Endoscopy room work plan 1 1. Economic benefits of the department
It is estimated that the business income will increase by 12% every year. Specific measures are as follows:
1. With the hospital's emphasis on outpatient service, the number of outpatients in relevant clinical departments will increase, and the number of patients screening endoscopy will also increase relatively;
2, out of recognition of undergraduate course room work, follow-up patients will gradually increase;
3. Expand the treatment items under endoscope;
4. Strive for the introduction of new equipment and the development of new technologies.
Second, the department hardware facilities
(1) The existing workplace and shared equipment of the department: the existing working area is about 50㎡, of which the cleaning and disinfection room is about 8㎡, and the use area is obviously small. Olympus electronic gastroscope (introduced in 20XX) and electronic enteroscope (introduced in 20XX) have been used for nearly 5 years, and will be in a period of frequent mechanical failures; Olympus electronic gastroscope 1 (signed contract, not in place); Pantek electronic gastroscope and enteroscope were introduced in July, 20xx. Electrosurgical knife, used for 5 years, is still in normal use.
(2) Five-year plan for workplace and common equipment: the working area will be increased to 200-300m2, and the cleaning and disinfection room will be about 40-50m2. If conditions permit, electronic gastroscope, enteroscope, bronchoscope and even electronic cystoscope can be combined into an endoscope room, which is convenient for the maintenance and management of mirrors. Replace 3-4 advanced electronic endoscopy hosts, each equipped with 3 electronic gastroscopes and 2 electronic enteroscopes, and purchase electronic bronchoscopes and electronic cystoscopy to carry out endoscopic diagnosis and treatment in different periods to meet the needs of hospital management and business growth. Buy argon electrotome and ESD technology (endoscopic submucosal dissection) supporting equipment to treat early cancer. In view of the blank of ultrasonic endoscope in Jinhua area, the feasibility of introducing ultrasonic endoscope can be analyzed.
Third, the construction of talent echelon
(1) The specific goal of the five-year plan for the construction of talent echelon is to ensure the sustainable development of the department and establish a reasonable talent echelon.
(B) the existing department personnel echelon
1. Physician: 2 department doctors, including 2 doctors aged 30-40, attending doctor 1 person, doctor 1 person, regular staff 1 person, and temporary workers 1 person.
2. Nurses: 2 department nurses and 2 nurses aged 40-50; Two nurses are in charge.
3. In the past five years, the department * * * went out for further study for 0 times.
(3) Five-year plan for talent construction
Adjust the talent echelon structure of the department through measures such as recruitment, training and further study.
1, departments should increase the number of doctors, improve the structure of doctors, and complete the echelon construction. It is best to form a team of 5-6 endoscopists within five years.
2. With the increase of doctors and equipment in departments, the number of nurses will gradually increase to 6-7.
3. Increase the frequency of sending doctors out for further study.
Fourth, the academic level of the department.
(A) the status quo of academic level
1, department research direction:
1, endoscopic treatment of gastrointestinal polyps is exclusively carried out in the county;
2. Staining endoscopy;
3. Endoscopic diagnosis and treatment of foreign bodies in upper digestive tract.
2, standardized research: the department has developed the diagnosis and treatment norms are
(1) operating specifications for gastroscopy;
(2) the operation specification of colonoscopy;
(3) Operating specifications for diagnosis and treatment of foreign bodies in upper digestive tract under endoscope;
(4) Diagnostic and therapeutic criteria for endoscopic resection of gastrointestinal polyps.
3. Development of new technology projects: "Clinical application of stained endoscopy" is listed as a county-level topic, and "Application of titanium clip in diagnosis and treatment of digestive endoscopy" is listed as a hospital-level new technology.
(2) Five-year plan
The department has carried out a number of endoscopic treatment projects, which gives us a leading edge in business. Strengthening connotation construction, actively introducing and developing high-tech and sophisticated projects, adjusting according to the changes of disease spectrum and incidence rate, and exploring new business growth points are the development priorities in the next five years.
1. Adjustment and perfection of research direction;
(1) Maintain the existing leading research direction and improve it;
(2) Early detection and treatment of digestive tract tumors, general survey of high-risk groups, application of ESD technology (endoscopic submucosal dissection) to treat early cancer, and improvement of diagnosis and treatment level of departments;
(3) Introduction, diagnosis and application of ultrasonic endoscope;
(4) There is still potential in the study of Helicobacter pylori, so it is necessary to study the transmission mode of Helicobacter pylori susceptible population and its relationship with the pathogenesis and incidence of gastric cancer.
2. Standardization research: optimizing diagnosis and treatment norms.
(1) Optimize the endoscopic resection of gastrointestinal polyps, including expanding indications, using ligation rings, titanium clips and other treatment accessories to reduce the incidence of bleeding and perforation;
(2)ESD technology: treatment of indications, contraindications and complications;
(3) Endoscopic stent implantation for digestive tract obstruction;
(4) Endoscopic hemostasis of esophageal varices;
(5) argon ion coagulation under microscope.
3. New technology project development: It is planned to introduce new technology projects.
(1)ESD technology can treat early digestive tract tumors economically and effectively, but it is technically difficult and has a high perforation rate, but it has a good development prospect, which requires the support of equipment and the cooperation of minimally invasive surgery.
(2) Endoscopic ultrasound is a project that needs referral in our hospital now, which can greatly improve the level of diagnosis and treatment in our hospital. However, due to the limitation of disease source and examination cost, the direct cost recovery time is longer, but it can increase the hospitalization rate and indirect income. The development of this project needs the support of equipment and personnel training.
4. Academic conference: In order to expand the academic influence of departments, it is planned to hold an annual academic conference of 1 municipal gastroenterology and gastroenterology.
Five, the department quality management level
(a) the specific measures to implement the core system of this department:
(1) Discuss difficult cases regularly;
(2) Implement the preoperative notification system;
(3) implement consultation system, and invite experts for consultation in time for special cases;
(4) Implement the preoperative discussion system;
(5) Implement a new technology and new project declaration system.
(2) Problems existing in the quality management of the department at present: there is no full-time endoscope cleaning and disinfection personnel in the department. Because of the particularity of endoscope cleaning and disinfection, the quality of cleaning and disinfection personnel directly affects the cleaning and disinfection of endoscope and the maintenance of equipment. In order to save the expenses of hospitals and departments, temporary nurses can be recruited to carry out this work.
(3) Specific measures to strengthen the quality management of the department:
(1) Improve medical quality and medical safety management;
(2) Pay attention to the writing quality of the report and provide diagnostic basis for clinical needs;
(3) Strengthen the business study of department personnel and improve their business level;
(4) Seriously implement the core system.
Sixth, the development potential of the department
Through analysis, the department is currently on the rise, and the main problems facing the development of the department at present are:
(1) Due to the popularity of electronic endoscopy, people's awareness of self-care has been gradually improved, and the number of people seeking medical treatment has been increasing.
(2) The existing staff in the department can't meet the clinical needs, and some patients need to make an appointment and wait for a long time;
(3) Due to the limitation of equipment, some diagnosis and treatment projects cannot be carried out.
In the future work of departments, it is necessary to coordinate the relationship with various clinical departments, improve the service process, and provide more diagnostic support for the clinic; Actively carry out endoscopic treatment to attract patients who cannot be treated in other hospitals; Strengthen connotation construction to attract patients with accurate diagnosis, gentle operation and enthusiastic service; Actively create conditions to carry out new projects, strive to introduce new equipment and improve competitiveness.
Endoscopy room work plan 2 20xx years will soon pass, and a new year is coming. The new year means a new starting point, new opportunities and new challenges. In order to better complete this year's work tasks, this plan is formulated on the occasion of bidding farewell to the old and welcoming the new:
First, the overall goal:
Strive to achieve all the standards of nursing quality inspection throughout the year, the qualified rate of disinfection and sterilization reaches 100%, and all the infection detection indicators meet the requirements. There were no nursing defects, nursing complaints and nursing errors throughout the year.
Second, the specific measures:
1, strengthen the study of nursing skills:
As the saying goes, it takes hard work to strike while the iron is hot. If you want to complete the task with good quality and quantity, you must master the corresponding business skills. Therefore, the study of nursing skills will be given priority this year. While urging self-study, strictly implement the regular study system, ensure that you study at least twice a month, and make study notes.
2, strengthen the professional quality education:
Medical ethics is an important part of hospital spiritual civilization construction and an important professional quality that hospital nurses should have. Its quality is related to the fundamental purpose and social image of the hospital. Therefore, this year, we should focus on the standardization of nursing work and provide humanized service as the concept, dig deep into the connotation of nursing service and further improve the level of nursing service. In specific work, we should achieve "five voices", "five hearts" and "five initiatives". The "five tones" are: greeting when the patient comes, comforting when the patient is uncomfortable, apologizing when the operation is unsuccessful, explaining when the patient asks questions, and blessing when the patient leaves. The "five hearts" are: treat patients sincerely, receive patients warmly, listen to opinions with an open mind, explain work patiently and care carefully. "Five initiatives" means taking the initiative to introduce, publicize, communicate, answer questions and carry out health education. It is necessary to strengthen the etiquette training of nurses and improve the image of nursing staff. Pay attention to dignified appearance and civilized language, strengthen the overall construction of the team, create a dedicated, cooperative and efficient work team, and improve the level of nursing business.
3, in strict accordance with the nursing standards and processes:
On the basis of mastering the skills needed in the work, we will carry out our work in strict accordance with the requirements of various systems and standardize various processes in our daily work. It is also necessary to supervise and inspect the implementation of various rules and regulations and nursing routines in time, correct problems in time when found, prevent errors and accidents, and seriously organize discussions, learn lessons and formulate preventive measures.
Work plan of endoscope room 3 1. Under the leadership of the dean and the competent dean, be fully responsible for the administrative management and business work of the endoscope room.
Second, guide the undergraduate course room personnel to register before inspection, check the preoperative patients and equipment preparation, and pay attention to contraindications.
Three, guide and do a good job of endoscopic examination and treatment, to avoid missed diagnosis or serious complications, as well as observation and follow-up after examination.
Fourth, do a good job of data collection in time, understand the development of domestic and international trends and new technologies, sum up experience, and promptly guide junior doctors to do a good job in rotation training and teaching.
Five, guide nurses to do a good job in the use, disinfection, repair and maintenance of equipment.
Six, check and supervise the implementation and implementation of various rules and regulations.
Seven, conscientiously do other work temporarily assigned by the dean and the dean in charge.
Duties of doctors in endoscopy room
First, under the leadership of the director, complete the routine diagnosis and treatment assigned by the endoscopy room;
Second, organize and implement the relevant regulations and systems of endoscopic room management with nurses;
Three, responsible for the guidance and teaching of junior doctors and senior doctors;
Four, responsible for the quality control of endoscopic examination and treatment; Strictly implement the rules and regulations of diagnosis and treatment;
Fifth, formulate practical training plans and business learning plans to continuously improve their business level;
Six, hand over to treat the relevant doctor's advice, answer patients' questions;
Seven, close contact with clinical, strengthen information feedback, do a good job of endoscopic diagnosis and treatment and clinical, surgical and pathological follow-up.
Eight, take good care of the instrument, use the instrument correctly, and maintain the instrument.