Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed, and conscientiously implemented the work system of the hospital and the department, ensuring the steady progress of the work of the department. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of departments, and make Chinese medicine departments become a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.
First, pay close attention to nursing business training
As a comprehensive department of integrated traditional Chinese and western medicine, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among 12 nurses in Chinese medicine, only 1 graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest graduated from the nursing major of western medicine, and only learned the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious. Traditional Chinese medicine nurses have no specific professional knowledge and development direction, which affects the enthusiasm of this group and the stability of the team to a certain extent, and also has a negative impact on the quality of nursing work in wards.
In view of this reality, I decided decisively: start from me and train all the staff. Through the combination of business lectures and business rounds, department directors and doctors participated in the training of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, systematic training of basic knowledge and common skills of traditional Chinese medicine, and even training of conservative treatment and nursing knowledge of some general surgery and orthopedic diseases.
After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. Since then, I have adopted the daily strengthening method, constantly combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.
Second, try cultural management and strive to make characteristics.
Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift schedule, I will send them a life and workplace sentiment every week; Hold a small blackboard newspaper of "Angel Heart Talk"; Use the morning meeting to tell them some inspirational, philosophical and other short stories to arouse their thinking about life and career.
In a subtle way, the humanistic quality of our Chinese medicine nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of TCM nursing culture is flourishing, but also all the work objectives are successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. In the evaluation and inspection of professional ethics, Chinese medicine health education and nursing service have been affirmed and praised by participating experts.
Third, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role.
Similarly, there are "propaganda of nasal feeding knowledge", "retention method of sputum culture specimens" and "precautions for retention of urine culture specimens". This kind of oral and written publicity not only helps patients to master it, but also saves nurses a lot of time, so it is well received by everyone.
Fourth, constantly study and summarize, and improve their own quality.
As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing experience and improve our comprehensive quality. 20xx took the psychological counselor exam in May, hoping to get the third-level psychological counselor certificate in August. Over the past year, he has published 3 academic papers, 1 poem 1 in provincial and provincial magazines, and 2 papers in the journal of our college.
Shortcomings and efforts of verbs (abbreviation of verb)
Although, in retrospect, I can say without shame: I didn't waste any time; Facing my patients and my department, I can also say frankly that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our Chinese medicine department are still blank; For another example, sometimes, the requirements are too strict, and I have even seen the tears and helplessness of nurses.
Therefore, looking forward to the future, I am full of confidence in the work of head nurses in the new year. As a head nurse, my efforts are:
1, strive for a breakthrough in nursing scientific research.
2. Combine leniency with severity to make your management style more mature.
2.2022 Summary of Head Nurse's Work
It has been xx months since I was appointed as the head nurse of the ward. Now I will make a summary report on the work during this period:
Because I have not participated in nursing management, I have no practical experience in management; Faced with the diversity of patients in general wards, the complexity of their illness, the simple ward environment and the imbalance of nurse-patient ratio, I feel at a loss. There is a saying that "the road is made by people". With the help of the dean and the leaders of the nursing department, I turned pressure into motivation and worked out a practical plan step by step.
First of all, according to the number of existing nursing staff in the department, make a reasonable division of labor and arrangement, summarize the post responsibility system and weekly and monthly work priorities of head nurses in each class into a table, clearly mark it, require everyone to be familiar with it and carry out irregular assessment to ensure clear rewards and punishments, fairness and justice; In addition, under the existing conditions, some reasonable adjustments and improvements have been made to the infrastructure of this department.
1, supplemented the emergency medicine equipment and sterile articles, and standardized management.
2. According to the characteristics and existing conditions of our department, ward management has been reasonably improved and standardized; Implement the responsibility system for environmental sanitation and implement it to individual workers.
3. Continuously deepen safety management, strengthen safety awareness, and do a good job in safety nursing. Safety nursing is an important part of psychiatric nursing, and it is also an important link for nursing staff to care for patients with mental disorders. Affected by the illness, patients with mental disorders often have special behaviors such as impulsiveness, wounding, self-injury, destroying things and running away. Careless nursing staff will have accidents and even endanger their lives. Therefore, good safety nursing can not only ensure the safety of both nurses and patients, but also improve the quality of medical care. Therefore, every on-the-job worker should master the illness, respect the patient, understand the patient's psychological changes, attach importance to psychological care and mental care, patrol the ward closely, strictly implement various nursing routine systems, and strengthen the safety management of various facilities, articles and their families in the ward.
4. Understand the new trend of nursing discipline development, organize nursing staff to study regularly, strengthen three basics training, learn new business, new knowledge and new technology, and strive to improve the professional level of every nursing staff to keep up with the needs of the times. I carry out case nursing rounds in the department at least once a month, strengthen the business study of the department, organize nursing staff to carry out business study in the department and the hospital, as well as the three-basic theory examination and operation training.
5. Strengthen communication between nurses and patients, organize off-duty symposiums regularly, and listen to the suggestions of patients and their families, so as to develop and improve nursing work, truly think about what patients think and worry about what patients are anxious about.
I ask all medical staff to start from saving every kilowatt hour, every drop of water and every piece of paper, and start from me, strictly control the expenditure of departments, criticize all waste phenomena in time, and supplement them with economic penalties when necessary. Although this may offend some people, I know it is necessary for head nurses to strengthen economic accounting, reduce medical and nursing costs, and pay attention to economic benefits and medical and nursing effects.
Although the work is ordinary and hard, I gave up a lot of time to reunite with my family and children. Once there are critically ill patients in the ward, I always feel a little unsafe even at home. Fortunately, with the help and support of the leaders of the hospital and nursing department, the work gradually showed results, which was well received by patients and their families and recognized by leaders and colleagues. I know this is just the beginning, and there is still a long way to go. I firmly believe that as long as I keep working hard, dedicate my passion to the hospital and spread my love to the hearts of every patient, I will definitely carry out the work of the comprehensive ward better!
3.2022 Summary of Head Nurse's Work
This year, under the leadership of hospital leaders and department directors, with the service tenet of "all patient-centered, all patient-centered", obstetric nursing has done a good job. The work completion of my head nurse this year is summarized as follows:
A, ward nursing management
Come to work in general surgery for one year, study professional knowledge hard, and overcome the shortcomings in business. When the rescue and ward staff are nervous (such as holidays), they can take the lead and directly participate in patient care. According to nursing quality standards, establish various work routines. Monitor and record all kinds of quality indicators, and replace them in time if they are found to be insufficient. Using pdca quality reform method to implement floor cqi project. Give full play to the enthusiasm of nurses in the implementation, change the management mode of deep vein, and promote the standardization of patient evaluation, patient health education and the standardized implementation of handover system. Record the calendar, check it regularly, and feed back the results to the relevant nurses in time to help them change the standards and handle, report and discuss the incident.
Second, personnel management.
In the year of 20xx, the whole hospital accepted the newly transferred comrade xxxx and the new comrade xxxx. All new nurses can arrange standardized pre-job training in the department, give serious teaching and guidance, and all new nurses can adapt to the work as soon as possible.
In 20xx, according to the requirements of the Ministry of Nursing Education, on the basis of collecting the education needs of nurses in departments, * * * arranged nursing rounds 1xxxx and business learning 1xxxx.
In terms of employee motivation, through the combination of continuous timely evaluation feedback and quarterly evaluation, nurses can be helped to change jobs in time, praise good behavior and promote a good working atmosphere.
By means of authorization, nurses are encouraged to participate in department management, and almost every nurse is directly responsible for a new department management content to stimulate nurses' work enthusiasm.
Support and encourage nurses to continue their studies. There is 1xxxx continuing education. As head nurses, we should make our work as convenient as possible. At the same time, nurses are encouraged to learn English, and the department organizes surgical professors to give lectures to help nurses improve their English.
In the absence of teaching, we can give full play to the enthusiasm of department nurses and undertake the teaching work of students together. Various small lectures have won the praise of students and improved the teaching ability of nurses in departments.
Arrange nurse xxxx to go out to attend a study class.
Third, the work management
Carry out floor cost accounting management according to hospital requirements. Fixed the number of weekly deliveries in the supply room. According to the requirements of the hospital, the standardized management of fees is implemented. Standardize the finance and goods of the management department and check them regularly.
Adjust the position of items on the floor to make the floor environment cleaner. Reaffirm the system of departmental shift arrangement and shift handover, and urge nurses to shift according to the specifications. According to the patient's situation, provide appropriate nursing manpower, ensure nursing effect and arrange manpower reasonably. Actively participate in the meetings held by the hospital and nursing department, hold a nurse meeting once a month, and convey the working ideas and work arrangements of the hospital and nursing department to clinical nurses in time. According to the purpose and goal of the hospital, guide nurses to follow. Actively promote the cooperation between nursing department and other departments, help the director of general surgery to undertake part of the management work, and promote the cooperation between doctors and nurses.
As a major member of the Communication Committee, actively participate in the activities of the Committee and promote its development.
Fourth, their own career development.
Under the condition of effectively completing the task of ward nursing management, we should learn all kinds of professional knowledge and improve our ability in all aspects.
In xx, he obtained the undergraduate degree certificate of nursing night university and the undergraduate diploma of China. Continue to learn medical English.
Completed the training of picc puncture in hospital.
4.2022 Summary of Head Nurse's Work
In July 20xx, I was hired as the head nurse of the nursing department of Meixian Health Center. On the first day of registration, I went deep into the ward to check the ward work management, the implementation of the nursing system of the department, the implementation of the nurse operation, the prevention and control of hospital infection, and the treatment of nurses. It is found that there are some hidden dangers in nursing safety because of the shortage of nursing staff and the failure to implement the nursing work system. In view of these problems, I reported my management ideas to the hospital leaders. With the strong support of hospital leaders and the efforts of head nurses and nurses, I successfully completed my work plan, which is summarized as follows:
A, equipped with personnel to meet the needs of the work:
There are 65,438 new nurses +0 1 and 65,438 old nurses +02, including * * 23, and the ratio of beds to nurses 1:2≥0.3.
Second, establish a management system to achieve standardized management:
1. A leading group for nursing risk quality management was established, and the responsibilities of the group members were formulated, and the group members were responsible for their own work.
2. Improve the nursing management data, standardize the nursing record books of various departments, and establish professional technical files for nursing staff.
3. To preach management knowledge to senior nurses and give full play to the management potential of each group.
Third, strengthen the training of head nurses and improve their management ability;
Hold a regular meeting of head nurses every month to analyze the quality of nursing and put forward rectification measures for existing problems. It is stipulated that the department should organize nursing quality analysis, professional study and assessment once a month, and go to the department for ward round once a week, which improves the management level of the head nurse.
Fourth, focus on strengthening safety management:
1. The doctor's advice check system is implemented: the BANCHA class is required to check, and the head nurse presides over the check once a day, and the head nurse appoints a special person to be responsible for the leave.
2. Implement bedside handover system: all patients must be handed over at the bedside.
3. Strict drug management: drugs are stored as required, managed by five specialized departments of narcotic drugs, with special personnel in charge and counted monthly. The nursing department has no expired drugs every time.
4. Strengthen ward management: for critically ill patients and patients with drug allergy, warning signs are required to be hung at the bedside to remind companions, patients and medical staff (such as fall prevention, scald prevention, pressure sore prevention, anti-allergic drugs, etc.). ). No nursing complications occurred throughout the year.
5. Improve the emergency room management system: require emergency medical equipment to be in an emergency state.
6. Improve the reporting system of nursing adverse events: analyze the causes of adverse events that have occurred, encourage head nurses and nurses to look for potential safety hazards in their work, and put forward corrective measures to prevent the occurrence of adverse events.
7, standardize the nursing operation process:
1) The head nurse's scheduling follows the principle of strong and weak collocation and old and new collocation, and all the responsibilities are assigned to people, so that the nurses can work orderly and be busy without chaos.
2) Change the way of taking medicine, implement three pairs of bed number, patient and medicine, and put an end to the phenomenon that inpatients take medicine from pharmacies by patients or caregivers and that the actual beds of inpatients do not match the beds of medical records.
Fifth, strengthen the prevention and control of hospital infection;
1. changed the disinfection and sterilization method of medical supplies, and cancelled the disinfection of soaking instruments.
2. Establish a regular disinfection and cleaning system, and stipulate that the environmental sanitation of obstetrics and gynecology, operating room and supply room should be cleaned a little every day and a lot every Monday, and disposable sterile items should not be stored in the warehouse. At the same time, the recycling management system of disposable goods was established.
3. Strengthen the management system of disinfection and sterilization of medical materials in various departments, require special personnel to be in charge, regularly check and monitor the disinfection and sterilization effect, control or reduce the incidence of hospital infection, and achieve the qualified rate of disinfection and sterilization monitored by the epidemic prevention department at a higher level 100%.
4, training professionals, so that disinfection and sterilization methods and systems can be better and more effectively implemented. At present, a nurse has been selected to further manage the prevention and control of hospital infection.
Six, improve the professional quality of nurses and solve the problems existing in nursing work:
1, the nursing department organizes business study and examination once a month, and the learning content is: 1, the core system; 2, hospital infection prevention measures; 3. Nursing risk management plan; 4, nursing adverse events and preventive measures, nursing "top ten" safety goals; 5. Nurses' code of conduct and nurses' polite language; 5, oxygen, sputum suction operation training and assessment.
2, using incentive mechanism to improve nurses' learning enthusiasm, according to the nursing work plan and progress, the nursing department prepares the learning materials organized by each department. New and old nurses with test scores above 90 points will be awarded the first place and the second place respectively from high score to low score.
Seven, the implementation of the nursing responsibility system:
From1June 5, 1998 to 19981October, the responsible nursing was tried out in the general department. After one week, the patient's satisfaction was obviously improved, and the doctor's evaluation of the nurse's work was also improved. Some nurses are praised by patients.
Eight, the existing problems:
1. There are many new nurses, poor operation skills, insufficient work experience, poor risk awareness and poor emergency response ability.
2. The thinking of nursing managers is narrow.
3. There is no fire fighting facility and alarm device in the central oxygen storage room. Only nurses provide oxygen for patients. When there is no oxygen, temporarily call the person in charge of oxygen management to replace the oxygen cylinder.
4. Nurses lack extensive communication skills and health education is not in place.
5. Nurses work together at night shift.
6. Basic nursing and psychological nursing need to be strengthened.
Looking forward to 20xx, the nursing department will face many difficulties and greater challenges. If nursing work is to satisfy society, government, leaders and people, then high-quality nursing service must be carried out. As long as the hospital leaders pay attention to and support the nursing work as always, and the nursing staff in the whole hospital unite as one, the quality of nursing will certainly reach a new level in the coming year.
5. Summary of Head Nurse's Work in 2022
Blink of an eye, it's the end of the year. Looking back on my work in the post of head nurse this year, I have many feelings in my heart. The work since 20xx is summarized as follows:
First, strict management and effective coordination
Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed, and conscientiously implemented the work system of the hospital and the department, ensuring the steady progress of the work of the department. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of departments, and make Chinese medicine departments become a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.
Second, pay close attention to nursing business training
As a comprehensive department of integrated traditional Chinese and western medicine, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, only one nurse in 12 is a junior college of integrated traditional Chinese and western medicine nursing, and the rest are graduates majoring in western medicine nursing, who only know the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious. Traditional Chinese medicine nurses have no specific professional knowledge and development direction, which affects the enthusiasm of this group and the stability of the team to a certain extent, and also has a negative impact on the quality of nursing work in wards.
In view of this reality, I decided decisively: start from me and train all the staff. Through the combination of business lectures and business rounds, department directors and doctors participated in the training, including common internal medicine, including respiratory, circulatory, digestive and nervous systems, systematically trained basic knowledge and common skills of Chinese medicine, and even trained some conservative treatment and nursing knowledge of general surgery and orthopedic diseases.
After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. Since then, I have adopted the daily strengthening method, constantly combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.
Third, try to operate and strive to make characteristics.
Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift list, I will send them a life sentiment every week; Holding an "angel" poster; Use the morning meeting to tell them some inspirational and philosophical ideas and guide them to think about life and career. In a subtle way, the humanistic quality of our Chinese medicine nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of TCM nursing culture is flourishing, but also all the work objectives are successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. In the evaluation and inspection of professional ethics, the health care service of traditional Chinese medicine has been affirmed and praised by participating experts.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Similarly, there are "propaganda of nasal feeding knowledge", "retention of sputum culture specimens" and "precautions for retention of urine culture specimens" and so on. This method of oral and book education not only helps patients to master it, but also saves nurses a lot of time, so it is very popular.
Fifth, constantly improve their own quality.
As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing and improve our comprehensive quality. 20xx took the psychological counselor exam in May, hoping to get the third-level psychological counselor certificate in August. Over the past year, three academic papers have been published in provincial and provincial magazines, and two poems have been published in the journal of our college.
Shortcomings and efforts of intransitive verbs
Although, in retrospect, I can say without shame: I didn't waste any time; Facing my patients and my department, I can also say frankly that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our Chinese medicine department are still blank; For another example, sometimes, the requirements are too strict, and I have even seen the tears and helplessness of nurses. Therefore, looking forward to the future, I am full of confidence in the work of head nurses in the new year. As a head nurse, my efforts are:
1, strive for a breakthrough in nursing scientific research.
2. Combine leniency with severity to make your management style more mature.