First, strict management and effective coordination.

Under the leadership of the nursing department and the director of the department, we should be strict with ourselves from all aspects, take the lead in doing well the work of the department, especially the nursing work, manage boldly, and conscientiously implement the work systems of hospitals and departments to ensure the steady progress of the department's work. Actively cooperate with the director to do a good job in medical cooperation, and everyone should 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, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.

1. The nurses in the office class sincerely receive the newly admitted patients and send them to the bedside, and take the initiative to provide admission education and health education to the patients and their families.

2. Ask the nurse in charge to communicate with patients and their families every day, including health education, understanding the patient's condition, life needs, the effect and reaction after medication, etc. Nurse-patient communication can shorten the distance between nurses and patients, and it is the prerequisite and necessary condition for doing all kinds of nursing work well.

3. Seriously implement the notification procedures before and after clinical treatment, respect the right to know of the patients' families, and relieve their concerns.

4. Hold a symposium on holidays every month, distribute patient satisfaction questionnaires, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.

Third, further optimize the staffing and strictly follow the nursing workflow.

The sickbeds and personnel groups in the department are more scientific and detailed, with 4 responsible nurses and 1 responsible team leader. The responsible nurse is in charge of 6-8 beds, and at least 3 responsible nurses and 1 responsible team leader are guaranteed to be on duty every day. The responsible nurse should not only manage her patients well, but also manage her patients well, and do a good job in basic nursing, health education and treatment. The responsible team leader supervises the implementation of basic nursing and health education for patients in this group every day.

Fourth, promote the corresponding basic nursing services.

Graded nursing care was given to patients in strict accordance with the nursing level. Give life care to those who can't take care of themselves; For those who take care of themselves, help them take care of themselves; Remind and guide people who can take care of themselves to complete life care. In order to better serve critically ill patients, we specially purchased a 1 bed shampoo basin this year.

Fifth, improve the performance appraisal system and mobilize the enthusiasm of nurses.

Since the implementation of quality nursing, the responsible nurses in our department have kept a small notebook to record the patients' 10 knowledge, reflections and demands at any time. Nowadays, many patients are willing to find their own nurses to solve some problems in life, and patient satisfaction has been rising.

Six, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.

1, give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.

2, every month on the quality control team, the head nurse quality inspection, nursing department quality inspection feedback information comprehensive analysis, find out the reason, formulate feasible corrective measures, and check the implementation of the rectification.

Seven, strictly implement the three basics and three strictness training plan to improve the overall quality of nursing staff.

1, according to the "three basics and three strictness" training plan, train nursing staff at all levels, and organize theoretical examinations and technical operation examinations every month.

2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge.

3. Make use of the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and seriously implement it.

Seven, nursing safety is the key.

1, link monitoring of nursing staff: strengthen the management of newly transferred nurses and thoughtful and emotional nurses, and make key explanations and follow-up. Do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents, and ensure the safety of patients seeking medical treatment.

2. Patient monitoring: the newly admitted, newly transferred, critically ill patients and patients with potential medical disputes should be supervised, inspected and monitored.

3. Time monitoring: during holidays, weekends, busy work, fatigue time and shift change, supervision and management should be strengthened.

4. Nursing operation link monitoring: transfusion, blood transfusion, injection and various allergy tests. Although it is daily work, if there is a problem, it is a matter of life and death, which is the focus of monitoring in nursing management.

Eight, improve the quality of nursing service, enhance the sense of responsibility.

Cultivate nursing staff to establish a patient-centered concept, take the patient's voice as the first signal, take the patient's needs as the first need, take the patient's interests as the first consideration, and take the patient's satisfaction as the first standard. Strengthen the consciousness of active service, quality and safety, improve the communication skills between nurses and patients on the basis of further standardizing nursing operations, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work.

2. Model nursing team work plan

(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, hired nurses and junior nurses, and strengthening the awareness of learning. The work plan of the nursing department in the first half of the year focuses on strengthening basic nursing knowledge and increasing the number of examinations until it reaches the standard.

2. Basic skills assessment: Nurses who belong to standardized training objects must all reach the standard 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.

3. Strengthen specialist skills training: Each department formulates an assessment plan for specialist theory and skills training within the cycle, and organizes 2-3 examinations every year. Theoretical examination should have examination papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.

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) 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.

(3) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.

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 literacy improvement activities in the whole hospital after reaching a certain knowledge, and formulate training plans and specific implementation plans.

3. Model nursing team work plan

First, raise awareness and enhance sense of responsibility.

1, the hospital leaders are part-time members of maternal and child health care and full-time obstetricians and gynecologists.

2. Gradually improve the hardware facilities of obstetrics and gynecology; Cooperate with obstetricians and gynecologists to communicate with relevant departments; Establish new networks and maintain good relationships.

3. Sign letters of responsibility with village doctors to ensure the truthfulness and accuracy of basic data.

Second, maternal system management.

1. Every month, every village should report the population information of pregnant women and children (including floating pregnant women and children) to make every effort to be accurate.

2. On the 8th of each month, village doctors should submit information about pregnant women and other women and children.

3. Go to the central hospital on the 30th of every month to collect all kinds of information about maternity system management.

Third, learning and supervision.

1. Attend all kinds of study and regular meetings organized by the superior leading units on time and point by point, and pass on the spirit and work tasks in time.

2. The hospital regularly trains and supervises rural doctors and has written records.

3. At any time, support and cooperate with the guidance and supervision of the higher-level leading units in our hospital.

Fourth, increase publicity for women and children.

1. Hospitals and villages should publicize policies on women and children in a timely manner, and each village should have at least two permanent publicity slogans.

2. For the consultation of pregnant women, each village should be scientific and accurate.

4. Model nursing team work plan

I. Purpose and significance

In order to further improve the quality of surgical nursing in our hospital, improve the professional and technical level of internal medicine nursing staff in our hospital in a planned way, improve the basic theory and knowledge of surgical internal medicine nursing, and master a number of practical skills with specialist characteristics; Create a high-quality nursing team.

Second, the work objectives

1. Standardize the preoperative skin preparation method to reduce the occurrence of incision infection.

2. Standardize preoperative respiratory exercise to reduce postoperative pulmonary infection.

3. Standardize pain management and improve patients' comfort.

4, strict body fluid management, keep the balance and stability of water and electrolyte.

5. Pay attention to high-risk surgical patients and reduce the risk of surgery.

6. Improve the safety of indwelling catheter and reduce the rate of unplanned extubation.

7. Get up early to promote recovery.

8. Prevent postoperative hypothermia.

9. Exercise early after operation to reduce deep vein thrombosis and pulmonary embolism.

10, strengthen the skin care of patients in bed during perioperative period, and reduce the occurrence of pressure ulcers.

Third, the specific job responsibilities

1. Continuously strengthen nursing safety education. Specialist nurses are responsible for regular training of liaison nurses in various departments, quality intervention in the nursing of surgical patients in the whole hospital, assistance in formulating the training plan of professional nurses in the whole hospital, and training nursing talents who master the nursing skills of surgical patients.

2. Participate in the specialized nursing management committee led by the nursing department, and participate in the work of the corresponding specialized nursing working group.

3. Organize and participate in the professional and technical work in the specialized field of our college, organize and formulate the nursing work guide of our college, and assist in formulating the nursing work standard and nursing quality evaluation standard of our college.

4. Participate in medical rounds, discuss surgical cases and difficult cases, analyze patients' nursing problems, and formulate nursing plans for nursing problems; Organize in-hospital nursing consultation, implement evidence-based nursing, solve difficult nursing problems, and guide clinical nurses to ensure the nursing quality of their specialty.

5. Grasp the frontier trends of the development of this nursing discipline, actively organize academic activities of this major, and determine the work and research direction of this major according to the needs of the development of this major; Promote the application specialty in a planned, purposeful and high-quality way. 1. Strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.

6, implement the rules and regulations, regular and irregular inspection and supervision of relevant personnel, and supervision and inspection records.

7. Strengthen the risk management of key links, implement responsibility team contracting, make new and old partners, ensure that there are responsible nurses at all times, reduce the number of shifts, let patients get continuous treatment and care, and reduce loopholes in their work. At the same time, senior nurses should take the lead and pay attention to cultivating nurses' cautious spirit.

8. Strengthen key management: such as handover of critically ill patients, prevention of pressure ulcers, blood transfusion, special medication, management of patient pipelines, and assessment of existing and potential risks of patients.

9. Strengthen the care of key patients: for example, surgical patients, critically ill patients and elderly patients, take these patients as the focus of discussion during the shift change at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class.

10. Key staff management: such as internship nurses, rotation nurses, new nurses, junior nurses, etc. To educate them on legal awareness, improve their awareness of prevention and ability to resist risks, and make it clear that students can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.

1 1. Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, make the records "objective, true, accurate, timely and complete", and avoid irregular writing, such as typo, unclear alteration, inconsistency with doctors' records, etc., so as to standardize and standardize nursing documents.

12, improve the nursing emergency risk plan, pay attention to cultivating the emergency ability of nurses in their usual work, and make a retrospective evaluation of each emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.

Fourth, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.

1, the nurse in charge received the patient sincerely, sent the patient to the bed and took the initiative to do health education for the discharged patients.

2. Strengthen service awareness education, improve the concept of humanized active service, and do a good job in education guidance and safety prevention at any time in each class.

3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from patients and their families, and praise and criticize nurses with good or bad service quality.

Five, the establishment of inspection, evaluation, feedback system, establish a traceability system.

The head nurse and quality control team often go deep into the ward for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems in nursing work and improve rectification measures.

Six, strengthen the "three basics" training plan, improve the overall quality of in-service nursing staff.

1, ask questions twice a week in the morning, including basic theoretical knowledge, specialist theoretical knowledge, nosocomial infection knowledge, etc.

2. Conduct monthly training and assessment of various skill operations, and require all employees to pass the exam and be familiar with the use of first-aid equipment and instruments and rescue drugs.

3. The weekly morning meeting is a small class of nursing pharmacology knowledge, and the treatment class collects the current medication instructions of undergraduate students and explains the pharmacological effects and precautions. And ask questions about the core system of the hospital, so that every nurse can master it skillfully and implement it carefully.

4, often review the nursing emergency risk plan and make a simulation demonstration to improve the emergency ability of nurses. New achievements, new technologies, new theories and new methods in nursing.

5. Model nursing team work plan

1. Further improve and standardize the management of pressure ulcers.

(1) realized standardized declaration, strict audit and dynamic management. All departments are required to declare in accordance with the procedures stipulated in the management of pressure ulcers. In the second half of the year, the head nurse of the safety management team will carefully review the pressure ulcers and accidents and strictly control them. Do not meet the conditions, not to declare, special circumstances will be considered separately; After the declaration, if pressure ulcers occur in the hospital, they should be strictly audited, and a bedside ward round system should be implemented (the ward round personnel are the director or deputy director of the nursing department and the director or deputy director of the basic nursing department), and whether it is an inevitable factor according to the actual situation of the patients, otherwise the responsibility should be investigated.

(2) The arrangement of pressure sore data is further standardized: monthly collection, monthly summary analysis and year-end summary binding.

(3) New materials and methods for preventing and treating pressure ulcers were further popularized, which improved nurses' knowledge and treatment skills for pressure ulcers and reduced the incidence of pressure ulcers in hospitals. The therapeutic effect of pressure sore is improved.

(4) Organize bedside nursing rounds and consultation on pressure ulcers.

2. The team members received professional and systematic wound care knowledge training; At the same time, training on wound care knowledge was held in the whole hospital.

3. Collect information about wound care from clinical departments in time, such as written materials and pictures, and spread them in the reference room.

4. Responsible for supervising and guiding the wound care in the clinical departments of the whole hospital, which improved the quality of wound care in our hospital.

5. Feedback and summarize the work in time and continuously improve the work.

Existing shortcomings:

1. The network system of wound management organization in the whole hospital has not been established and improved.

2. Wound nurses are not trained.

3. Incomplete collection of pictures and materials.