Generally speaking, the number of nurses in general departments is above 15 or 20, or there are other specialties in the department, and deputy head nurses can be established. Of course, not only some departments have this number of nurses, but other specialties have deputy head nurses even if they do not meet this standard.

Some people say that the deputy head nurse is an embarrassing identity and talks too much in the department! It will offend people. Many nurses think that you are showing off before you become a head nurse. If you become a head nurse, I won't dare to work under you. If we ignore it blindly, the head nurse will not be at home and the dispute will recur.

Some people say that almost every department has an assistant head nurse, which exists in name only, and the extra coefficient of 1.25 is used to divide the bonus of nurses. The nurses complained bitterly.

The focus of this paper is how the deputy head nurse handles the relationship with the head nurse and nurses, defines her own responsibilities and assumes the responsibilities of the post.

First of all, we should mention the relationship. The reason why the deputy head nurse is set up is to help the head nurse share the work tasks and better implement the department management.

For the deputy head nurse, there are two kinds of relationships that are particularly important, that is, the relationship with the head nurse and the nurse.

If the head nurse and the deputy head nurse have a harmonious relationship, the whole nursing team will have a harmonious, warm and friendly atmosphere.

In dealing with the relationship with the head nurse, the deputy head nurse straightened her role and clearly realized at any time that the duty relationship between the head nurse and the deputy head nurse is the relationship of presiding and cooperation. Before making major work decisions, it is necessary to report to the head nurse for instructions in time, so that the head nurse can understand her own work ideas in time and give guidance from a global perspective. This is not only the due respect for the head nurse, but also the initiative to accept the leadership of the head nurse.

When the head nurse is away, the deputy head nurse should undertake all kinds of affairs of the department and communicate with the head nurse in a targeted manner, such as how to better handle all kinds of complaints and complete all kinds of mandatory tasks.

While presiding over the daily work, the deputy head nurse can take the initiative to undertake the work that can give full play to her talents and specialties, maximize her work enthusiasm and creativity, and become a powerful arm of the head nurse.

At the same time, it also enables the deputy head nurse to take the initiative to undertake the work of the head nurse and manage the department well when the head nurse is away.

At the same time, the deputy head nurse should also improve the skills of how to deal with the contradiction between the head nurse and other colleagues in the department.

Dare to undertake trivial matters, try to solve contradictions at their own level, take the initiative to take responsibility when necessary, take care of the overall situation, and safeguard the authority of the head nurse. Deputy head nurses, leaders and colleagues who hide when they see things will think that you are inaction, have no shoulders and can't afford the burden.

A nursing unit generally has 10 ~ 20 nurses and 30 ~ 40 patients. Some people ask too much of the head nurse, care too little, criticize too much and understand too little. Whether it is the implementation of the system or the issuance of bonuses, as long as it is strict, it will touch the interests of a few people and cause dissatisfaction among some people. Some people will criticize or openly confront.

Sometimes the nursing work is not in place, or the patient fails to achieve the expected treatment purpose, and the communication of individual patients' families is not in place, which will also point the finger at the head nurse.

As a deputy head nurse, we should clearly see that the head nurse is the focus of contradiction. He also has flesh and blood, thoughts and feelings, joys and sorrows, and affection. In this case, the deputy head nurse should take the initiative to help, exert creativity and solve problems for her, just as the head nurse cares about herself. Explain clearly to nurses and educate them to think in other's shoes. Comfort patients, enthusiastically help head nurses coordinate their work, and never watch the fire from the other side.

In the absence of the head nurse, we should give full play to our subjective initiative and not wait for dependence. Especially for some difficult or offensive things, don't deliberately push it on the head nurse, but deal with it boldly. In this way, even if the mistake is handled, the head nurse can come forward to mediate, and the initiative will be much greater. The head nurse will also appreciate your initiative to help him out.

The head nurse is not a saint, and there are inevitably omissions in her work. The deputy head nurse should supplement and improve the head nurse's thinking with the spirit of extreme responsibility, so as to play the role of picking up the missing. Of course, taking the initiative and being bold is on the premise of not exceeding the authority, otherwise it will be counterproductive.

The head nurse loves and supports the deputy head nurse, and the deputy head nurse respects and obeys the head nurse, which is an important principle to handle the relationship between the head nurse and the deputy head nurse.

The deputy head nurse and the nurse often work together, and it is easy to blend in with the nurse. Therefore, first of all, it is an example, which plays an exemplary role in job responsibilities and work quality. Especially in today's general shortage of nursing staff, the deputy head nurse sometimes has to cover the shift and take the lead when the department needs it.

Nurses are easy to confide in the deputy head nurse and put forward some innovative suggestions to improve their work. However, everything must have a "degree". It is necessary to put yourself in the nurse's shoes, let the nurses feel the warmth of being in this group, so as to continuously enhance their feelings. However, nurses with shortcomings should be patient, easy-going and not casual when their work is unsatisfactory.

The deputy head nurse should coordinate the relationship with nurses, strive to win the support and support of nurses, set an example, be friendly and be good at inspiring nurses.

The nursing department can standardize the functions of deputy head nurses and change passive management into active management.

Take the duties of the deputy head nurse in a ward as an example (mainly responsible for nursing quality and training assessment).

Check the work quality of each post, supervise and inspect the completion of various treatment and nursing work; Solve difficult problems in nursing technology and operation; Organize professional training for nursing staff in departments; Supervise and inspect the quality control of nursing documents; Teaching work of practical nursing students; When the head nurse is away, she should undertake the emergency, personnel deployment and logistics support of the ward.

The deputy head nurse is the director of part-time department. She attends the morning meeting and bedside shift change every day, checks the implementation, implementation and signature of the temporary night treatment nursing book, and understands the implementation of the work of each class and basic nursing.

The deputy head nurse collects things every morning to check the use of narcotic drugs, rescue vehicles and various first-aid kits, replenish them in time, and clean them up and replace them every month.

To undertake the training and assessment of young nurses in wards. Together with the teaching team leader and the backbone of the department, guide the clinical laboratory personnel to complete the three-base assessment training plan for the month.

The deputy head nurse strictly checks the quality of each discharged medical record every day, checking whether there is any error in the header column, page number and hospitalization number, whether there is any omission in the nursing medical record, whether the signature is complete, whether the rescue process record is clear and timely, whether there are legal loopholes in the wording, whether the special treatment or medication record is timely, and whether there is any effect evaluation. , to ensure that the nursing documents out of the department.

By defining the responsibilities of the deputy head nurse, the deputy head nurse can perform her duties correctly under the leadership of the nursing department, so that experienced business backbones can give full play to their talents, strictly control quality defects, improve nursing quality, enhance the awareness of nursing service remedy, reduce disputes, and thus improve nursing quality and overall nursing level and improve patients' comprehensive satisfaction.

Generally speaking, the nursing department should clarify the job responsibilities of the deputy head nurse, handle the relationship between the head nurse and the deputy head nurse, and strive to win the support of nurses. As long as these three points are achieved, the deputy head nurse in the department is a good helper and confidant of the head nurse.

refer to

1. Zhu Xiaoling. Correctly handle the relationship between head nurse and deputy head nurse [J]. Nursing practice and research, 2012,9 (10): 84-85.

2. Sun Yuxiang. Fulfill the duties of deputy head nurse and improve the quality of nursing in ward [J]. Chinese medicine modern distance education of china, 20 1 1, 8 (17): 14 1.

3. Li Shuying. Experience of role orientation of deputy head nurse [J]. China Journal of Misdiagnosis, August 2009 (26): 6401-6402.