Practice the summary of quality care services
At present, there is a serious shortage of nursing staff in our department. The treatment tasks of digestive and traditional Chinese medicine are heavy. Every inpatient is required to undergo infusion therapy. There are many intramuscular injections and intravenous drugs. Because most patients in the digestive department need fasting, the infusion group In the past, nurses were busy dealing with treatment, and had less communication with patients. Health education and discharge guidance were not particularly well-placed, and most of our subjects were low-grade nurses, and further improvement was needed at the technical level. Patients with multiple satisfaction surveys reported low job satisfaction with the nurse's technical level and liquid patrol and health guidance. In response to this situation, the department held a meeting of general nursing staff to discuss the causes and root causes of the problem, and to adjust the working mode and method in combination with the characteristics of our department. First of all, in order to ensure that patients can infusion as soon as possible, the nursing staff of our department of treatment have been insisting on early morning shifts, and the liquid is configured at 7:30 every day. At the same time, in the case of insufficient nursing staff, the previous four responsibilities are combined into three responsibility groups. Each group is equipped with two responsible nurses. Each of the responsible group leaders is selected, and the responsible leader is responsible for the system. The responsible team leader evaluates the day. The patient's condition and the caregiver's situation are reasonable. The patient's treatment and nursing work is arranged to be responsible for the person. For the treatment room of the gastroenterology department is small, the treatment vehicle is small, the patient has more liquid, and it is impossible to place it completely on the treatment vehicle. We implement the liquids of each group with half of the patients, and one nurse first introduces the infusion, and the other one The nurse continues to configure the remaining half of the patient's fluid in the treatment room. The nurse who is to be infused will return the remaining half of the liquid to the treatment room and push the remaining patient's fluid. This operation greatly improves the infusion process and ensures that the infusion process is guaranteed. The patient can receive fluids before 10 o'clock every day. At the earliest, he can lose fluid at 9:15, which greatly improves patient satisfaction. At the same time, for the patients who are most concerned about the daily number of fluids, whether they need to be re-infused at night and in the afternoon, as well as the name and function of the infusion drugs, we force every nurse who is infusion and infusion to be in the infusion bottle. It is stated that the patient's name, function, number of infusion groups, time, etc. must be informed when infusion. In response to the problem of poor patient response and inspection work, we also implemented a group contracting system, which was carried out by each responsibility group to resolutely prevent the patient from calling the liquid phenomenon. When the patient was called to call the liquid phenomenon, all members of the responsibility group were criticized. Work as the head nurse's daily quality control focus, through nearly half a month of operation, the results are quite fruitful, and now rarely hear the patient complaining that the infusion time is too late, the infusion tour is poor, the head nurse responded to the patient's opinion now The service has been greatly improved.
For the patients with gastroenterology, further treatment and conditioning are needed after discharge. We have specially produced the instructions for discharge from the Department of Gastroenterology and Traditional Chinese Medicine, and printed the leaflets to the patients. The responsible nurses must provide instructions for discharge from each discharged patient. Discharge precautions, review time, discharge process, etc., responsible nurses must personally call the patient to return to understand the situation after the patient is discharged from the hospital, this move is also highly praised by patients.
In fact, in the quality service demonstration project activities, the work we do is ordinary work, normal work, and the high-quality service demonstration project activities are not asking us to do a lot of earth-shattering big undertakings, as long as we are solidly tidy. Do a good job in the work, put all the core systems into practice, and let the patients actually get benefits, that is, to make the patients satisfied, the nurses satisfied, and the society satisfied. Of course, as the activity continues, we will continue to sum up our experience, explore new ways, and strive to do our best.
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