Stage summary

In order to fully implement the nursing responsibility system and improve the level of nursing service, our hospital, based on the service concept of "people-oriented, patient-centered", provides timely, active, full-course, standardized and safe all-round holistic nursing according to the needs of patients on the basis of doing a good job in basic nursing services.

First, the high-quality nursing service in our hospital meets the requirements of secondary hospital audit.

In the first half of the year, the nursing department comprehensively promoted the demonstration project of high-quality nursing service in combination with the hospital situation. Orthopedic department I, hand surgery, emergency department, operating room and supply room are to further implement basic nursing, develop specialized nursing and comprehensively improve service quality.

Second, according to the work plan of 20 13, actively implement it.

1, for the newly developed departments, the nursing department requires all departments to organize and study the spirit of high-quality nursing documents, so as to achieve ideological understanding in place and explore nursing services in combination with the characteristics of undergraduate colleges. The nursing department regularly checks the learning progress and gives timely guidance.

2. Carry out quality nursing service. The main work of the department is to follow up the patients in the ward regularly, evaluate the work of the responsible nurses, and check the implementation of quality nursing according to the work plan of the nursing department.

3. The second stage of the nursing department is mainly to provide patients with perioperative process education, preoperative preparation, postoperative specialist observation, complications observation, critical value observation, psychological and dietary guidance, and postoperative exercise. This year, the nursing department found many excellent nurses in various departments in the usual follow-up work.

Hand surgery is a special department. On the basis of implementing responsibility nursing, Zhu Aiping, the deputy head nurse, carried out stratified nursing for patients according to their condition and nursing difficulty, and answered questions in time, which improved patients' satisfaction with hospital services. When will you go to the ward for a follow-up visit?

Express praise.

The working method of Xian Yanmei, an orthopedic nurse: Every patient is his own relative. During the follow-up period, the patients in her area were very satisfied with her usual work and service. For example, newly admitted patients are unfamiliar with the hospital environment after hospitalization, resulting in a feeling of distraction. Due to the active communication and service of nurses, patients have eliminated their sense of insecurity. The departments are mainly patients with cervical vertebra and spine, and postoperative education is more important. Patients with cervical vertebra are mainly fluid to avoid choking after eating. Try not to drink sweets and foods that are prone to bloating after lumbar surgery. Education has reduced the discomfort caused by patients' unreasonable diet. The nurse was awarded the service star twice in the first half of the year because of her excellent work.

Third, "problems that need to be improved"

1. In the second half of the year, we can increase the publicity of high-quality nursing service and organize a large-scale speech on "High-quality service, civilized language, moving moment" in the whole hospital. Promote the long-term healthy development of quality service in our hospital.

2. During the follow-up, the nurses who practiced defecation and defecation in bed did not receive proper education before operation. Our hospital mainly focuses on orthopedics, and it is very important for patients to practice defecation in bed after operation. For the above problems, the nursing department gave feedback at the head nurse's regular meeting, and the department strengthened management and supervision.

Fourth, look ahead.

Over the past year or so, the "quality nursing service demonstration project" has been carried out, and patients have felt the quality service, and the symposium and satisfaction survey have achieved results. At the same time, they are facing various difficulties. I believe that under the leadership and strong support of hospital leaders, "patient-centered" can be successfully implemented and promoted to satisfy patients.

Nursing department

20XX July 19

Article 2:

This quarter, with the joint efforts of the majority of medical staff, we will pay close attention to implementation, earnestly implement it, make unremitting efforts, interpret the true meaning of love with responsibility and love, and run quality service throughout the whole process. With the theme of "improving professional quality and optimizing nursing service", the work is summarized as follows:

I. Progress of work

(1) Revise various systems and standards according to the new nursing quality inspection standard of 20 14, and improve and revise various rules and regulations, job responsibilities, workflow, disease nursing routine and clinical nursing service norms and standards in our department according to the assessment standard of secondary hospitals. Revise the quality inspection standards and methods, improve the reporting and supervision system of nursing adverse events, and strengthen the management of critically ill patients. And all kinds of information will be recorded independently, clearly marked and standardized management.

(2) Strengthen internal training and comprehensively improve professional quality.

1, completed this quarter, etc. Report on quality nursing service in the second quarter.

2. The teaching work is carried out in an orderly manner, and the urethral catheterization operation examination is completed in the department; We will strengthen the study and training of two unqualified newcomers to make everyone qualified.

3. Choose a nurse with less than 5 years nursing experience to participate in the intravenous infusion operation competition.

4. Send two nurses for further study respectively.

(3) Strengthen management to ensure nursing safety.

1, pay attention to the analysis and summary of nursing errors and hidden dangers. Analysis of nursing errors will be held on 20 13. This paper analyzes the concept, causes and preventive measures of errors, and holds that nurses' weak sense of responsibility, lax check system and inadequate implementation of doctor's orders are the main reasons for errors and hidden dangers. At the same time, effective preventive measures are put forward for nursing safety in our department.

2, focus on the emergency plan of patients with three defenses, and earnestly implement the admission evaluation form,

Implementation of pressure sore evaluation form.

(4) Conduct satisfaction surveys on a regular basis to strive for the advanced.

1, discuss other situations in the department every month, and regularly listen to patients' opinions and suggestions on quality nursing work. The monthly lecture on hypertension health education was held as scheduled and was well received by patients.

2, every quarter for patient satisfaction, from the aspects of nurses' operation technology, gfd, health education, etc., formulate corrective measures, timely feedback department. Let the patients be satisfied from the heart, and this month, we named the department's quarterly post star:

In March and March, two comrades won the title of "3.8 Excellent Female Worker" through democratic election by the department.

Second, the existing problems

1, the teaching of nursing students is not standardized, and there is a phenomenon that nursing students operate alone.

2. Due to the increase in the number of inpatients and the shortage of nursing manpower, the quality nursing service lacks continuous improvement.

3. Insufficient execution of the core system. The system has repeatedly stressed that some nurses still violate nursing operation, and irregular behaviors still exist, failing to fully implement various norms and requirements.

Third, the rectification measures

1, practice nursing students have a fixed one-to-one teacher teaching, and strict regulations are made for teachers, and their teaching effect is linked to performance.

According to the bed-to-nurse ratio required by the Ministry of Health, scientifically allocate manpower and strive to increase new human resources.

3. Strengthen study and training. Vigorously provide opportunities and platforms for mutual learning, strengthen business training and on-the-job training, and have study reports for those who go out to study and inspect.

4. Strengthen the supervision and guidance function of general nursing work, refine ward management affairs, intensify spot check and assessment, and focus on strengthening the implementation of nursing core system. Report on quality nursing service in the second quarter.

20 14 work plan for the second quarter

1, continue to refer to the new standards of nursing quality inspection, communicate the problems existing in the implementation of the new standards, and strengthen the assessment.

2. Standardize the management and teaching of interns according to the nursing department.

3. Finish the report that two nurses went back to the department for further study, and apply the new knowledge they brought back to clinic.

4, complete the first half of the nursing "three basics" knowledge assessment.

5. Complete the post operation competition of "fixation and treatment of cervical spinal cord injury" for medical staff.

6. Complete the project of increasing oxygen supply interface, central monitoring network interface and paging bell in the ward.

Article 3:

20 14 summary of quality nursing service

Our department closely revolves around the work plan of nursing department and departments, with the goal of "good service, good quality, good medical ethics and satisfaction of the masses" and the main line of improving nursing quality. With the smooth development of quality service, I really realize the importance of quality service from the heart, regard quality service as the bounden duty and duty of nurses, and treat every patient with gratitude. "Please" the system commitment from the wall, let the quality service "walk" the document, change the passive service into the active service, go deep into the ward, understand the patient's psychology, understand the patient's needs and improve the nurse-patient relationship. 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. Report on quality nursing service in the second quarter.

2. Conscientiously implement high-quality nursing service, issue satisfaction questionnaires, let patients and their families know 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. Reform the nursing scheduling mode: change the scheduling mode to APN scheduling, reduce the number of shifts of nurses, and implement flexible scheduling at the same time to ensure the implementation of basic nursing work and 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 medical safety, the nursing department has formulated some safety signs, such as fall prevention signs and drug allergy signs, 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 and improve the quality of nursing, and they 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) Working mode of clinical nurses. Implement the responsibility system, the overall nursing team responsibility system or the responsibility nurse responsibility system to ensure that the beds reach the nurses, and each nurse is responsible for no more than 8 patients on average. Gradually implement the "bedside work system for nurses" and gradually realize the routine work of nurses.

Closely observe the patient's vital signs and condition changes in the ward or beside the patient; Visit patients regularly, conscientiously implement bedside handover, treatment and nursing, and establish clinical nursing methods such as "bedside record system" for nurses. Gradually solve the configuration of nurses' mobile nursing workstation (car) and mobile treatment car. Carry out bedside handover, treatment and nursing, and establish nurses' "bedside record system" and other clinical nursing methods. Gradually solve the configuration of nurses' mobile nursing workstation (car) and mobile treatment car.

(3) Patients' 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 92%.

Five, conscientiously implement the rules and regulations, especially the three checks and seven 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 system of checking, 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.

(3) Strictly implement the isolation and disinfection system, and the nurses are familiar with the configuration of various disinfectants. The oral medicine cup is disinfected once a day, and the ultraviolet lamp irradiates the treatment room every day 1 time. 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,

Problems and challenges of intransitive verbs;

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. Department management ability needs to be improved.