Work plan of severe group 1
Our department has carried out quality nursing since 20 1 1; Clarify a theme: "Consolidate basic nursing and improve satisfaction".
Work plan of severe group 1
Our department has carried out quality nursing since 20 1 1; Clarify a theme: "Consolidate basic nursing and improve satisfaction". By strengthening nursing quality management, actively implementing basic nursing and greatly improving patients' satisfaction, our nursing work needs to be further improved. The plan is now reported as follows:
1, improve the system, revise the routine, simplify the writing of documents, and promote the improvement of the quality of basic nursing.
According to the scope and diseases of patients admitted to icu at present, the nursing routine in icu was revised to provide clinical nursing guidance for nurses.
2. Provide human, material and cultural support for basic nursing, and comprehensively improve the quality of basic nursing.
Add morning and evening nursing materials to the ward, and the nurses at the bedside will do life care items such as washing faces and feet for patients; The head nurse's daily rounds focus on basic nursing; Formulate and implement standardized handover procedures; Implement safe nursing for patients, ensure effective treatment, and improve nurses' awareness of disease observation; Carry out quality control circle activities to make nurses clear the responsibilities of each class and create a high-quality environment for patients.
3, "patient-centered" to strengthen humanities exchanges, and create a good humanistic environment for critically ill patients and their families.
Our department revised the visiting system to appropriately extend the time of accompanying critically ill patients; Establish an opinion form for patients and their families; Use the afternoon visiting time of family members to solicit opinions, evaluate the quality of nursing and promote the improvement of nursing work.
4. Strengthen human resource management and improve typesetting methods.
According to the spirit of nursing department and the characteristics of undergraduate course, on the basis of comprehensive evaluation of general nurses' academic qualifications, professional titles, work experience and professional theoretical and technical level, the department assigns tasks in turn, arranges shifts and allocates human resources according to the number of patients and the severity of illness, so as to ensure that patients can obtain continuous, seamless and safe nursing services.
5. Change the concept of nurses, improve their quality and arouse their enthusiasm.
Regularly organize the study and assessment of high-quality nursing norms and operating procedures; Through graded training and assessment, improve icu nurses' first aid awareness and first aid cooperation ability; Through publicity and education, make nurses realize the importance and necessity of basic nursing; In order to improve the work enthusiasm of nurses, the night shift allowance of nurses was increased through discussion in departments.
6, hospitals and departments attach great importance to, and constantly improve the quality of nursing.
Constantly talk with brother departments about experience, understanding and mutual exchange and learning; Hold regular departmental meetings to find problems in time and correct deviations; Nurses always listen to the opinions of the doctors in charge and make positive corrections.
In a word, the implementation of high-quality nursing is not a mechanical decomposition of basic nursing projects, but around the patient's condition and medical care.
In order to meet the needs of safety, diagnosis and treatment effect, prognosis and rehabilitation, basic nursing should be more specialized and specialized nursing should be more humanized. The combination of the two can effectively implement holistic nursing and perform duties with a high sense of responsibility, love, caution, dedication and dedication.
Work plan for severe group II
20xx is about to become a thing of the past, 20xx has made great strides towards us, and the Department of Critical Care Medicine will also celebrate its second birthday. In order to promote the development of intensive care medicine and hospitals, our work plan for 20xx is as follows:
First, continue to strengthen personnel training:
Talent is the key to the development of the hospital, and the same department should have its own core competitiveness, and talent training is the key. Hospital staff conditions permit, increase the number of recruits in the intensive care unit, and even let newcomers develop in the intensive care unit. It is planned to send people to icu of 3A hospitals inside and outside the province for further study. Since our department was established more than a year ago, although it has made some contributions in rescuing critically ill patients and preventing medical disputes, it is still a young department with a lot of knowledge to learn and accumulate, a lot of knowledge to learn and master repeatedly, and doctors and nurses to run in. Clinicians should study business at least once a week to strengthen the study of hospital sense knowledge and minimize the occurrence of hospital sense.
Second, develop new technologies:
Over the past year or so, although our department has gradually developed ventilator-assisted ventilation support therapy, tracheal intubation technology, central venous catheterization technology, cvp monitoring, parenteral nutrition, sedation and analgesia technology, the hemodialysis center has been developed in our department for 1 year, which has solved the remote treatment of patients with end-stage renal disease in our city, made the development of hemodialysis center better meet the needs of patients, and carried out hemoperfusion treatment of toxic hepatitis. Strive to develop new technologies such as invasive blood pressure monitoring, ventricular pressure monitoring, dialysis perfusion therapy for severe pancreatitis, bedside blood purification therapy for poisoning and sepsis in 20xx, and increase the rescue efforts for critically ill patients.
Third, continue to strengthen departmental management:
The hospital is my home, the department is my home, and the department is a group. Only good cooperation can give full play to our potential. The tacit cooperation between doctors and nurses can better serve patients. Rectify the unhealthy atmosphere of sloppy work and shirking patients, learn from experience and lessons, strengthen communication between doctors and patients, and prevent medical accidents or medical errors.
Fourth, actively participate in various examinations, competitions and other activities, and strive to add luster to departments and hospitals.
Encourage everyone to participate in various activities of the hospital and strive to be an advanced hospital.
Fifth, encourage everyone to sum up more work experience.
Publish papers in medical journals, and strive to publish more than 1 paper in medical journals inside and outside the province every year. Subscribe to medical journals related to specialties, broaden your horizons and update your knowledge. Encourage everyone to actively participate in learning and upgrading their academic qualifications, participate in the study and exchange of related majors in the province, learn new knowledge and technology from teachers in higher hospitals and colleagues in brother hospitals, and understand new professional trends.
Six, strengthen communication with brother departments and patients' families:
As our department is a young department, its growth needs the help of our brother departments. Because the management of icu patients in our hospital is two-way management, communication with specialists is very important, which is very important for the rational application of patient treatment programs. Because the patients in our department are all critically ill patients and their lives are in danger at any time, it is very important to communicate with their families, which is a very important method to reduce medical disputes and eliminate hidden dangers.
Work plan for severe group 3
First, pre-job education
1. Understand the department environment, layout, work nature, medical staff, work content and work flow of each class after entering the department.
2. learn etiquette; Correctly handle the relationship between doctors and patients. Mild language, decent behavior, standardized service behavior, hanging watches and small flashlights are uniformly distributed by the department.
3.icu special system, early warning plan, enhance safety awareness and self-protection awareness.
4.4. Prevention and control of nosocomial infection in ICU, implementation of disinfection and isolation measures, prevention of cross-infection and implementation of self-protection measures.
Second, strengthen professional knowledge and skills training.
1. specialization theory; Nurses need to master the common and admitted diseases in their own departments, the care of critically ill patients in various systems, the pain management of critically ill patients and the psychological nursing in intensive care, which is conducive to improving the ability of new nurses to observe the condition of critically ill patients and implement treatment and nursing measures in icu.
2. Important technical operation training; Training of cardiopulmonary resuscitation, ventilator, defibrillator, blood purifier, monitor, hypothermia and other instruments.
The classified query of periodical articles is in the periodical database.
Master the clinical application and nursing of infusion pump, nursing of surgical catheter, oxygen therapy, airway management and artificial respiration machine monitoring technology, hemodynamic monitoring of circulatory system, ECG monitoring and defibrillation technology, blood purification technology, water, electrolyte and acid-base balance monitoring technology, chest physical therapy technology, nutritional support technology for critically ill patients, and rescue cooperation technology for critically ill patients.
Third, establish and improve the teaching system.
Choose senior teachers or department teachers who have worked in icu for more than 5 years, and quality control personnel will teach one-on-one Teachers should use warm and gentle attitude and language to eliminate nervousness and understand the theoretical knowledge and operational ability after training.
1. Shift change; From the delivery of goods, the early shift of departments, written, oral, bedside shift, bedside shift, we are seriously handing over patients from beginning to end. Don't pay clearly, don't pick up, don't pay clearly.
2. Risk awareness training; Strengthen the sense of responsibility, implement safety measures, observe and evaluate the condition, be good at discovering the advantages of new nurses, learn from their strengths and praise them more, so as to encourage and promote the healthy growth of nurses.
3. Cultivate the spirit of prudence and independence; Implement the check system and accurately implement the doctor's advice.
4. Responsibilities of nurses in responsible positions; Strengthen the sense of responsibility, understand the patient's ten tricks, evaluate the condition, make nursing plans, implement measures, and assess the quality of super nursing.
Fourth, pay attention to details, one step at a time.
1. Details training: prepare things in a convenient place during the operation, save time and effort at work, practice makes perfect, pay attention to protecting the privacy of patients during the operation, keep warm and inform them well.
2. Simulation training: If (1) simulates the treatment of a critically ill patient with dyspnea, how do you prepare when the patient enters the ward, what should you do after the patient arrives at the department, and how to record it? (2) What should you do when a patient in a simulation department suddenly stops breathing? (3) What if the patient suddenly loses power when using the ventilator?
3. Regular assessment: departments should take time to assess the implementation of theory, operation and core system to understand the new nurses' mastery of training and working ability.
The growth of new nurses can not be separated from the communication, help and guidance of nursing teachers in departments, from the cultural construction, atmosphere and self-efforts of departments, giving full play to subjective initiative and enterprising ability, obeying the overall situation and enhancing cohesion. Icu work emphasizes unity and cooperation, adaptability and work experience accumulation, which lays a good foundation for clinical nursing work and can better serve patients.
Work plan for serious group 4
In order to further adapt to the medical market situation, focus on hospital development planning, and create a relaxed and happy working and learning environment for icu nurses, a new one-year nursing work plan is formulated as follows:
First, the implementation of nursing quality inspection has improved the nursing work in the department.
According to the tasks assigned by the nursing department, the weekly work arrangement and monthly work focus in the head nurse's manual, the nursing work is supervised and inspected, and the questions are fed back in time in combination with the inspection results of quality control nurses. If there are any recurring problems, analyze and discuss them in the monthly department quality feedback meeting, discuss the improvement methods and record them, so as to continuously improve the nursing quality of the department. Strive to make the qualified rate of basic nursing reach ≧90%, graded nursing reach ≧90%, the intact rate of first-aid articles reach 100%, and the qualified rate of nursing document writing reach ≧90%. The qualified rate of disinfection and sterilization of medical devices is 100%, and the number of bedsores per year is 0 (except inevitable bedsores).
Second, strengthen nursing safety awareness and strengthen safety education for all staff.
1, strictly implement the check system, and specifically implement three checks and seven pairs in the work; Check the injection, medication and disposal; Check the blood transfusion; Check the diet and other aspects. On-the-job inspection in ordinary jobs, BANCHA of the doctor's advice class is right. The head nurse always checks once a week and corrects the problems in time when found.
2. Drainage tube and tracheal intubation are performed on conscious patients, and protective constraints are given to restless patients to prevent patients from accidentally extubating.
3, internal and external medicine placed separately, the bottle label is clear. Potassium chloride and 10% sodium chloride are clearly marked.
4, all kinds of rescue equipment to keep clean, good performance; First-aid drugs meet the requirements and should be replenished in time after use; Sterile articles should be clearly marked and stored as required to ensure that they are within the validity period.
5, for nursing errors and adverse events, according to the icu reward and punishment system to the parties to give criticism, fines, departments timely organize discussions, put forward treatment opinions, necessary preventive and corrective measures, and report to the nursing department. The monthly quality control meeting will analyze and comment on the hidden dangers of nursing safety in the whole hospital and departments in that month and put forward preventive measures.
6. Continue to strengthen the training and inspection of nursing document writing, further improve the content of nursing record sheet, and ensure that nurses complete nursing records timely, accurately, objectively, truly and completely to ensure medical safety.
Third, according to the hospital icu infection control standards, do a good job in department infection management, strictly implement various disinfection and isolation systems, and classify medical wastes according to hospital infection requirements. Strengthen the management of cleaners and keep icu ward clean and tidy.
Fourth, strengthen continuing education and learning, and constantly improve the professional skills of nursing staff by using various opportunities and ways.
1. Organize department nurses to study professionally regularly every month, take turns to teach, and learn icu rules and regulations, nursing routines and operating procedures. During the study, the lecturers deepened their impressions in the teaching process, and the listeners were also improved.
2. Ask and urge each nurse to attend lectures and nursing rounds organized by the nursing department of the hospital, and complete continuing education credits in a planned way.
3. Encourage department nurses to participate in various forms of adult examination education to further improve the comprehensive quality of nursing staff.
4. Ask questions in the morning meeting, learn the basic knowledge of this major and strengthen the responsibility system. Strengthen the operation training of nurses' basic skills, carefully carry out examinations and training according to the requirements of standardized training of nurses, formulate effective learning plans of "three basics" theory and professional knowledge, and combine "three basics" with professional knowledge.
The theory is divided into articles according to the content, and everyone passes the exam every month.
5. Enhance nurses' awareness of scientific research and strive to complete 1-2 nursing papers in 20xx.
6. The department plans to send two nurses out for further study.
7. Try out the quality control circle in the department, take the department as the circle, and under the guidance of the circle leader, use a series of methods such as brainstorming to optimize the nursing methods and improve the nursing quality.
8. According to the actual situation in our department, it is planned to train 1 critical nurses in our department.
5.icu nursing posts are risky and have high technical knowledge, and icu wards are not accompanied. All the nursing work of the patient falls on the nursing staff. In order to ensure the safety of nursing, each group is arranged in 5 classes with 3 people. The new building is about to be put into use, the scale of icu is expanding, and the nursing staff in our department are facing vacancies. I hope the leaders will give support to the talent reserve work of our department.
Work plan for severe group 5
I cu is a place where severe patients are concentrated. The patient's condition is critical and changing rapidly. There are many rescue instruments and facilities, and there is no family to accompany them. Nurses need to carefully observe the condition, master various rescue facilities, operation skills, emergency response ability to emergencies and risk avoidance ability to ensure the quality and safety of patient treatment and nursing. The new nurses in icu have mastered the theory and operation of common diseases in clinical work for 2 years. It puts forward higher and faster requirements for new nurses in training, which is of great significance to improve their working ability and provide comprehensive, systematic, continuous and strict monitoring and treatment for critically ill patients in time, and is the core guarantee of nursing quality and safety. It is of great significance to improve the success rate of rescuing critically ill patients. After working in ic u for 20xx years, my experience in training new nurses is as follows:
First, pre-job education
1. Understand the department environment, layout, work nature, medical staff, work content and work flow of each class after entering the department.
2. learn etiquette; Correctly handle the relationship between doctors and patients. Mild language, decent behavior, standardized service behavior, hanging watches and small flashlights are uniformly distributed by the department.
3.i c u special related system, early warning plan, enhance safety awareness and self-protection awareness.
4. Prevention and control of nosocomial infection in 4.ICU, implementation of disinfection and isolation measures, prevention of cross-infection and implementation of self-protection measures.
Second, strengthen professional knowledge and skills training.
1. specialization theory; Nurses need to master the common and admitted diseases in their own departments, the care of critically ill patients in various systems, the pain management of critically ill patients and the psychological nursing in intensive care, which is conducive to improving the ability of new nurses to observe the condition of critically ill patients and implement treatment and nursing measures in icu.
2. Important technical operation training; Training of cardiopulmonary resuscitation, ventilator, defibrillator, blood purifier, monitor, hypothermia and other instruments. Master the clinical application and nursing of infusion pump, nursing of surgical catheter, oxygen therapy, airway management and artificial respiration machine monitoring technology, hemodynamic monitoring of circulatory system, ECG monitoring and defibrillation technology, blood purification technology, water, electrolyte and acid-base balance monitoring technology, chest physical therapy technology, nutritional support technology for critically ill patients, and rescue cooperation technology for critically ill patients.
Third, establish and improve the teaching system.
Choose senior teachers or department teachers who have worked in i c u for more than 5 years, and quality control personnel will teach one-on-one Teachers should use warm and gentle attitude and language to eliminate nervousness and understand the theoretical knowledge and operational ability after training.
1. Shift change; From the delivery of goods, the early shift of departments, written, oral, bedside shift, bedside shift, we are seriously handing over patients from beginning to end. Don't pay clearly, don't pick up, don't pay clearly.
2. Risk awareness training; Strengthen the sense of responsibility, implement safety measures, observe and evaluate the condition, be good at discovering the advantages of new nurses, learn from their strengths and praise them more, so as to encourage and promote the healthy growth of nurses.
3. Cultivate the spirit of prudence and independence; Implement the check system and accurately implement the doctor's advice.
4. Responsibilities of nurses in responsible positions; Strengthen the sense of responsibility, understand the patient's ten tricks, evaluate the condition, make nursing plans, implement measures, and assess the quality of super nursing.
Fourth, pay attention to details, one step at a time.
1. Details training: prepare things in a convenient place during the operation, save time and effort at work, practice makes perfect, pay attention to protecting the privacy of patients during the operation, keep warm and inform them well.
2. Simulation training: If (1) simulates the treatment of a critically ill patient with dyspnea, how do you prepare when the patient enters the ward, what should you do after the patient arrives at the department, and how to record it? (2) What should you do when a patient in a simulation department suddenly stops breathing? (3) What if the patient suddenly loses power when using the ventilator?
3. Regular assessment: departments should take time to assess the implementation of theory, operation and core system to understand the new nurses' mastery of training and working ability.
The growth of new nurses can not be separated from the communication, help and guidance of nursing teachers in departments, from the cultural construction, atmosphere and self-efforts of departments, giving full play to subjective initiative and enterprising ability, obeying the overall situation and enhancing cohesion. The work of i cu emphasizes unity and cooperation, adaptability and accumulation of work experience, which lays a good foundation for clinical nursing and can better serve patients.
Work plan for severe group 6
First, the main work objectives:
1, strictly aseptic operation, infusion reaction rate is zero.
2. The qualified rate of disinfection is 100%.
3. The intact rate of drugs, instruments, equipment and first-aid articles is 100%.
4. The annual incidence of nursing accidents is zero.
5. The average score of basic nursing theoretical knowledge assessment is more than 90 points.
6. The average score of nursing technical operation examination is more than 90 points.
7. The success rate of venipuncture >; 90%。
8. Patients' satisfaction with nursing work >; 95%。
9. Control costs and increase profits.
Second, the guarantee measures:
1, strengthen nursing management and ensure the realization of the goal. Establish and improve various rules and regulations (including the handover system, ward round system, and the duties of nurses in each class), manage people by system, and take strong supervision measures to make the system form habits, thus forming a good atmosphere in the department, which is conducive to the long-term development of the department.
2. Strengthen the training of basic theoretical knowledge to improve the comprehensive quality and professional ability of nursing staff, organize business training once a month, including basic theory, specialized nursing and planned immunization knowledge, and conduct post-training assessment. Read more nursing books and pay close attention to the new trend of nursing knowledge.
3. Strengthen nursing professional technical operation training, especially the use of indwelling needles, improve the success rate of venipuncture, constantly sum up experiences and lessons in work, be bold and cautious, and overcome psychological barriers. Discuss the causes of puncture failure regularly or irregularly, and ask experienced nurses to teach the experience of successful puncture. Actively learn new business and technology related to nursing.
4. Strengthen nursing operation standard and implement process service. Strict aseptic operation and inspection system to improve nursing quality.
5, do a good job of basic nursing, make the nursing work more standardized. Keep the sickbed clean and tidy, free of peculiar smell and stains, and the articles are clean and standard, and the number of infusion drops conforms to the doctor's advice. Visit infusion patients frequently, be good at observing the condition and solve problems in time.
6, efforts to improve the service attitude, so that patients are sincerely satisfied. Every nurse is required to establish a good service attitude, treat every patient warmly, regard patient satisfaction as the ultimate goal of our work, and provide convenience for patients as much as possible. Put an end to the phenomenon of being raw, cold, hard and pushing off patients, and never allow quarrels with patients.
Third, the management of drugs:
1, regularly count drugs to prevent overstock and deterioration. If drugs are found to be precipitated, discolored, expired, and have vague labels, report them to the Pharmaceutical Machinery Department in time for processing.
2. Establish a suitable drug library, prepare drugs according to the routine drug use situation of the department, ensure the clinical drug use needs, and avoid the backlog. Establish a record book for the handover of precious drugs, ensure the handover of classes, ensure the consistency of accounts and materials, and ensure the use needs.
Four, commodity management, should be based on the premise of saving money and controlling costs.
1, strengthen the awareness of routine inspection of hardware facilities in the department, strengthen the performance and safety inspection of various instruments, find problems in time and maintain them in time to keep the instruments and equipment in good condition.
2, the implementation of quantitative management of disposable goods, in order to ensure the clinical use demand and not waste, such as infusion sets, tape, cotton swabs, etc. Preparations should be made according to the daily infusion times to prevent the loss of disposable medical supplies.
3. The management of indwelling needle should be registered every time 1 is used, and the name of the operator and the children used should be recorded. The sealing fee should be written as intravenous injection fee, which will be collected by the charging room.
Five, under the leadership of the head nurse regularly and irregularly check the quality of nursing.
Supervise and urge nursing staff to seriously implement nursing routine, nursing system, nursing technical operation procedures and condition observation, and conduct monthly nursing technical assessment and appraisal; Familiarity with first-aid drugs and first-aid technical drills enable every nursing staff to master the use of first-aid drugs and instruments skillfully.
Sixth, do a good job in departmental unity.
Improve the cohesion of the department, strengthen their own cooperation and coordination ability, and jointly care for the small group of nursing teams. Let everyone's heart be full of love, work be full of passion, the ward be full of laughter, and the department be full of warmth! There is still a big gap between the current level of nursing work and our expected goal, and there are still some problems. I hope that with the help of the director and the head nurse, we can arouse everyone's enthusiasm and let everyone have a sense of ownership. I believe that the department will have a better tomorrow.