There are problems in nursing quality inspection:

1. Nursing organization and management.

1. Some nurses’ appearance does not meet the requirements and they play with mobile phones at work.

2. Nursing rules and regulations, job responsibilities, disease nursing routines and technical operation procedures will be further improved and implemented.

3. Some departments need to improve the morning meeting and shift handover system without bedside handover.

4. Improve business learning as required, but not often enough.

5. Improve department quality control and keep records.

6. Fill out the head nurse's handbook in a timely manner as required, and register any personnel changes in a timely manner.

7. There is no training in the department’s emergency plan.

2. Ward management and safety management.

1. The bed units for critically ill patients have been further improved. The items under the bed are messy and there are debris on the window sill.

2. There is no bedside sign and incomplete allergy labels.

3. Office items are placed in a messy manner and the management of high-risk drugs should be strengthened.

4. After use, the remaining air in the oxygen cylinder must be released and the main switch must be turned off. The empty and full signs must be hung as required and do not write them yourself.

5. Infusion bottles are not signed and timed after adding medicine. The concept of sterility is poor. Bottles are often changed without disinfection. Infusion bottles are sometimes left in the ward.

3. Basic nursing, specialist nursing, and health education.

1. There is no infusion card. Some of the infusion cards have no signature and time.

2. Morning care in individual bed units is not adequate.

3. The pipeline is not marked, and the date after the intravenous indwelling needle is punctured is not recorded.

4. All instruments and equipment are in good condition and must be labeled.

5. Health education has been further improved, but some have not done enough. 4. Disinfection and isolation.

1. There are expired items and the sputum suction device is not cleaned in time.

2. The tourniquet was not disinfected in time after use.

3. If there are debris in the refrigerator, the heparin solution should be prepared on the same day as it is used.

4. Wipe the treatment vehicle clean in time after use, and do not place the treatment tray on the patient's bed.

5. There is no record after replacing the disinfectant. 5. First aid medicines and items.

1. Some handovers are not timely, some quality control is not timely, and some are not recorded.

2. Some departments have two cards and one is incomplete.

3. Is there a fixed quantity of emergency medicines?

4. If the validity period is unclear, there are expired 6. Nursing documents.

1. The original body temperature record sheet must be recorded in a standardized way. Write the bed number and name. Write down the newly admitted patients. Write according to the requirements of the form and save it. If there are any missing items, alterations, or scratches on the body temperature record sheet, newly admitted patients must Blood pressure should be higher before 15:00.

2. The doctor’s order was not printed in a timely manner and signatures were missing. The blood pressure record sheet was written twice in the same year and should be written once.

3. Check the doctor’s orders but not the medical records.

4. Some departments did not check the medical order registration book.

5. Some departments do not have admission and discharge registers.

6. There are missing items in the nursing handover book and the nursing quality inspection has been altered.

Problem analysis:

1. Individual nurses have insufficient understanding of nurse quality and discipline, and the supervision of the head nurse is insufficient.

2. There is not enough emphasis on basic nursing, and the importance of basic nursing to the patient's disease recovery is not recognized, or the importance of basic nursing to the patient's disease recovery is recognized but the implementation is not strong.

3. Emergency medicines. Some nurses lack knowledge of emergency medicines. Some departments lack the knowledge of emergency medicines. The handover is just a formality and is not serious and timely. The quality control is not in place. The problems of disinfection and isolation reflect the individual problems. Nurses have poor sterility concepts, and head nurses have insufficient understanding of hospital infection control and lack of supervision and inspection.

4. The main problems with nursing documents are that the quality control personnel did not perform their duties seriously and the head nurse did not do enough supervision.

Rectification measures:

1. Implement rules and regulations, establish a supervision mechanism, organize nursing staff in each department to conscientiously study various nursing systems and nursing document writing requirements, and strictly implement various nursing systems and Job Responsibilities.

2. Give full play to the functions of the quality control team to improve the nurses' own quality, strengthen everyone's awareness of participation in department management and the inspection intensity of the department quality control team.

3. Strengthen the management of basic care, especially critical, special, and first-level care patients, to achieve six cleans and four zeros.

4. First-aid items must be managed by dedicated personnel, strictly inspected and registered every day, and the head nurse shall carefully inspect them every week to detect problems in time, and must ensure that they are in good condition and ready for use.

5. The head nurse must perform her duties strictly in accordance with the work quality standards and work inspection standards of the head nurse and the nursing quality control requirements.

6. Organize all nurses to carefully analyze and discuss the problems found during the inspection, formulate practical corrective measures, and inspect and implement them again.

7. Improve the management awareness of the head nurse, highlight the key points of work, strengthen the quality management of nursing links, pay attention to the quality of details, and strive to eliminate defects in nursing quality.

Characteristics of nursing quality inspection

Clothing and hair must meet the requirements. Wear a name tag at work. No rings, earrings, bracelets, anklets, colored glasses or colored contact lenses. You must be in good mental state, have a dignified manner, and your standing and walking postures comply with etiquette requirements. You must not talk or do anything unrelated to work during working hours, and do not bring items unrelated to work to work.

It is strictly forbidden to wear mobile phones at work, except for the head nurse. The ward is quiet, with moderate light, fresh air, and suitable temperature and humidity. Technical standards for items in each workroom require classified placement and orderly management. Public supplies have disinfection measures. , clean the trash can in time and keep the surrounding area clean.

The department is not allowed to post it at will. There is no rope hanging, no spider webs, no dirt on the walls and corners, and various safety warning signs such as anti-slip, anti-scald, and safe oxygen use. The pager is in normal condition. The patient can reach the call device, the water boiler has anti-scald signs, the floor is dry and there is no accumulation of water, there are risk management precautions and emergency plans, the process is reasonable, and there are drill records.

Smoking, drinking, using alcohol stoves and personal appliances are prohibited in the ward. Ensure the safety of electricity. Everyone has mastered fire protection knowledge and operating procedures. Fire keys are placed at fixed points and everyone knows them. Safety passages are unobstructed and emergency The lamp function is fully charged, medical records are stored in the medical record car for safekeeping, and the checking system and patient identification system are strictly implemented. Nursing services such as treatment and medication can be correctly provided in accordance with the doctor's instructions, and patients' medication and treatment response can be observed and understood in a timely manner.