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2019 nurse personal year-end summary


XX is the year of medical care quality Wanlixing. Under the leadership of leaders at all levels and the careful guidance of Yang, the students carefully studied the quality management norms and hospital re-evaluation guidelines. In response to the problems in the supervision of the XX annual city expert group and the problems found in the usual work, together with Yang, the quality of care in the nursing activities of the hospital was carried out, so that the quality of care has been continuously improved, but there are also many problems. It is summarized as follows:
I. Main work and existing problems Improve and revise the management system, system responsibilities, assessment standards, nursing routines and safety measures.
1. Revised the dynamic diagram of the hospital nursing management system in XX. According to the professional title, the age and department have developed three dynamic records of nursing staff.
2. Revised the comprehensive quality inspection score standards for all departments of the hospital and implemented them. The assessment has been strengthened, and the comprehensive assessment is linked to the benefits. The plan implements a combination of individual assessment and comprehensive assessment, but the individual assessment failed to be implemented.
3. Improve the nursing routine of obstetrics and gynecology.
4. A questionnaire on the communication between nurses and patients and the satisfaction survey of patients with nursing work has been drawn up, and the contents of the assessment have been included.
5. Developed occupational protection measures for clinical nursing staff, which have been distributed to various clinical departments and require the head nurse to organize medical staff to study hard.
6. Developed a registration form for puncture wounds of clinical nursing staff, which can be used for clinical use as long as the leader approves it.
7. According to the type of aseptic package of each department, the corresponding sterile package exchange registration book is prepared.
8. The material purchase plan for the nursing technology operation training tray was not purchased, but the head nurses of each department were required to regularly organize young nurses to carry out training and assessment of nursing operation skills.
9. Completed the three basic theory of nursing staff and 4 times of nursing technical operation examinations, 10 business lectures, 2 rounds of business rounds and teaching rounds, 12 regular comprehensive assessments, and 4 quality analysis meetings.
Dedicated in work, conscientious and responsible, bold management, always put the safety of care in the first place, pay attention to the management of details of care, and regularly collect and collate with the unscheduled check-up medical education network. Whether it is usually going to work or administrative duty, they are sticking to their posts and inspecting departments. They find that safety hazards can be eliminated in time. Some disputes can communicate with patients or their families in time to gain their trust, calm down dissatisfaction and prevent disputes from happening. The quality assessment and quality analysis will be reported to the departments by regular briefing and written feedback, and review and effect evaluation will be carried out to identify and eliminate potential safety hazards. such as:
1. Whether the ambulance and rescue materials on each rescue vehicle are complete and whether the rescue drugs are complete, whether the placement position is fixed, whether it is the best placement position, whether the expiration date is conspicuous, whether the oxygen bag conduit connector is connected, and whether the joint is exposed. A seemingly inconspicuous infusion line or an infusion sticker is ready to be checked.
2. When the ward finds that the patient or family members are putting liquid on their own, they immediately report the safety hazard to the head nurse and the nursing staff, and immediately check whether other departments have similar phenomena.
3, found that the rescue record is not true, the wording is not accurate, when the recording time is not accurate, immediately explain to the head nurse and the young nurse how to write the rescue record of critically ill patients, personally participate in the department teaching rounds, fully prepared before each round of ward rounds Through reading a large amount of relevant materials, it has been recognized by clinical department nursing staff and has expanded its knowledge. Take pictures on the spot to enrich the software information of the nursing department.
4. When the aseptic package is lost and the aseptic package in the clinical failure period is not found, or the phenomenon of detachment from each other is found, the corresponding sterile package exchange registration book is prepared according to the type of military bag in each department to prevent similar phenomena from happening again.
5. Shortly after the weekend, the administrative duty officer received a call in the morning and immediately went to the department to leave a patient who was dissatisfied and did not give a greeting to the medical staff. The patient was immediately paid the hospitalization fee and was willing to continue hospitalization. After turning to the ward after dinner, I found that three patients including this patient were arranged in a ward far away from the medical office. There was no accompanying bed and accompanying chair. This first-degree patient was accompanied by an old woman. If she stayed in the ward, she herself. Will also catch a cold. After communicating with the family members of these three patients for nearly 2 hours, patiently answered the patient's incomprehension and obtained the trust of the patient's family. The young family members of the other bed took care of the patient and asked the nurse on duty to strengthen the inspection in the middle of the night and put the office. The phone was left to the family members, ensuring the safety of my administrative duty night and eliminating the dispute.
6. Communicate to the clinical head nurse the importance and necessity of establishing a good relationship with the patient. A smile from the heart, a word of concern, and a few cents of paper cups play a very important role in establishing a good doctor-patient relationship and preventing medical disputes.
7, in order to prevent hospital infections, often supervise and inspect during normal work, and ordered rectification. For example, a department replaces the infusion application with a general adhesive tape. If there is no pinhole protection, it is ordered to stop using it or must be protected by pinholes. Some departments do skin test syringes, use the needles to be exposed, bent, placed in the treatment pumping, and the scissors for the disposable disposable items are placed on the treatment table. They do not realize that this indirectly contaminates the hands of our nursing staff and others. article. The operating room is contaminated with buffer. No matter how many patients give oxygen, a medical disposable mask that has been used for a long time, very old and seam-filled, is used. The oxygen humidification bottles and disinfection bottles of individual departments are not regularly disinfected. After checking and rectifying, no similar phenomenon has occurred.
Temporary task
1. Completed the registration and renewal of nurses' health checkups, nurses' data collection, information entry and other nurse network management in the specified time.
2, flu vaccine injection, B liver vaccination preparation work, part of the health checkup work, women's breast cancer screening work.
3, completed the preparation of materials for the start of the fever clinic, and carried out hand washing techniques, wear and disengagement training for the staff of the fever clinic, and explain the knowledge of prevention and treatment of influenza A, requiring them to master.
4. Assisting the medical education department, the quality and space department, and the infection department to do what they can. The office of the hospital has never been resigned as long as it is necessary for Zheng’s illness and going out. Assist in job setting form setting and employee information entry work III. Suggestions
1. Revise the comprehensive quality assessment standard. Intensify the quality of nursing assessment: implement a single assessment deduction, and implement a deduction system for comprehensive quality assessment. Below 90 points, it is linked to the monthly benefit.
2. Newly developed the evaluation criteria for obstetrics and gynecology specialists and the supply room satisfaction survey.
3. Supervise the implementation of nursing consultations, nursing difficult cases, and death case discussion systems.
4. The head nurse of the department reports the work plan for the second month to the nursing department at the end of the month. The Ministry of Nursing examines the implementation of the business learning system and the business ward round system in each department according to the work plan of each department.
5. The management system for nursing defects, errors, and accidents is seriously implemented. Each month, the nursing department organizes the head nurses to analyze the causes of the errors, summarize the lessons, and carry out rectification to avoid similar errors.
6, purchase nursing technology operation tray, strengthen the training and assessment of nursing technology operations.
7. Implement local policies. In order to prevent coping with inspections and prevent hospital infections, in addition to packaging for one-time use, the period of invalidation of disinfection bottles is changed to 7 days and 4 days, and the expiration date of flat bottles is changed to 7 days. I hope to get the support of the leadership.
8. The nursing department organizes nursing business lectures, teaching rounds, business rounds, and requires rest and nursing staff to participate in the hospital to improve the overall quality.
Work is not easy or not, only serious and not serious difference, care quality control work seems to be very relaxed, but the resistance is high, for a period of time, my work mood has fallen into a trough, physical and mental health has been greatly affected, thanks to leaders and colleagues Care, support and encouragement, through this adjustment, successfully passed this hurdle, please the leaders and colleagues assured, is still a healthy body, full of work enthusiasm and serious and responsible. Finally, I want to say: "I can't do it, I can't think of it, the quality of care is not the best, only better."

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