Adhere to the fundamental principles of being close to patients, clinic and society, and build a harmonious doctor-patient relationship with the patient-centered service concept.

Second, the work objectives

Follow the concept of holistic nursing, implement basic nursing, and create a new image of nursing service that is satisfactory to patients, society and government. Persist in returning time to nurses and patients, ensure the effective time for nurses to serve patients, and effectively improve the quality of clinical nursing service.

Third, organize and lead.

Set up a leading group of general surgery to create "quality nursing service" activities.

Group length:

Deputy team leader:

Members:

Fourth, the implementation measures

(1) Change ideas and unify thoughts and actions.

Organize general nurses to mobilize and interpret the relevant contents of establishing high-quality nursing service demonstration project: Ministry of Health 16, Guangdong Province, 20 articles, etc. , so that all nurses can correctly understand and understand the purpose and significance of creating "quality nursing service", change the service concept, and unify their thoughts and actions. And put forward the slogan of high-quality nursing service: caring for health and serving with heart.

(2) Strengthen the training of nurses' etiquette and enhance the nursing image.

Organize and carry out the study of "reshaping the image of nurses", perform scene simulation performances, and standardize service language, service attitude and service behavior.

(3) Strengthen the training of nurses and improve their professional and technical level.

1. One-to-one tutor responsibility system is adopted, so that every young nurse can be fully guided by a fixed teacher.

2. Pay attention to the cultivation of clinical ability, combine basic nursing with specialized nursing, and train in the form of business study, bedside nursing rounds and case sharing to improve nurses' clinical work ability.

3. Hierarchical training: 1-3 years nurses pay attention to basic knowledge and skills training; More than 3 years of professional knowledge and skills training.

(four) the implementation of the nurse group bed management system and bedside work system.

1. Based on the principles of hierarchy, balance, responsibility and continuity, APN flexible scheduling is implemented to increase the manpower of nurses in peak period, off-season and night shift and provide seamless nursing service for patients. Establish a second-line and third-line duty system.

2. The whole ward is divided into four groups: A 1, a2, a 1 and A2, with team leader, responsible nurse and assistant nurse. Each nurse is responsible for 8- 10 beds. The nursing team leader is responsible for the critical and difficult patients and is responsible for guiding the work of the nurses in this group. Bed nurses provide patients with full service, including hospital introduction, basic nursing, treatment, preoperative and postoperative and rehabilitation nursing. The nurse in charge and the assistant nurse jointly provide life care for patients, and solve life care problems such as clothing, food (changing clothes), food (ordering food, feeding food), housing (turning over, patting the back), walking (early activities), hygiene (oral cavity, washing hair, taking a bath, cutting nails and pouring feces) for patients, and gradually realize that family members are unaccompanied.

3. Make full use of multi-functional nursing vehicles to reduce the time for nurses to fetch things back and forth.

4. Simplify the writing of nursing documents and adopt tabular nursing record sheet to shorten the writing time.

(5) Implement forward-looking management.

1. Implement the adverse event reporting system to form a virtuous circle of continuous improvement. Actively report the bad parts, analyze the root causes and improvement measures of the bad events in this department, so as to sum up experiences and lessons and avoid similar incidents.

2. Establish a clinical three-level quality control system with quality control moving forward to ensure that the responsible nurse, nursing team leader and head nurse implement nursing workflow and dynamic quality control. Constantly improve the guidelines and core system of specialized nursing, so that nurses can follow rules and evidence in their work.

3. Establish a continuous quality improvement register. The head nurse and each team leader conduct real-time quality control on each work link every day, record the existing problems in the register, analyze the reasons, put forward rectification measures, and track the rectification effect.

Fifth, establish an incentive mechanism.

Monthly assessment is conducted according to nurses' work, service attitude and the evaluation of colleagues and patients, so as to motivate nurses' work enthusiasm.

Chapter 2 of nursing performance appraisal scheme

In order to mobilize nurses' enthusiasm and initiative, improve nursing quality and management level, promote the reform of nurse distribution system, fully mobilize nurses' enthusiasm and creativity, and better promote the sustainable development of nursing work, a performance appraisal scheme for nurses is formulated. The specific contents are as follows:

Total score of nurse performance appraisal = basic score+plus points+minus points.

First, the evaluation method

(1) Basic points:

The basic score of nurses' performance appraisal is 100, which is assessed by the head nurse and re-evaluated by the director of nursing department.

Evaluation method:

Establish a nursing staff work assessment record book, the head nurse will conduct a primary assessment on the work of nursing staff in this department once a month, and the director of nursing department will conduct a re-assessment. Among them, the basic score of head nurses is 100, accounting for 60% of the basic score; The basic score of the director of nursing department is 100, accounting for 20% of the basic score. The assessment contents include ideology and morality, work responsibility, professional ability, work efficiency, gfd, labor discipline, communication and coordination, service attitude, safety awareness, attendance, mistakes and complaints, etc.

(2) See the attached table for the evaluation contents.

Total score of nurses' personal performance = head nurse's assessment score x60%+ nursing department's special assessment score x20%+ patient satisfaction score x20%. Note: The nursing group carries out the year-end general evaluation according to the monthly evaluation, which serves as the basis for the next year's evaluation, year-end bonus payment and salary adjustment. The specific method and calculation formula are as follows:

Methods: The annual assessment of nurses was divided into the average of the basic scores of employees' monthly assessment 1 ~ 12.

Formula: Annual assessment score = sum of basic employee scores1-65438+February/12.

Second, the monthly assessment requirements

Nursing departments at all levels should attach great importance to the assessment work, and head nurses and nursing department directors should pay attention to performance, be objective and fair, seek truth from facts, and give every nursing staff a fair evaluation. Third, the composition of nursing staff bonuses

(Total score of individual performance appraisal × performance coefficient+post coefficient )× bonus base = bonus number of the nurse.