First of all, change the scheduling mode and strengthen the responsibility nursing.
1. According to the needs of the work, four responsible nurses were identified, and each responsible nurse was in charge of 8? 1 1 patient, the responsible nurse is on duty for 8 hours and is responsible for it for 24 hours. She is responsible for life care, observation, treatment, rehabilitation and health guidance of patients. And provide continuous and seamless care for patients.
2, encourage flexible scheduling, flexible grasp according to the actual situation of the department, add finishing classes, auxiliary classes, etc.
3. Increase nursing staff in the weak period, mainly dealing with fluid replacement at noon and nursing at night.
The second is to consolidate basic nursing and work hard on the connotation of high-quality nursing service.
As a friendship hospital? Quality nursing demonstration ward? At first, all kinds of difficulties were before her. But out of love for nursing work, the head nurse Sun Wanxiang arranged according to the nursing department? Quality nursing demonstration project? Implement the plan and specific guiding ideology, and use the time of the morning meeting every day to repeatedly strengthen the service consciousness of each nurse and change nurses? Pay more attention to specialty than foundation, technology than service? The concepts of "basic nursing service standard" and "general standard of clinical nursing technical service" were organized, and all nurses were arranged to participate in the basic nursing skills retraining of high-quality wards organized by the nursing department. In order to start with the morning and evening nursing work and really do a solid job, she took the lead, went to the ward at 7: 30 every morning to ask about the patient's sleep, helped the patient wash his face, rinse his mouth, comb his hair, eat, tidy up and change the bed unit, and gradually formulated a standardized morning and evening nursing process. Because there are many young nurses in the department, they lack communication skills and don't know how to communicate with patients. Can't accept life care such as washing face, washing hair and bathing for patients. Therefore, she set an example, led the young nursing team to plunge into the ward, personally washed the patient's face, combed her hair and cut her nails every day, and always taught young nurses to do these basic nursing. The significance lies in observing the patient and understanding the patient's condition. There are many patients with fecal incontinence in the department. Sun Wanxiang, the head nurse, is not afraid of dirt and suffering. She led the head nurse to clean and change the sick clothes and sheets for the patients, and instructed the nurses how to do it. Realize energy-saving, fast and effective cleaning. Under her influence, the nursing sisters in the ward also readily changed their nursing concepts, strengthened morning and evening nursing, and fixed nails for patients every Tuesday. Although there are many patients, various nursing norms have won the praise of patients.
Thirdly, standardize nursing service.
With the strong support of the nursing department, the cooperation of Qi Xin, a nurse from all departments, and the guidance and influence of Sun Wanxiang, she and her nursing team have continuously deepened the content of nursing services in order to provide more intimate services to patients. She actively used her brain and set every Tuesday as? Basic nursing day? Standardize the basic nursing time that needs to be performed every week, such as nail cutting. Since the development of quality care, the work has been positive and enthusiastic, enthusiastic nursing, smiling service and receiving patients? Five measures? Take the initiative to stand up, take things, say hello, introduce yourself and introduce the hospital. Explain patiently. Do it. Four, isn't it? Don't call the bed number directly, don't say that I don't know what to ask, don't say no to difficult things, and the patient complains that it's okay. Uniform and standardized dress and appearance behavior, smiling service, dignified behavior. Use polite language, take the initiative to use it when answering the phone, receiving patients or doing nursing operations? Hello! ? 、? Excuse me, what can I do for you? 、? Excuse me, please wait a moment! ? 、? Thank you for your cooperation! ? And other civilized terms, so that you can answer questions and be on call. Enthusiastic humanized service and good behavior instrument make patients feel cordial and warm, and set up a good external image of nursing staff. Nurses greet patients during morning care? Did you sleep well last night? You look good today! ? 、? How was your day? Start a day of treatment and care. After the infusion, the nurse told the patient the efficacy and use of each bottle of liquid medicine in detail to eliminate the doubts in the patient's mind. Before the examination, the nurse informed the purpose and cooperation of the examination one by one, which relieved the patient's inner fear and incomprehension. The nurse in charge should take the initiative to patrol the ward every day to reduce calls from patients, find problems in time, summarize them in time and improve them in time. Change the patient's name from the past name to the present name? Aunt? ,? Grandpa? 、? Sister Wang? . In addition, we took the lead in implementing the telephone return visit system for discharged patients, extending quality services to discharged patients, actively asking about their rehabilitation, and guiding discharged patients to take drugs, inject insulin, eat and exercise. If necessary, carry out blood sugar measurement and health education for patients at home, so that patients can really enjoy the whole process of quality care.
Fourth, set an example to ensure the quality and safety of nursing.
It is not enough to have a smile and considerate care in nursing work. To achieve warm and high-quality nursing service standards, superb nursing technology is needed. In order to improve the nursing level of the nursing group, Sun Wanxiang always sets an example in his work. In addition to discussing clinical expertise and technology with colleagues, she always introduces her years of work experience and communication skills with patients to young nurses without reservation. In addition to regularly organizing nursing rounds and conducting nursing theory and operation assessment, nurses are also actively encouraged to take self-study exams, strengthen their study of English and computer knowledge, and enhance their ability to apply clinical knowledge. Give nurses tasks and burdens, and cultivate their nursing ability in practice.
In view of the characteristics of employing more nurses and young nurses in departments, we should strengthen the training of three basics and three strictness in clinical nursing and nurse-patient communication training at different levels, guide patient communication and patient education to be skillfully integrated into clinical treatment and nursing work, and do a good job in health education and psychological counseling for every patient while completing a large number of clinical nursing treatments. There are many patients in the second department and the nursing task is heavy. Every time she rescues a critical patient, she is always the first to go to the scene. One afternoon, after work, a patient with bronchial asthma suddenly changed his condition. She immediately assisted the nurse on duty to establish venous access, collect blood samples, implement ECG monitoring, suck sputum, bring a ventilator, and organize on-site rescue and nursing work. She was busy in the intensive care unit until 9 o'clock in the evening and didn't eat a bite. She didn't rest from work until the patient's condition was stable. In the morning, she came to work in the ward early as usual. On holidays, she always takes care of her colleagues' family reunion, but sticks to her job. She infects and drives young nurses with wordless actions, and daily guides nurses to treat each other honestly and live in harmony, so that every nurse has a sense of belonging and intimacy in the group, maintains a good emotional state, and maintains a positive atmosphere in the nursing group, thus improving the cohesion and work efficiency of the nursing group. The overall nursing level of the department has also been continuously improved, and the satisfaction rate of patients with nursing has reached 93%.
? Quality nursing service? This is not only the requirement of nursing technology, but also the embodiment of nursing humanistic care. Sun Wanxiang, the head nurse, cares about the patient's deeds like relatives, and his care, patience and meticulous care for the patient are countless. No matter how bitter and tired she is, she always smiles and soothes and saves her dying life with warm hands and a holy and kind heart. Relieved the physical and mental pain and sadness of countless patients. Her spirit of silently dedicating herself to ordinary work and treating patients as relatives embodies angels in white's good professional ethics. With her love and pursuit of nursing career, she has been highly recognized by patients, and patients are also very satisfied with her service. Some patients and their families even became good friends with her, and she silently contributed to the ordinary and realized her life goals and values. Protect the health of patients and make the flower of quality nursing service more gorgeous with their love!
Advanced deeds of excellent nurses (II) Comrade Liu Huiying was assigned to county hospitals for nursing work from June 65438 to July 0995. In her work, she is conscientious, conscientious and willing to contribute, and never cares about personal gains and losses. After 200 1 maternity leave, she went to the trauma surgery with the heaviest nursing task at that time. Trauma surgery is a combination of thoracic surgery, plastic surgery and brain surgery. Most of the patients are urgent, dangerous and serious, and often have collective trauma. No matter which shift, the number of patients is large and the condition is urgent. She didn't flinch in the face of her praised daughter at home. Like other nursing sisters in the department, she works overtime and works hard, and has no concept of breastfeeding at all. At 8 o'clock in the evening of March 18, 2002, she was busy in the treatment room when suddenly a hurried telephone rang. 120? Urgent notice: An explosion occurred in Yingjia Spice Factory in our county, and many workers were burned. Please be prepared for treatment. Make the bed at the first time, prepare the medicine, make all kinds of guardianship preparations, arrange the patient's bed nervously and methodically, measure vital signs, infuse, and observe the condition according to the severity of the condition. Busy but not chaotic, everything was in order, and ten patients received timely treatment and care. The doctor on duty gave a high evaluation, and the patient's family members were grateful for the poison. However, in her mind, only the patient's condition, only a lot of treatment and nursing, no concept of time, no other thoughts. When all the patients were settled, it was already early in the morning when she dragged her tired legs out of the hospital. Only then did she realize that her young daughter's heart was tense, and she came home and kissed her tearful face, filled with guilt? .
In March 2002, the county hospital selected the head nurse in an open, fair and just way for the first time. Theoretical exams, speeches, mass voting, she is only 26 years old.
All the way through, she became the youngest head nurse in the county hospital with the first total score. Facing the new role, she keeps learning new management knowledge. Under the care and training of the leaders, she went to the emergency center of the provincial hospital in 2006 to study emergency nursing and nursing management for half a year. As a head nurse, she has her own understanding: a nosy mother-in-law, a nurse's sister, a multifaceted coordinator, an executor and supervisor of nursing rules and regulations, and management is only reasonable if it is managed. She knows that as a head nurse, she must have the ability of demonstration and leadership, and she must have the ability of team command. She can't bother to do specific things just because she is the head nurse, and she can't just command and don't start work, and she can't just do trivial work and ignore nursing management. First of all, I should have a set of perfect techniques, master specialized nursing skills, solve various nursing problems in time and effectively, and often motivate the nurse team to complete the nursing work goals with a positive mental state. She knows that her words and deeds and work style will directly affect the direction of the nursing team, as well as the social image and economic benefits of the hospital. Therefore, in several years of work, she has always set an example, dutifully abided by the rules and regulations and operating procedures of hospitals and departments, led general nurses to constantly sum up experience, strived to complete various nursing tasks assigned by hospital leaders, and constantly improved their own quality and the overall quality of general nurses; Focus on strengthening the teaching work of young nurses, pay attention to the cultivation of post responsibility and professionalism while guiding their specialist skills, and infect and motivate them with their own words and deeds; Never care about personal gains and losses at work, often work overtime and be on call, actively organize and participate in the first aid work of various critically ill patients in the department; Do a good job as the big sister of department nurses, respect senior nurses, respect young nurses, treat every nurse and nursing student fairly, actively help them solve their difficulties in work and life, support and encourage nurses to continue their further studies and professional studies, arrange nurses' human resources humanely and reasonably, and implement flexible shifts; Every holiday, I always try to arrange for other nurses to go home for the holidays and take the initiative to replace them. In the past ten years, I haven't spent a complete Spring Festival at home. Arrange all the work of the department, be selfless and approachable, be good at listening to both positive and negative opinions, be able to straighten your position, clarify your work tasks and leadership requirements, actively cooperate with the department director, ensure the supply of various materials, do a good job in the logistics of medical staff, strive to create a good atmosphere in the department, and try your best to reassure them. Under her leadership, the current internal medicine nursing team is sincere and United, and all the work is orderly. Nurses all say that there is a conscientious and hard-working head nurse. She always says that I have a group of respectable and lovely nurses and sisters.
In fifteen years of nursing work, whether as a general nurse or a head nurse, she can overcome difficulties and unconditionally obey the work arrangement of the nursing department without complaint. From 2002 to 2006, due to the needs of hospital nursing work, she served as head nurse in general surgery, infection department and outpatient infusion room. During the period when influenza A (H 1N 1) and hand, foot and mouth disease were worse than human beings, she led the department nurses to actively participate in the prevention and treatment of infectious diseases and public health incidents in our county under the arrangement and guidance of hospital leaders and nursing department. In August 2009, a suspected patient with influenza A (H 1N 1) was admitted to the Department of Infectious Diseases, and the epidemic situation was critical. She led two nurses in the department, wearing heavy protective clothing, guarding the epidemic area in turn for 24 hours, strictly implementing disinfection and isolation, receiving various materials, and caring for suspected patients. When my mother heard about it, she called anxiously. The daughter can't see her mother crying every day. Facing the mother and daughter, she only felt guilty and talked about her work lightly. She can only guarantee to protect herself and go home safely again and again. Three days later, the condition eased, and the county government highly praised the medical worker who was willing to contribute regardless of personal safety and issued a document in recognition.
In the county hospital, the dean and the nursing department all know where to find Liu Huiying. Obeying the assignment of the leader, where to go, regardless of personal gains and losses, is another feature of her. After returning from studying medicine in the province, I was able to assist the head nurse in surgery and operating room respectively because of my work needs. During this period, I was able to define my role, actively cooperate with the head nurse of the department, and also be responsible for the preparation of various nursing units in the new clinic. In September 2008, the new outpatient building of our hospital was put into use. Under the leadership of the nursing department, the emergency department, infusion hall, comprehensive ward, outpatient operating room and other nursing units of the new outpatient department are running at the same time. Each nursing unit has a cupboard, a bowl and a pair of tweezers, which condenses her energy and sweat. She said it was like her home, so when she was transferred to the internal medicine department for another job, she watched it for a long time, and now she sometimes goes to the clinic. Frequent job transfer, she knows that it is the need of work, and it is also the trust and cultivation of leaders, and it also exercises her ability and comprehensive quality. It is the duty and obligation of a nurse to obey the arrangement and go where she needs to go. After busy business, she constantly strengthens the accumulation and improvement of knowledge. From June 5438 to February 2008, she successfully passed the adult college entrance examination and obtained the undergraduate nursing diploma.
Yes! Nursing is an ordinary, trivial and hard work. Like thousands of nursing sisters in Qian Qian, she is conscientious, down-to-earth, sets an example and is strict with herself. She gains growth in the ordinary, gains comfort in her efforts, and gains the value of life in the trivial. She has been engaged in nursing for fifteen years, carefully searching for the traces she has passed. She knew that she was just doing her job as a nurse and didn't have much to shine on. However, her leading colleagues and patients gave her many honors and encouragement. He has won many titles such as advanced individual, outstanding individual, outstanding nurse, outstanding contribution award, nurse who is most satisfied with patients, third prize in county speech contest, and advanced individual in influenza prevention and control.
She thanked her leading colleagues for their trust and recognition. It is you who changed her from an ignorant nursing student to a backbone nurse and head nurse with rich clinical and management experience. Thanks to the patient, you made her realize the preciousness and preciousness of life; Thanks to teachers and friends, you gave her selfless care and encouragement, which made her walk through the ups and downs of life again and again and face life with a smile; Thanks to my mother and daughter, you don't care that she can't go back to her hometown as often as other people's daughters because of her busy work, can't go to school to pick up her daughter like other people's mothers, and can't accompany her family for the New Year. Thanks? .
Achievements belong to the past, and the road ahead is long. She said that only with a grateful heart, keep forging ahead, keep working hard, treat work more enthusiastically and take care of patients more attentively.