Summary of quality nursing work in 2023 1

In a blink of an eye, a year passed. Under the correct leadership of the head nurse and the director of the department, and with the close cooperation and support of colleagues in the department, I carried forward the concept of "patient-centered" clinical service, carried forward the spirit of saving lives, did a good job in nursing, and earnestly completed this year's work tasks. My personal ideological and political quality and professional work ability have made certain progress. The following is a summary of my work in the past year.

First, political and ideological aspects.

Adhere to the patient-centered and quality-centered nursing service concept to adapt to the new nursing model and the new situation of social development, actively participate in various political activities, take serving patients and contributing to society as the purpose, take patient satisfaction as the standard, and serve patients wholeheartedly.

Second, business.

In this year, I can consciously abide by the rules and regulations of the hospital, obey the arrangement of department leaders, earnestly perform my post responsibilities, complete various nursing operations, learn to take everything seriously, help patients solve everything more carefully while paying attention, receive every patient seriously, and treat every patient as their friends and relatives. Do a good job in writing medical documents, carefully study the writing standards of departmental documents, carefully write ordinary care records, critical care records and rescue records, be strict with yourself in your own work, check the Sanqishuang, and keep in mind the three basics.

Third, enhance legal awareness.

Seriously study the "Nurses Regulations" and other laws and regulations, and actively participate in the study classes organized by the hospital. People realize that with the establishment of the socialist market economic system, the legal system is becoming more and more perfect, and people's awareness of the legal system is constantly enhanced. It has become people's consciousness to act according to law and safeguard their legitimate rights and interests. The modern concept of nursing quality is to satisfy patients in all directions and in the whole process, which is the demand for higher and newer nursing services. Therefore, people should enrich their legal knowledge, enhance their awareness of safety protection, understand the law and usage, and protect themselves according to law.

"Nurses should have a sympathetic heart and a pair of hands willing to work." I will use my love, patience, carefulness and sense of responsibility to relieve patients' pain, support weak lives with selfless dedication, let the sails of life rise again, let the painful faces smile again, and let the family laugh again. In the future work, we must strive to improve our skills, improve our smile service, treat every patient as our friend and relative, always put ourselves in others' shoes and correct our work attitude. I hope that through my own efforts, I will be widely praised by patients and recognized by leaders at all levels and head nurses.

I think nursing is a noble and sacred cause. I am proud to be a member of the nursing team. In the future, I will redouble my efforts to make my due contribution to the nursing cause of mankind.

Summary of quality nursing work in 2023 II

First, do a good job in basic nursing and strictly implement the regulations.

Do a good job in basic nursing, and strictly implement various rules and regulations and operating procedures. First of all, the nurses in each class carefully checked the validity and quality of this batch of drugs for outpatients; Every month, the head nurse and the nurse in charge should check the drugs, check the medical data regularly, and refuse to be quiet about the drugs brought by the patients. Secondly, pay close attention to three investigations and seven pairs. Regularly and irregularly check the implementation of various nursing systems to achieve the goal of zero error rate in nursing throughout the year.

Second, strengthen hospital health management and do a good job of disinfection and isolation.

Management of static point room and blood collection room. Change the disinfectant regularly every day, check and test the concentration of disinfectant regularly every day, and disinfect with ultraviolet air twice a day to ensure that there is no cross infection in the outpatient ward. The second is to strengthen the management of medical waste, improve the management system of medical waste according to the management standards of hospital infection, and organize the study of the knowledge manual of hospital infection prevention and control.

Third, strengthen training and strict examination to improve the overall quality of nursing team.

Organize community nurses to carry out theoretical knowledge and skill operation training every month. Through careful training and strict examination, theory and practice are combined, so as to improve the basic skills and practical skills of nurses and lay a solid foundation for basic nursing work.

Four, actively carry out quality service work, the implementation of various convenience service measures.

While doing the basic work conscientiously, we should keep in mind the purpose of hospital warm service, adhere to the patient-centered principle, and implement it to improve service attitude, standardize medical behavior and improve the quality of nursing service. First of all, for the convenience of patients, install a bedside pager; Secondly, if there are many patients or patients can't be quiet on time before the end of the afternoon clinic, the nurse will delay leaving work until the end of infusion; Set up physical examination number plates for the elderly and patients with chronic diseases to ensure that the physical examination work is carried out in an orderly manner.

Five, do a good job in health education, improve the health level of community residents.

In order to further improve the community health education system, organize various forms of health education and health promotion activities, widely popularize the knowledge of prevention and treatment of major infectious diseases and common diseases, frequently-occurring diseases and chronic non-communicable diseases, and further improve the health knowledge level and self-care ability of community residents.

Six, adhere to standardized management and create a good nursing environment.

In our work, we persist in unity and cooperation, properly handle all aspects of relations and create a good internal and external environment. First, the reasonable division of labor and scheduling of nursing staff, especially the flexible scheduling management of middle shifts and holidays; Second, standardize all kinds of nursing forms according to hospital requirements; Third, strive to maintain good medical ethics, respect patients and improve nurses' awareness of active service.

Seven, the completion of nursing indicators

The workload of community nursing is as follows: 7300 times of intravenous infusion, 7895 times of vaccination, 2986 times of blood collection and 2498 times of physical examination for the elderly and patients with chronic diseases. Person-times.

In the future, under the correct leadership of the nursing department, we will go all out and work hard to make the nursing work to a new level!

Summary of quality nursing work in 2023 3 pages

Quality nursing service has been tried out in our hospital for nearly a year, and hospital leaders at all levels attach great importance to it. Various departments have also organized study and discussion to find out how to do a good job in clinical nursing so that patients can really get benefits. Teacher He Fang, the head nurse of our department, returned from studying in the Third Hospital of Beijing Medical University, which brought many new ideas and measures to our department.

First, improve the quality of basic nursing and strengthen the quality control of night nursing. Providing a clean and comfortable environment for postoperative patients not only plays a positive role in preventing hospital feeling, but also contributes to patients' physical and mental comfort and promotes rehabilitation.

Secondly, psychological nursing guidance was further strengthened. Require and assess the responsible team leader and coordinator to strengthen ward inspection, strengthen communication with patients, listen to patients' ideas, give enough attention, understand patients' physical and mental needs, and try to reduce patients' psychological burden.

In addition, the modern concept of rapid rehabilitation has been effectively applied in clinical work. Especially regarding patients' early postoperative activities, actively support, pay attention to and guide them, and take them as the focus of nursing work. For the activity guidance of postoperative patients, in addition to actively giving theoretical guidance to the responsible team leader and explaining the benefits of getting out of bed early for their disease rehabilitation, the team leader or co-team leader personally went to the bedside to help them get out of bed, and for some patients who were afraid of getting out of bed after surgery, the head nurse personally went to the bedside for guidance and psychological support; In addition, under the guidance of the head nurse, the patient once again used the cloth multi-head abdominal belt and eliminated the disposable abdominal belt. Compared with the two, the use of cloth multi-head abdominal belt can play a more secure and fixed effect, provide strong incision protection for patients to get out of bed as soon as possible, facilitate cleaning and replacement, and the price is relatively low. Driven by this concept, most patients with abdominal surgery in our university can get out of bed the next day after surgery with the guidance and assistance of professional nurses. It plays an active role in the early recovery of postoperative gastrointestinal function and the prevention of postoperative complications such as intestinal adhesion, venous thrombosis, pulmonary infection, etc., and effectively promotes rehabilitation, shortens the average hospitalization days, and truly enables patients to get the benefits of high-quality nursing services.

Summary of quality nursing work in 2023 4 pages

According to the spirit of the notice of the Ministry of Health on the implementation plan of "Quality Nursing Service Demonstration Project" and the deployment of the Provincial Health Department and the Municipal Health Bureau, in order to strengthen nursing management, earnestly implement nursing responsibilities, standardize nursing behavior, and improve nursing quality and patient satisfaction, the work is summarized as follows:

One is to organize learning and mobilization.

On May 12, 20xx, the whole hospital held a working meeting for cadres above head nurses, which conveyed the spirit of relevant provincial and municipal documents in time, and set up a leading group of "Quality Nursing Demonstration Project" headed by Comrade Sun Lizhong, responsible for monitoring and evaluating the effect of the activities and implementing rewards and punishments. At the meeting, Comrade Wang Heping, the business dean, emphasized the importance of carrying out the demonstration project of high-quality nursing service, and asked the nursing staff in the whole hospital to change the concept of "emphasizing specialty, ignoring foundation, emphasizing technology and neglecting service", clarify the connotation and standards of post responsibilities and clinical nursing work, return time to nurses and nurses to patients, so that nursing work can truly achieve "three closeness", that is, close to patients, close to clinic and close to society. In order to improve nursing service, improve nursing quality, improve nursing quality management and ensure medical safety, we strive to provide safe, high-quality and satisfactory nursing services for the people, satisfy patients, the society and the government. Chen Ping, director of the nursing department, also explained the implementation plan of "Quality Nursing Service Standardization Project", requiring all nursing staff to establish "four consciousnesses", namely, overall situation consciousness, responsibility consciousness, service consciousness and safety consciousness, and to enhance "four abilities", namely, learning ability, innovation ability, coordination ability and execution ability, so as to achieve good results.

Second, strive for quality nursing service demonstration ward

After propaganda and mobilization, all departments responded positively. The Department of Obstetrics and Gynecology established the first batch of "high-quality nursing service demonstration wards" in our hospital, hoping to win glory for the hospital and serve patients with the opportunity of creating "high-quality nursing service demonstration wards". And explore new ways of scientific nursing work under the new situation, and gradually promote it.

Third, carry out implementation work.

1, the nursing department held a hospital-wide nursing meeting, and carefully organized and studied the implementation plan of "quality nursing service demonstration project" of the Ministry of Health, the Provincial Health Department, the Municipal Health Bureau and our hospital, the work norms of basic nursing services, the service norms of common clinical nursing technologies and the basic nursing services for inpatients. In order to further unify thoughts and raise awareness.

2, the system on the wall, strengthen supervision

The content of graded nursing service is publicized on the wall. According to the basic nursing service requirements and standards of inpatients, the work priorities of each class are implemented, the spirit of unity and cooperation is emphasized, and responsibilities are clearly defined. It is also convenient for patients and their families to supervise the details of work and promote the harmony between nurses and patients.

3. Simplify the writing of nursing documents

In order to further reduce the writing time of nursing documents and return more time to patients, the nursing department revised the writing standard of nursing documents and made new clinical nursing records, critical nursing records and air disinfection registration books, which greatly shortened the workload of nurses writing. It is clear that providing direct service to patients is the main line of clinical nursing work, prompting nurses to return to patients and providing patients with safe, effective, convenient and satisfactory nursing services.

4. Optimize the structure of nursing staff in demonstration wards, give priority to the reasonable allocation of bed-to-nurse ratio, increase the allocation of nursing staff in obstetrics and gynecology, combine the time situation of township hospitals, and make the bed-to-nurse ratio reach 1:0.44 on the basis of verifying the actual workload, and implement flexible shift scheduling to avoid uneven busy and idle nursing work.

5. According to the characteristics of the college, the "basic nursing week arrangement" was made, such as checking nursing education and doctor's advice on Monday, washing hair and cutting nails in bed on Tuesday, wiping bath on bed on Wednesday, checking health education and doctor's advice on Thursday and changing sheets on Friday. There are key points every day, and each item has a special person, so that every patient has achieved "three shortages, six cleanings and four noes" and put the basic nursing work in place.

6. Conscientiously implement the graded nursing system: a graded nursing patrol register is established, which requires nurses to take the initiative to patrol according to the patient's condition and nursing level, and grasp the dynamic changes of patients in time. Especially for key patients and key time periods, strengthen inspections and make records to ensure patient safety. Pagers are generally not allowed. Improves the timeliness of patient treatment,

7. Carry out health education in an all-round way, carry out targeted and purposeful health education activities through public holiday forums, distribution of health education prescriptions, special lectures, behavior demonstrations, etc., and constantly solicit opinions from patients and their families in interaction to promote patients to develop healthy behaviors.

8. Since the implementation of high-quality nursing service, a total of 10 person-times have been shampooed in bed, 15 person-times have been bathed in bed, and health knowledge lectures have been given for 4 times, with positive interaction. As far as possible, it improved the satisfaction of patients with nursing work and won the unanimous praise of patients and their families.

Summary of quality nursing work in 2023: 5 pages

This year, all the nursing staff in our department insisted on "basic nursing" as the foothold and implemented holistic nursing work as the basis, and continued to carry out high-quality nursing services in the whole hospital. Fundamentally improve nursing service, improve nursing quality, truly implement basic nursing, and satisfy patients, society and government. During this period, we think seriously, sum up experience, overcome difficulties and keep exploring. Through the development of high-quality nursing service, nurses' sense of responsibility to patients has been strengthened. As long as you go deep into the ward and find any problems that need to be solved in the patient's life or nursing, you will deal with them in time and solve them in place.

The nursing work in our department is summarized as follows:

First, unify thinking, raise awareness and organize implementation.

1, department leaders attached great importance to it, repeatedly stressed the determination and importance of promoting quality nursing service, and organized the formulation of implementation plans.

2. Actively mobilize within the scope of general practice and actively carry out quality nursing services.

Second, clear thinking, conscientiously implement the work.

1, establish and improve nursing rules and regulations, work norms and job responsibilities. Ensure the basic quality and safety of nursing.

2. Conscientiously implement high-quality nursing service and issue satisfaction questionnaires, so that patients and their families can understand the content of basic nursing work and accept the supervision of patients and society.

3. Establish a hierarchical management system for nurses, and establish a hierarchical management framework from head nurses to responsible team leaders to responsible nurses to assistant nurses. According to the ability of nurses, patients' situation and nursing workload, the patient-centered personnel organization structure and nursing division of labor system are implemented. Each group of nursing staff is divided according to patients, and the responsibility is implemented to people. So that the nursing work can really provide patients with holistic and continuous nursing services that meet the needs of patients.

4, the implementation of flexible scheduling, to ensure that the basic nursing work is implemented, to ensure the continuity and quality of nursing work.

5. Strictly implement basic nursing: for example, cutting nails, feeding patients, assisting defecation, etc. Health education is integrated into basic nursing, which not only strengthens basic nursing, but also enhances the relationship between nurses and patients.

6. In order to implement the special nursing management system and nursing safety management measures, strengthen clinical nursing, and ensure the safety of nursing and medical treatment, we have carried out the following convenience services this year: ① We provided "three and a half minutes" for patients with hypertension, that is, we didn't sleep for half a minute after waking up; Sit in bed for half a minute after getting up; A warning sign with legs hanging over the edge of the bed for half a minute when standing ensures the safety of patients. (2) Set up warm reminder cards in each ward, including hospitalization advance payment and discharge management, and materials to be reimbursed after discharge. ③ In the nursing safety month held in June 5438+065438+ 10, all nursing staff called on the leaders of nursing department to participate actively, which added icing on the cake to the nursing safety of the department, such as wrapping cotton cloth on the bed stall to prevent bedridden patients from being injured; Set handrails in the bathroom of the ward to prevent patients from falling; Posting posters of disease health education on the wall of ward corridor to satisfy patients' disease knowledge. There are also signs of falling prevention and drug allergy as always to reduce the occurrence of adverse events.

7. The responsible team leader checks the basic nursing work of the class per shift, and the head nurse checks it every day to find out the existing problems, analyze the reasons and put forward improvement measures.

Three, actively promote quality nursing service and overall nursing responsibility system.

1 After carrying out high-quality nursing service, patients can return their time, the quality of nursing is improved, and patients are very satisfied. After the implementation of the responsibility system holistic nursing, the nurse in charge can understand the patient's condition, medication and auxiliary examination in this area, find out the shortcomings of the medical team in time, correct them in time and avoid mistakes. Basic nursing is in place, and morning and evening nursing is better than before. 2. Carry out the "bedside work system for nurses", and gradually realize that nurses can closely observe the patient's vital signs and condition changes in the ward or patient's body under normal circumstances; Visit patients regularly, conscientiously implement bedside handover, treatment and nursing, and establish clinical nursing methods such as "bedside record system" for nurses.

Patient satisfaction has been improved, and nurses in charge are often praised by patients and their families and recognized by patients.

Four, the establishment of supervision mechanism, continuous improvement of service quality

1, hold a public holiday forum once a month, listen to patients' opinions in time, set up a contact book for hospitalized patients, and call back the discharged patients in time.

2. In the patient satisfaction survey, the patient satisfaction can reach 96%.

Five, conscientiously implement the rules and regulations, especially the three checks and eight pairs. Improve nursing quality and ensure nursing safety.

1 Strengthen the verification of patients' identities. Inpatients wear wristbands and fill in all kinds of information as required. Nurses carry out various treatments, and check according to more than two identification methods during nursing. 2 adhere to the check system, the responsible nurse checks the doctor's advice every afternoon, the head nurse always checks it every week, and checks the implementation of the doctor's advice every day and records it; Insist on bedside handover of critically ill patients, prevent complications and do a good job in nursing critically ill patients.

Strict implementation of isolation and disinfection system, nurses are familiar with the configuration of various disinfection solutions, and ultraviolet lamps irradiate the treatment room 1 time every day. Nursing one bed, one towel and one morning wet cleaning, terminal disinfection of discharged patients, management of medical waste and domestic waste as required, strict handover registration,

Sixth, the clinical application of professional technology has been increased.

1. On the basis of providing incubators and electronic scales for peritoneal dialysis patients, we developed the application of automatic peritoneal dialysis machine. At present, 3 patients have been successfully treated by automatic peritoneal dialysis machine, and the treatment effect is obvious, and the patients have a good response, which effectively makes up for the shortage of manual treatment, saves time for patients and improves work efficiency. Peritoneal dialysis has gradually matured, providing high-quality extended nursing services for all peritoneal dialysis patients.

2. The percutaneous nephrolithotomy went smoothly and the patients responded well.

Seven. Existing problems and challenges:

Although some achievements have been made, there are still shortcomings; For example, nurses' propaganda and health guidance are not in place, nurses' writing cases are not standardized, individual nurses' sense of responsibility is not strong, and ward management is not in place. The management ability of the department needs to be further improved. Patient:

① In the survey of patients' satisfaction, dissatisfied or satisfied items mainly focus on problems such as inadequate nursing service, poor initiative and untimely communication.

② In the daily check-up, most patients can get basic nursing and life nursing from nursing staff, but some patients are unwilling to accept the services of nursing staff and are not at ease to be taken care of by nurses.

In terms of nursing staff:

(1) Due to the lack of nursing staff this year, especially pregnant nurses, the workload of nursing staff is heavy and their energy is scattered, so it is difficult to deeply understand the overall situation of patients and keep up with in-depth personalized nursing.

(2) Rewriting ignores implementation, which can't correctly handle the relationship between writing and doing. Nurses are busy writing all kinds of records, ignoring the implementation of nursing measures, so the time to go deep into the ward is relatively reduced, and the opportunities for nurses to contact patients are correspondingly reduced.

(3) Due to the lack of nurses' own quality and related knowledge, nurses' awareness of active service needs to be strengthened, and at the same time, opportunities for further study should be appropriately increased.

In a word, the nursing staff in the department are of one mind, tackling difficulties, focusing on the overall situation of the hospital, strengthening the quality inside and shaping the image outside, constantly improving the level and quality of nursing services in the department, and effectively providing quality nursing services for patients. I believe we will get better and better!

Summary of quality nursing work in 2023 6 pages

In 20xx, in order to implement the "Quality Nursing Service Demonstration Project" of the Ministry of Health, our hospital responded positively and went all out to create a "Quality Nursing Service Demonstration Hospital", taking the form of piloting first and then popularizing, constantly changing the service concept, changing the working mode and optimizing the workflow. Taking "basic nursing" as a foothold and "experimental ward" as an opportunity, the theme of the whole hospital is "consolidating basic nursing". By creating "high-quality nursing demonstration ward", the nursing service will be fundamentally improved, the quality of nursing will be improved, and the basic nursing will be truly implemented to satisfy patients, society and government. During this period, we think seriously, sum up experience, overcome difficulties and keep exploring.

First, strengthen leadership and carry out publicity.

1. Formulate the implementation plan for the creation work, and set up a leading group headed by the Dean.

2. In the nursing section, two batches of "quality nursing service demonstration wards" were established to mobilize all nurses to raise awareness, unify their thinking and actively participate in the creation activities.

3. The nursing department went deep into the department to have a discussion with nurses to interpret the spirit of the Ministry of Health on developing the "quality nursing service demonstration project". Then, how to implement basic nursing, enrich service connotation and improve nursing quality was discussed. Head nurses and nurses put forward their own ideas and good suggestions on developing nursing demonstration wards in combination with the actual situation in our hospital. To achieve the purpose of unifying the whole hospital's thinking and changing the concept of nursing service.

4. Organize the head nurses and backbones of demonstration wards to go out to visit and study, learn from the good practices of brother hospitals, broaden their thinking and lay the foundation for the creation of work. Organize head nurses and nurses in clinical wards of the whole hospital to visit and exchange experiences, and comprehensively promote quality nursing services.

Second, determine the demonstration ward

1. Wards with heavy nursing workload and many critically ill patients were declared by various departments and selected as "quality nursing service demonstration wards": internal department I, internal department II and general surgery wards.

2. The head nurses in each ward set up a number of advanced models through regular assessment and dynamic management, and played a leading role in the pilot wards.

Third, strengthen management and measures.

1, the nursing department organized all nursing staff to learn and assess the knowledge of "quality nursing service" and formulated the working rules for creating "quality nursing service".

2, the pilot ward combined with the characteristics of the department work, formulate the implementation plan and specific work plan to create activities.

3. Questionnaires were conducted to investigate the satisfaction of inpatients with high-quality nursing service. Through investigation and analysis, the problems and weak links in nursing work were found out and actively rectified.

4. Improve the evaluation standard of basic nursing quality, further refine and quantify the evaluation index of nursing quality, and link the evaluation results with the performance of departments and nurses.

5, the nursing department to carry out self-assessment and self-examination, find out the shortcomings, in a timely manner in accordance with the requirements of the evaluation criteria to improve the nursing work of our hospital one by one, and take this opportunity to comprehensively improve the nursing level of our hospital, to provide patients with "high-quality, safe" nursing services.

6. Actively recruit nurses and give priority to the allocation of human resources in the "nursing demonstration ward" to ensure the effective implementation of basic nursing.

Fourth, highlight key points and expand connotation.

1. Innovate models and learn advanced practices. Dynamically adjust the performance appraisal system and distribution scheme, and incorporate the assessment results such as the quantity and quality of nursing work completed by nurses and the satisfaction of inpatients into the performance appraisal content.

2, clear job responsibilities, the implementation of responsibility nursing. Carry out the contract system of responsible nurses, everyone is a responsible nurse, so that everyone has something to do and everything is in charge.

3. Reform the dispatching mode and implement flexible dispatching. Implement seamless and whole-course responsible nursing.

4, according to the department of nursing workload and nursing manpower allocation will be responsible for nurses, set up a responsibility team leader, responsible nurses.

5. Simplify nursing documents and shorten writing time. Formulating all kinds of tabular nursing records, unifying writing templates, and standardizing the writing of nursing documents in the whole hospital will make the writing of nursing documents more concise, shorten the writing time to the maximum extent, and enable nurses to devote more energy to nursing services.

6. Update the workflow and realize the accountability system. Revise nursing staff's grading management responsibilities, nursing workflow and nursing quality assessment standards, clarify responsibilities and implement post responsibility system.

7. Consolidate basic nursing and provide satisfactory services. Publicize the connotation and service items of nursing service and accept the supervision of society and patients. Purchase basic nursing service tools, determine the number of basic nursing days every week, and ensure the implementation of basic nursing. Through the implementation of basic nursing, it reflects the nurses' careful care and concern for patients, the nurse-patient relationship is harmonious, and the satisfaction of nursing service is improved.

V. Coordinate functional departments and implement vertical management.

Actively coordinate relevant functional departments and set up clinical support centers. The nursing department actively coordinates the nursing support systems such as general affairs department, pharmacy department, material supply center, laboratory department and equipment department, which provides a strong guarantee for creating a "high-quality nursing service demonstration ward".

Six, practice according to law, to ensure safety.

1. In order to implement the Nurses' Regulations, the nursing department conducted training and assessment on the Nurses' Regulations in the whole hospital, further standardized nurses' practice behavior, and earnestly implemented the relevant regulations such as nurses' practice registration and certificates.

2. Further improve the nursing management system, nursing quality assessment standards and nursing operation procedures of key departments (internal medicine, internal medicine, surgery and traditional Chinese medicine), and strictly implement the technology access system to ensure nursing safety.

Seven, strengthen training, improve quality.

1, monthly basic nursing operation skills training, so that basic nursing operation is more standardized and professional.

2. Give lectures on nursing business in the whole hospital every month, encourage young nurses to give lectures, improve nurses' initiative in learning and cultivate their self-confidence.

3. Seriously implement the pre-job training and on-the-job training of nurses, including the core nursing system, nursing professional knowledge and skills, and conduct assessment. Only those who pass the exam can take up their posts, which effectively reduces the nursing risk.

The nursing department graded the on-the-job nursing staff in the hospital and steadily improved the technical ability of nursing staff at all levels. Internal medicine, pediatrics, surgery and orthopedics are trained and assessed in professional theory and professional operation skills, so that everyone can pass the exam, master it skillfully and use it flexibly to ensure nursing safety to the maximum extent.

Eight, strengthen monitoring to ensure quality.

1. The nursing department makes nursing safety warning signs to remind nursing staff and patients to avoid risks. Improve the management system of medicine, drama, hemp, high-risk drugs, first-aid articles and medicines.

2. Strengthen the link monitoring of nursing quality. To monitor nursing staff, new nurses should strengthen management, focus on explanation and follow-up. Monitor the patient link, and focus on the supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients and patients with potential risks of medical disputes. The monitoring of nursing operations such as infusion, blood transfusion, injection and various allergy tests is the focus of monitoring in nursing management.

3. The nursing department carries out irregular inspections on hidden dangers of nursing safety, finds problems, effectively solves them, analyzes problems from the perspective of nursing process and nursing management, draws lessons, summarizes experiences, and puts forward preventive and improvement measures.

Nine, formulate plans to improve emergency response capabilities

1, formulated the Emergency Nursing Human Resource Allocation Scheme to deal with the sudden increase of patients or sudden public events, rationally allocate nurses in the whole hospital and ensure nursing safety.

2. The nursing department revised and formed a nursing emergency management plan for 25 risk events. The plan runs through all links and processes such as nursing operation, disposal and rescue. Conduct first aid drills, power outages and fire drills for high-risk departments: operating rooms and emergency rooms. Emergency plans and procedures for sudden death, drug-induced anaphylactic shock, patients falling during hospitalization, patients falling off their beds, transfusion and transfusion reactions have been carried out in clinical wards. After the drill, the nursing department commented on the spot, put forward the existing problems respectively and discussed the improvement measures together. Through the drill, nurses can fully understand the handling procedures that should be taken in an emergency, so that they can take various effective measures and methods, skillfully use various first-aid technologies and equipment, standardize the handling and resolve the crisis in time when they encounter various emergencies in nursing work.

X. Initial achievements

1, nurses' concept change: patient-centered, meeting patients' needs.

2. Work mode change: responsibility grouping is implemented, and all nursing work is implemented to people, which increases the sense of responsibility.

3. Changes in nursing contents: Treatment and basic nursing gradually assimilate.

4. The change of nursing scheduling mode: flexible scheduling, reducing shifts and implementing seamless nursing throughout the process.

5. The nurse-patient relationship has changed: the nurse-patient relationship is harmonious, forming a good nursing atmosphere.

6. Changes in ward environment: The number of accompanying persons is reduced, and the ward environment is quiet, tidy and orderly.

7. Satisfaction change: nurses care about patients, and patients understand nurses, which improves the satisfaction of nursing services.

XI。 existing problems

1. Some employees in the hospital don't change their ideas and lack understanding and support for the demonstration work of quality service.

2. The hospital support system needs to be further improved.

3. The vertical management of nursing is not in place.

4. Nurses also undertake some things other than nursing work.

In the next step, we plan to carry out high-quality nursing services in three departments and outpatient nursing stations, steadily promote high-quality nursing services, and strive to improve the overall nursing level of the hospital to meet the needs of hospital reform, development and innovation. The nursing department will continue to improve and explore, and strive to provide quality nursing services.

In a word, the "quality nursing service demonstration project" is not simply to strengthen basic nursing, which cannot be completed mechanically as a task, but to implement basic nursing around the patient's condition, medical safety, diagnosis and treatment effect, prognosis and rehabilitation needs; Specialized basic nursing organically combines basic nursing, specialized nursing, humanized service and humanistic care to provide nursing service for patients, and the ultimate goal is to make our service "patient satisfaction, social satisfaction and government satisfaction".