Work plan of hospital departments 1 1. General situation of departments:
General medical staff *** 18: 2 deputy chief physicians, 4 doctors, 2 nurses, 8 nurses and 2 "120" drivers; There are three doctors on duty every day, the director of the department is in the administrative class, and the other two doctors are on duty in the main class and the deputy class respectively. There are special nurses and assistant doctors in charge of "120" home visits, and the main driver is on duty 24 hours a day to ensure home visits and rescue at any time. The clinic also has a consultation desk, and the consultation nurse is responsible for the consultation to facilitate the masses to see a doctor.
The emergency department is equipped with 4 warm beds, 17 observation bed, 9 sitting transfusion chair beds, and 1 debridement bed, so that 30 people can be infused at one time. Each observation room is equipped with a water dispenser, air conditioner and electric blanket, and the warm ward is also equipped with gauze, TV, tea cabinet, flowers and napkins, so that patients can feel at home after living in it.
Now that our department has a debridement room, small debridement, small tent closure, dressing change, suture removal and small resection can all be carried out in our department, which can reduce the pressure on the surgical ward and facilitate the masses to see a doctor.
Second, the main work in xx years:
(1) Business work:
1. At present, the doctors on duty in our department are divided into regular classes and deputy classes every day, and they are on duty 24 hours a day. The main shift is mainly responsible for the treatment of emergency patients, ensuring that doctors can see the glass at any time in the diagnosis room.
2. The deputy physician is mainly responsible for the "120" house call, and is also responsible for debridement and suture (in the absence of the deputy physician, the main shift is responsible), rapid resection of pleural effusion and ascites, and allowing patients to come with the doctor.
3. Nurses have at least four shifts during the day and two shifts at night to ensure that patients can be infused in time after long-term observation. Nurses advocate light make-up, neat clothes, "seven voices and six hearts" service, and nurses are on duty 24 hours a day, which eliminates the phenomenon of seeing a doctor at night and calling doctors and nurses everywhere.
4. There is a guide nurse on duty in the outpatient hall, wearing a red shoulder strap of "guide nurse", who is responsible for guiding patients, letting people find a suitable diagnosis room for medical treatment, and changing the phenomenon that ordinary people can't find a place to see a doctor and wander around.
5. The environment of infusion area has been improved, and various tips have been posted on the corridor wall. The observation room has a water dispenser, an electric blanket, a new high-grade bed, a new quilt and new sheets, so that after the patient moves in, it will be cool in summer and warm in winter, and there will be a lot of dry mouth and water, and the patient will feel at home after moving in. Every bedside wall in the infusion room is equipped with a computer paging protector to ring the bell, so that patients can reach out and ring the bell directly after infusion or something happens, which has changed the situation in the old hospital.
6. After the establishment of "120" ambulance center, it will be on duty 24 hours a day, with two drivers divided into two shifts. The main class is responsible for house calls and Class Two is responsible for auscultation. Regular doctors, nurses and drivers are responsible for home visits every day. If there are two distress calls or emergencies, the second driver will be activated, and two ambulances will be on standby at the hospital 24 hours a day to ensure that the ambulance phone rings three times and someone answers the phone. Put an end to the phenomenon that patients can't find a driver or wait too long for help in the past. Since May this year, the management of ambulance vehicles has been strengthened. Now it is stipulated that ambulances should be parked in hospitals, and drivers should check the condition of vehicles every day, clean the sanitation inside and outside the vehicles, so as to keep ambulances in a good standby state. Re-establishing the new image of "120" first aid has changed people's views on "120" and the social benefits have been continuously improved.
Based on the above factors, with the joint efforts of all medical staff, the emergency department has been recognized by the society, and the number of patients is increasing day by day, which makes our department receive patients 19776 (50-60 people on average every day) all year round (xx years). Under observation, infusion patients 1 1066 people (average daily check-in) debridement and dressing change (including suture removal and dressing change) ***568 people made "120" visits ***466 person-times (average daily visits 1-2 times), and pleural effusion was 60. The economic and social benefits of our department have increased steadily.
(2) Formulate various systems and post them on the wall, as follows:
1, first consultation responsibility system, intestinal outpatient system, responsibilities of doctors at all levels, infectious disease reporting system, medical safety system, emergency room system, fever outpatient system, debridement room system, etc.
2. Improve the rescue charts of several critical diseases, such as upper gastrointestinal bleeding, left heart failure, shock, arrhythmia, organophosphorus poisoning, etc.
In order to comprehensively strengthen the clinical nursing work, deepen the professional connotation, expand the service field and promote the sustainable development of high-quality nursing service, the second part of the work plan of hospital departments aims to provide comprehensive, whole-process and high-quality nursing service for patients. The 20xx work plan is as follows:
First, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(a) in accordance with the standardized training of nurses and nurses in-service continuing education implementation plan, do a good job in the training and assessment of nurses' "three basics" and specialist skills.
1, focusing on strengthening the assessment of new nurses and junior nurses and strengthening their awareness of learning.
2. Strengthen specialist skills training: make an assessment plan for specialist theory and skills training in the cycle, organize 2-3 examinations every year, have examination papers for theoretical examinations, and organize closed-book examinations by head nurses, which requires paying attention to actual results and cannot become a mere formality, so as to lay a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.
1, organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and then carry out quality improvement activities in the whole hospital after reaching the knowledge of * * *, and formulate training plans and specific implementation plans.
Arrange lectures in the whole hospital and try to learn nurses' social etiquette and professional service etiquette by sending them out and inviting them in. Carry out a nurse etiquette competition, use the "5 12" Nurses' Day to set off an activity month of learning etiquette and stressing literacy, and organize an entertaining holiday party.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing.
The development of nursing level and medical technology is unbalanced, and the head nurses in various departments organize to learn professional knowledge. In case of developing new technology projects and special diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching documents, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their academic level.
Second, strengthen nursing management and improve the management level of head nurses.
(1) A hospital head nurse management class was held at the beginning of the year, mainly to update management concepts, management skills and cultivate humanistic spirit in nursing service, the current social demand for nursing service, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with the assessment of head nurses.
(3) Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting of head nurses' work experience to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the two-level management system of nursing quality, especially to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2) Establish inspection, evaluation and feedback system and establish traceability mechanism. Nurses often go deep into various departments for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records, listen to doctors' opinions, find problems in nursing work and put forward rectification measures.
(3) Further standardize the writing of nursing documents, starting from the details, strengthen the three-level evaluation system of quality controller-head nurse-nursing department for each nursing document, regularly analyze and improve the defects of nursing records, increase the weight of deduction points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(four) to strengthen the safety management in the process of nursing:
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments conduct monthly investigation of nursing safety hazards and do a good job in attribution analysis of nursing errors, defects and nursing complaints, and analyze the reasons, lessons to be learned and preventive improvement measures from the perspective of themselves and departments. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the equipment in good condition.
Fourth, deepen family services and improve service quality.
(1) On the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
(2) Pay attention to the collection of nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, issuing satisfaction questionnaires, etc., and puts forward improvement measures in time, at the same time encouraging nurses to work and mobilizing their work enthusiasm.
Five, do a good job in teaching and scientific research
(1) Designate nurses with the title of nurse or above to be responsible for the teaching of interns, hold regular review meetings, and listen to the opinions of teachers and interns.
(2) The head nurses in all subjects are the general teachers, pay attention to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the teachers, arrange small lectures, understand the completion of the internship plan, and do a good job in theoretical and operational examinations.
(3) The nursing department should do a good job in pre-job training for interns, check the teaching quality of the next department from time to time, and organize an excellent teaching teacher selection activity before the end of each internship.
(4) Enhance scientific research awareness and strive to introduce or carry out 1-2 new technology projects during the year.
(5) Plan and make the nursing garden network, upload the nursing trends in our hospital, deliver the nursing learning materials in time, give full play to the spatial advantages of local area network, and enrich the study life of nurses.
On February 27th, the operating room of our hospital held a 20xx department work plan meeting in the academic hall on the third floor of the second inpatient building. Director Cheng Yijuan of nursing department, deputy director Ning Ning and head nurses of related wards attended the meeting.
The theme of the 20xx operating room work plan meeting is "Reflection in retrospect, mistakes in reflection". At the meeting, the working situation of the operating room in 20xx—20xx years was reviewed by video. Subsequently, head nurse Huang reviewed the outstanding achievements made in the operating room in the past 20xx years around the theme of "safe work and happy life", and objectively analyzed the shortcomings in the work in the past 20xx years, pointing out the direction of future efforts for everyone. The other three head nurses summarized their work in 20xx from the aspects of medical treatment, quality control and teaching, and put forward their work plans for 20xx. Operating room 10 professional group and youth league branch also reviewed the work characteristics and made specific arrangements for the work in 20xx years around the culture of professional groups, such as "the pulse is connected, the heart is connected", "maternal love", "Excellence", "details determine success or failure" and "using your quick wits". Various professional groups also have heated discussions and exchanges around the new ideas and methods of 20xx.
Finally, Director Cheng Yijuan summarized the planning meeting, and especially pointed out that one of the innovations of the meeting was to strengthen the communication between departments, hoping that the surgical gown would continue to be maintained. Operating room is a platform department, and its work involves all relevant operating departments. This time, the ward head nurse and the head nurse of the operating room and the heads of various professional groups also exchanged nursing information in the form of planning meetings, which enhanced their understanding. In the first half of the year, our hospital began to prepare to be upgraded to a second-class hospital. The Department of Clinical Cardiology takes the hospital as the center, strengthens the cardiovascular clinical medical management system, strengthens the medical quality and safety management, strives to improve the quality of medical staff, promotes the medical level with safe, fast, high-quality and efficient services at all levels, and strives to become a first-class brand humanized hospital. * * * The plan is as follows.
—— On the existing basis, we will continue to improve the new concept, safety and quality of medical skills of cardiovascular physicians, achieve quality services throughout the process, promote quality and safety services for all people, and achieve institutionalization, humanization, quality and standardization.
Two, continue to strengthen the quality and safety management of undergraduate medical care, and constantly improve the quality of the medical team.
Third, strengthen the circulation, "people-oriented" and patient-centered service concept, so that general medical staff can make doctors and patients close to patients, treat patients with problems, meet patients' needs, create quality services throughout the process, and do well in three basic business training techniques and training assessment systems. The main contents are as follows:
1, general basic operation,
2. Practice of cardiopulmonary resuscitation.
Fourth, do a good job in writing medical documents to prevent medical errors.
5. Business study 1 time per week, and take study notes.
Sixth, do a good job in the three-level rounds system;
1, the director of the ward rounds twice a week, systematically rounds the general patients, mainly focusing on the diagnosis of newly admitted patients and the treatment plan of critically ill patients, spot-checking cases and checking the writing quality of medical documents.
2. The duty of the attending physician is to make rounds every day 1 time. Generally, the rounds are systematic, mainly aimed at checking the implementation of the doctor's orders for the diagnosis and treatment plan of hospitalized patients, correcting the wrong course records and modifying the medical documents of junior doctors.
3, the resident rounds twice a day, patrol the critically ill and newly admitted patients, take the initiative to report the diagnosis, treatment, various checklists and analysis results to the superior doctors, put forward further examination and treatment plans, and check the treatment of critically ill patients at any time. If necessary, please consult your superior doctor and decide the treatment plan.
Seven, general practitioners must write 2 papers at the provincial level and 2 papers at the national level every year, and publish them in journals.
Eight, every year regularly send 1-2 doctors to study new technologies and new therapies, and constantly improve the level of general practice.