The following is an article on high-quality nursing plan in operating room compiled by Connett Work Plan Channel for your reference! In order to further deepen the connotation of "quality nursing service", take "improving professional quality and optimizing nursing service" as the theme, improve nursing quality, build a harmonious relationship between doctors and patients, and provide quality nursing service for the people, this scheme is formulated in line with the service tenet of "patient-centered", taking the safety goal of operating room as the core content, and combining with the actual situation of our department. I. Guiding ideology

Guided by Scientific Outlook on Development, we should deepen the service concept of "patient-centered", take "improving professional quality and optimizing nursing service" as the theme, and closely focus on the working purpose of "reforming nursing mode, fulfilling nursing duties, providing quality nursing service and improving nursing level" to ensure the surgical safety of surgical patients, enhance the harmony between nurses and patients, and provide quality perioperative nursing service for surgical patients and their families.

Second, the work objectives

By changing the service concept of all nursing staff, we can fully mobilize the enthusiasm of the majority of nursing staff, enhance the service connotation and continuously improve the quality of nursing. Starting from the actual needs of surgical patients and surgeons, we should innovate service measures, attach importance to service effect, and realize high-quality nursing service of "patient satisfaction, social satisfaction, government satisfaction, doctor satisfaction, nurse satisfaction and hospital satisfaction".

Third, the theme of the event

1, consolidate basic nursing and improve patient satisfaction;

2. Carry out nursing service around "the patient is in my heart and the service is in my hands";

3. Quality service mode with the theme of "strengthening health education and providing humanistic care". 4. Create a high-quality nursing service brand and an excellent nursing team.

Four. Activities and measures

1, formulate specific work plans and measures for each department to carry out "quality nursing service" and organize their implementation. Improve the operating room nursing management process, work system and job responsibilities, so that quality service has a strong theoretical guarantee.

2, strengthen the preoperative and postoperative vision, achieve three implementation, convey the concept of high-quality nursing service in the operating room.

(1) Implementation personnel and time: assign full-time nurses to the operating department for pre-and post-operative visits every afternoon. 20 ~ 30 minutes each time, the time is really implemented.

(2) Content implementation: Make the interview content detailed and comprehensive. Introduce yourself first, and then hand over the preoperative visit sheet to the patient to inform him of the significance of the preoperative visit. Explain the preparations to be made before the operation, what to do after entering the operating room, and let

The patient knows quite well. Prompt the patient what to do and how to do it during the operation, and improve the patient's cooperation in the operation. Make the operating room environment and patient access flow chart, inform the operating room environment, patient access flow and instruments and equipment that may be used in the operation, so that patients can have a preliminary understanding of the operating room environment, relieve their fear of the operation, and enhance their trust and security in the operation. Explain the cooperation work of patients' families, and obtain the understanding and support of patients' families. During the postoperative visit, we should know the recovery of the wound, solicit opinions and suggestions on the nursing work in the operating room, and send sincere blessings and care.

(3) Implementation effect: Ask and answer questions, let patients repeat while talking, consolidate and implement what patients and their families need to master, and let patients know what to do before surgery tomorrow and how to cooperate. For children and elderly patients, parents and their families should be made aware of key knowledge.

3. Strengthen nursing quality management, implement all work to specific responsible persons, put an end to nursing disputes and ensure patient safety.

(1) According to the evaluation standard of nursing department and combining with the working characteristics of our department, we should do a good job in monthly nursing quality inspection, find problems, and communicate with all parties in time to ensure the nursing quality to rise steadily.

(2) Adhere to the monthly business study and skills training assessment. Make a training plan according to the problems found in the work, designate personnel to complete the training work, cultivate the learning atmosphere and improve the nursing quality.

(3) Adhere to the monthly quality analysis meeting. General practitioners are required to attend the meeting. According to the problems found in the quality inspection, * * * will find out the reasons and formulate corrective measures. Everyone participates in management, and everyone is a manager, which reflects the sense of responsibility and mission of all nurses.

4. Strengthen the management of operating room environment to ensure that patients have a safe operating environment. (1) put good personnel in the operating room and do a good job in pre-job training for new personnel in the operating room. Strictly control the operators to wash their hands, dress and wear hats. Ensure that the operating environment is not artificially polluted. Strictly implement the visiting system, maintain good order, and do not make any noise indoors. To provide a safe and relaxed operation environment for surgical patients.

(2) keep the items in and out of the operating room and manage all kinds of items. All sterile items entering the operating room are unpacked, classified according to the validity period, and placed in designated locations, so that the management of items in the operating room is standardized and orderly, and there are regular monitoring reports to ensure the safety of sterile items in the operating room.

(3) The operating room cleaning measures have been formulated, with specific division of labor and standard requirements, so as to achieve division of labor and cooperation, and the responsibility lies with people. Operating room cleaners receive training on environmental cleaning knowledge from time to time, and carry out supervision from time to time to ensure the safety of the operating environment.

5. Strengthen nursing professional ability training and improve professional skills.

Make a "three basics and three strictness" training plan, learn the relevant knowledge of various surgical specialties and local anatomy knowledge, and ask doctors in relevant departments to give theoretical guidance to the newly developed surgery, so as to win the respect of patients and surgeons with excellent knowledge and skills, and at the same time better serve the surgical patients. Through training, examination and operation drills, the professional level of nurses will be continuously improved. Arrange an emergency plan drill once a month to improve the technical level of nurses' emergency coordination.

6, the implementation of hierarchical management, * * * departments to cooperate with management.

Formulate the job responsibilities of N0-N4 nurses, and determine the level of nurses according to their basic requirements, knowledge requirements, ability requirements, work authority and work quality standards through competitive recruitment, so as to give full play to their subjective initiative.

7. Strengthen the construction of nursing team.

Optimize the training mode, focus on training new nurses and junior nurses, and do a good job in the construction of nursing talent team. Different forms of assessment methods, such as theoretical knowledge question and answer, follow-up examination, are adopted to strengthen the construction of clinical professional ability, constantly consolidate the basic quality of nursing staff and improve the effect of surgical cooperation.

8, optimize the scheduling, improve the operating rate.

Based on the principles of continuity, balance, hierarchy and responsibility, flexible shift scheduling with specialist characteristics is implemented, and the second-line and third-line duty system is established according to the human resource allocation scheme of operating room, so as to improve the utilization rate of operating table, give full play to the efficiency of operating room, make patients operate early and quickly, reduce the physical and mental pressure of nursing staff in operating room, improve the safety factor and ensure the safety of patients.

9. Strengthen team culture construction and enhance team cohesion.

Establish QQ group in the operating room to enrich everyone's spare time, reduce the usual work pressure, increase the cohesion of the team and transmit relevant information; Strengthen the construction of operating room culture, pay attention to the cultivation of humanistic spirit and professional accomplishment, learn to observe the society with pure eyes, and learn to understand the surroundings with a calm mind. The ultimate goal is to improve the service ability and professional technical level, build an excellent nursing team and better serve the surgical patients.

10, while strengthening standardized nursing cooperation during operation, actively carry out subtle and warm nursing services.

When patients enter the operating room, the environment and equipment in the operating room are very strange to patients, and they are often in a state of fear. We ask for patients' opinions, turn on background music and relieve their nervous and fearful psychological state. The white quilt was replaced by a warm and comfortable floral quilt, which increased the sense of belonging. At the same time, take the initiative to give patients warm care, sincere and cordial attitude, gentle language, euphemism, comfort, consideration, care for patients, introduce the environment in easy-to-understand language, and tell him not to be nervous about the sounds made by instruments and equipment, how to cooperate with patients, the feelings during anesthesia and the effect of anesthesia, so that patients can know fairly well. After the operation, if the patient is under general anesthesia, he may be agitated during the awakening period. The patient should be properly bound to prevent the patient from falling off the bed and the drainage tube and venous indwelling needle from falling off. When the patient is fully awake and in stable condition, help the patient to dress neatly, and pay attention to protecting the patient's privacy and keeping warm when sending the patient out of the operating room. If the patient has any questions after operation, he should answer them patiently, give words of encouragement and send the most heartfelt wishes to the patient. Informing the patient to have a good self-cultivation and relax after returning to the ward is conducive to postoperative rehabilitation.

1 1. Strengthen the management of lying position and keep warm during operation, prevent pressure ulcers during operation and prevent hypothermia during operation.

At the beginning of the operation, according to the operation requirements, put the patient in the position required by the operation. At this time, in addition to keeping the patient in functional position to prevent neuromuscular injury, soft pillows or cotton pads should be placed in various parts prone to pressure ulcers to prevent the formation of postoperative pressure ulcers. Do a good job of keeping the patient warm, such as putting a scarf around the patient's neck and putting a warm cover on the abduction arm. And the doctor will take off the quilt that covers the patient when preparing for disinfection. Observe closely the changes of patients' vital signs during the operation, observe their body language at any time, analyze and judge in time, understand the condition dynamics as soon as possible, and cooperate with anesthesiologists to deal with it properly at any time to avoid passive and adverse consequences of the operation.

12. Strengthen communication and improve the satisfaction of all parties.

Strengthen communication with patients, actively listen to patients' opinions, constantly improve their work, properly handle patients' complaints and suggestions in time, and have a harmonious relationship between nurses and patients. Strengthen communication with doctors and anesthesiologists, humbly ask doctors and anesthesiologists about surgery and anesthesia, and closely cooperate with doctors. Distribute the doctor's satisfaction questionnaire to understand the doctor's thoughts and suggestions on the operation room and improve the doctor's satisfaction. Strengthen communication with nurses, understand their thoughts, care about their lives, listen to their voices, solve their difficulties, coordinate their relationship, establish the concept that living in the operating room is a big family, and increase the cohesion of the team.

13, further improving the performance appraisal system.

Improve the performance appraisal system. According to the comprehensive evaluation results of different posts, different risks, different workload, satisfaction survey and nursing quality inspection, the nurses were evaluated from the aspects of morality, diligence, ability and performance. It truly embodies the principle of rational distribution of more work and more pay, and further improves the enthusiasm and initiative of nurses. Only by linking grade promotion with performance can we obtain the corresponding grade performance coefficient, improve the learning initiative of nursing staff and improve the quality of nursing.

14, providing full-time companionship to ensure the safety of patients.

Set up a centralized waiting area for surgery to centrally manage patients undergoing home surgery. From the nurse on duty to pick up the patient to the operating room, the nurses in the waiting area will manage it centrally and then go to the operating room for surgery. After the operation, the patient will be sent out of the operating room and sent to the ward or intensive care unit. During the whole operation, the nurse will accompany the patient, pay attention to the patient's condition and ensure the patient's safety.

15, patients participate in operation management to prevent errors and accidents.

During preoperative visit, inform patients of the importance of wearing wristbands, making surgical marks and preoperative preparation, so that patients can actively participate in preoperative preparation and obtain cooperation. In the process of ward handover, waiting area handover and surgical safety verification. Conscious patients should participate in the check, so that patients can answer their own bed number, name, age, surgical site, surgical name, doctor's name and other contents to prevent mistakes and accidents.