and effectively improve the quality of nursing groups. In the first half of the year, there were many surgical patients in our hospital. In the second half of the year, the number of medical patients continued to increase, and the number of nursing staff was in short supply. The nursing department coordinated the deployment of nursing staff more than 10 times, so that the limited human resources were optimally combined to meet the clinical work. Need to ensure the safety of care.

4: Strengthening the management philosophy of head nurses to open source and reduce expenditures This year, the financial crisis in the United States has spread to China, and hospitals are inevitably affected. The nursing department requires head nurses to develop ideas, innovative ideas, open source and reduce expenditures, establish safety responsibility and crisis awareness, and seek departmental development. Road, unite as one, and overcome difficulties.

This year, the emergency response process of the key link nursing management program was re-established and improved. The department issued the 10 goals of patient safety and organized the nursing staff to study in the hospital to ensure that the nursing staff had rules to follow.

1: Established a system to prevent inpatients from falling and various types of catheters.

2: Perfected the check-up system to break the shortcomings of the previous heavy form and light implementation, redesigned the new medical check-up registration form, strictly checked the signatures and checked one day, effectively eliminated the omissions in the transcription and execution of the doctor's orders. The nursing department spent two weeks conducting inspections. Strengthen the quality of the link. Improve the quality of care.

3: Improve the quality of the handover of each link, design the pre-hospital first-aid and emergency room, emergency room and ward, operating room and department, delivery room and maternal and child co-location record form, critical patient reservations, patient re-visiting and observation Emergency care accurately records the patient's medication, disposal, and examination during the transshipment process, strengthens the responsibility of the nursing staff, reduces the risk during the transfer and transfer of critically ill patients, reflects the continuity of treatment and treatment, and ensures the patient's condition. Get timely and effective treatment.

4: Improve the nursing consultation system to give full play to the collaboration and complementarity among the various departments, mobilize the talents of the hospital, solve the difficult problems in nursing, and improve the quality of care.

5: Improve the human resources allocation program for emergency nursing under emergency conditions, improve the first aid system, and improve the level of first aid.

6: Standardized nursing document writing and nursing department will set September as the quality control month of nursing documents, carry out quality control of nursing documents on the medical records and archived medical records in operation, organize the head nurses in the whole ward, and draw critical from all subjects. The typical and difficult medical records were reviewed by a one-week review. On the basis of careful summarization and analysis, we sorted out common and individual problems, held a special meeting of nurses in the hospital, analyzed the reasons, discussed them, unified the norms in the hospital, reached consensus, and strengthened supervision and implementation. To further improve the quality of nursing documents.

7: The specification of the bedside card is unified. The bed number of the extra bed is set. The treatment station sets the number corresponding to the bed number and the medical record folder of the hospital bed, which is helpful for checking, effectively avoiding the mistakes of the check link. This year, the wristband was purchased. The identification mark, in the three public emergencies, is used to quickly and accurately set up the patient in the emergency first aid, ensuring that the treatment is in place in time.

IV: Implement talent training programs to improve the overall quality of nursing staff

1: During the year, a total of recruiting specialists and undergraduates of nursing degree, and the construction of the echelon of nursing teams became more reasonable. We cultivated the nursing staff with the guidance of “generalization of young nurses” and conducted departmental rotation according to the plan. Focus on strengthening the basic theory and the improvement of basic operational techniques, combining the theory and practice of young nursing staff, mastering multidisciplinary knowledge, and coping with the deployment of human resources across departments in an emergency.

2: In order to meet the needs of specializing in the construction of clinical key disciplines in nursing, there are plans to select strong business skills and serious and responsible nursing backbones to study abroad. This year, 5 nurses from the Department of Neurology and Emergency Department will go to the Provincial People's Hospital for further study. The nursing staff participated in the nursing business and management training inside and outside the province, and injected advanced nursing management concepts into the hospital , which promoted the innovation of nursing theory and technology in our hospital.

3: Focus on cultivating high-educated young backbone nurses, consciously cultivating the second echelon, training basic skills, strengthening nursing theory and technical operation training, and the nursing department will cultivate their ability to observe and deal with problems through questions, spot checks and other forms. Encourage them to talk about collaboration in the post - carry forward teamwork, busy charging after work - improve their business quality, open up thinking, be brave in innovation, and transform academic value into work value.

4: According to the plan, the three-level training and technical training for all levels of nursing staff, 12 times of nursing ward rounds and 12 times of nursing business, the basic theoretical knowledge, hospital infection knowledge, nurse-patient communication skills and Specialist knowledge. During the year, the nurses in the hospital organized 15 nursing skills trainings such as closed intravenous infusion and aseptic technique operation. While strengthening the three-based training, they strengthened the awareness of first aid and improved the level of rescue. They also specialized first-aid knowledge skills for low-age nurses. The intensive training assessment and the two-week etiquette training have improved the overall first-aid level of the nursing staff in the hospital and further improved the quality of nursing services.

5: Fully mobilize the enthusiasm of nursing staff to participate and compete for excellence 5.12 On the occasion of the International Nurses Day, the whole hospital carried out nursing theory and skill competition, and selected outstanding people to participate in the 5.12 theoretical knowledge contest and technical competition organized by the region. Hao Lijie obtained The third prize of the single operation competition in Luliang area, the nursing department of our hospital was rated as the advanced nursing group by the Luliang District Health Bureau, and was awarded the March Eighth Red Flag Bearer by the Luliang District Women's Federation. The hospital selected 10 top ten nurses and 15 excellent nurses, and the top three nurses in theory and technical operation were rewarded.

6: Continue to implement on-the-job training and multi-channel education training and combine experts to come to the hospital to teach, hospitals organize business learning. Encourage nursing staff to self-study and participate in various trainings. By the end of this year, someone has obtained a bachelor's degree and a bachelor's degree. In November, 16 middle-level nursing staff of our hospital took the senior professional title examination, 15 people achieved excellent results, and the nursing staff of our hospital was solid. The theoretical and technical level has been affirmed.

Five: Innovative environment, better service concept, service quality improvement

1: Standardize ward management and establish a people-oriented hospital environment

This year, the emergency department and the internal medicine department moved into the newly remodeled building, making the hospitalization environment more elegant and comfortable. Good environment needs good management, and the nursing department will increase the inspection of ward management. The quality of ward management in the hospital has been improved simultaneously.

2: The hospital actively carries out warm and thoughtful nursing services to provide hot water for inpatients for 24 hours. The whole ward has set up drying racks. Pediatrics and obstetrics and gynaecology provide diaper drying services. Neurology has set up special nursing for critically ill patients. The group conducted unaccompanied care, and the whole hospital carried out a multi-sentence service, namely: “Explain one more sentence before treatment”, “Constrain one sentence after treatment”, “More care when you leave the hospital” to narrow the relationship between nurses and patients. Distance reduces the incidence of care disputes. During the year, the satisfaction survey of nursing services reached 94.7%.

3: Strictly implement the medical service charging standards, and cooperate with the medical insurance office and the medical office to provide fast and convenient services for medical and medical patients.