First, improve the quality of nursing.
1, update the concept of nursing management and service, and improve the quality of nursing. People-oriented, pay attention to humanized service, strengthen the quality education of nursing staff in operating room, strengthen medical ethics and cultivate their "cautious independence" spirit. Always consider the patient, and do not discuss the patient's condition, surgical effect and surgical complications during the operation. Effectively change the service concept and working mode, ensure the best nursing work condition to serve patients, meet all reasonable needs of patients, create a warm and comfortable operating environment for patients, and realize patients' satisfaction with nursing work ≥95%. Pay attention to strengthen communication with doctors, collect patient information, gain understanding, trust and support, continuously improve internal service quality, better cooperate with surgery, and realize clinicians' satisfaction with operating room nursing work ≥ 98%.
2. According to the requirements of the nursing department, set up an operating room nursing QCC management team and organize members to hold group meetings. Through brainstorming, the members of the circle listed the problems existing in the current work one by one. Through democratic voting, the expected effect, urgency, importance, circle member ability and feasibility of each project are comprehensively scored. It improves teamwork, arouses the enthusiasm of nursing staff to participate in management, and is good at finding problems from work, thus further improving the quality of nursing.
Second, strengthen the safety management of operating room
Conscientiously implement the operating room nursing management norms and nursing core system, conscientiously perform job responsibilities, further improve the rules and regulations, technical specifications and operating procedures to ensure the safety of patients' surgery, and strictly abide by them to ensure medical quality, nursing work and patient safety.
1, strengthen the contact with clinical departments, cooperate closely, take patients as the center, and ensure the smooth progress of patients' perioperative work.
2, strengthen safety awareness, actively find unsafe factors in the work, improve the surgical safety inspection system and surgical site identification system, and further cooperate with relevant clinical departments * * * in-depth implementation to ensure the correct surgical site, surgical methods and materials.
4. Improve the management system of surgical patients' pressure sores, the safety management system of electrosurgery and the inventory system of surgical items, so as to effectively prevent accidental injuries of patients during operation and ensure the safety of patients.
5, strengthen fire safety management, safe use and safekeeping of flammable and explosive equipment and facilities, effectively prevent patients from accidental burns during surgery, and put an end to fire accidents.
6. Further improve and refine the emergency plan and disposal process of various emergencies, strengthen training, respond to accidents quickly and effectively, and improve the ability to prevent risks and ensure medical safety.
7, strengthen the safety management of medical equipment, arrange someone to be responsible for the cleaning, disinfection and maintenance of medical equipment, once a week, accurately record the performance and usage of instruments and equipment, to ensure the normal operation. Report and deal with problems in time, and make maintenance records.
8, according to the requirements of "Sichuan province medical nursing document writing standard", strengthen the management of nursing document writing, so that the writing is serious, timely and standardized, consistent with the actual nursing process, and the qualified rate of nursing document writing is ≥ 95%.
9. Strengthen the management of key time periods and flexibly arrange shifts at noon and holidays. Strengthen the cultivation of nurses' sense of responsibility and independent duty spirit.
Third, strengthen the management of hospital infection prevention and control.
1, conscientiously implement the relevant rules and regulations and work specifications of hospital infection prevention and control, and reduce the risk of infection through effective air quality control, environmental clean management, disinfection and sterilization of medical equipment and surgical instruments. The implementation rate of one needle and one tube per person 100%, the infection rate of aseptic incision ≤0.5%, and the qualified rate of disinfection and sterilization of conventional instruments 100%.
2, according to the medical waste classification standard, strictly implement the medical waste classification management system.
Fourthly, establish a perfect nursing quality monitoring system.
The head nurse randomly checks the implementation of various rules and regulations and quality standards in the area of responsibility, holds regular quality control group meetings of departments, and puts forward rectification measures for potential safety hazards. Using QCC management mode to mobilize the enthusiasm of general nurses, everyone strives to be the master of the department and manage the operating room. Check, record, timely feedback and analyze the work managed by each responsible person in each responsibility area, so that the department can reach a new level.
Fifth, strengthen the training of on-the-job nursing staff.
Strengthen the on-the-job training of nursing staff and continuously improve their professional and technical level. The average level of three basics of nursing staff is ≥85 points; The qualified rate of nursing technology operation is ≥ 95%; Support nursing staff to participate in continuing education and training, with continuing education credits of 25 points or more per person per year. Write reading notes once a month, insist on quality evaluation every Wednesday, ask questions once a week in the morning, and conduct business study and nursing rounds once a month. Encourage nursing staff to participate in self-study, correspondence and various classes, so that nursing staff can grasp the new trend of nursing development and the new theories and technologies related to nursing in time, continuously improve the professional level of nursing staff, and better cooperate with the operation department to carry out new business and technologies. Encourage nurses in departments to actively write papers, and strive to publish or exchange papers ≥ 1 in hospitals and above. According to the nursing training plan, arrange personnel to go out for further study, improve the level of specialized nursing, and thus promote the technical level of general practitioners.
Six, do a good job in the management of emergency medical equipment, to ensure that the first aid equipment intact rate ≥ 100%.
1, emergency medical equipment shall be managed by special personnel, and the head nurse shall check it regularly and irregularly, strictly hand over and check it, and keep it intact for standby;
2. Strengthen the training of nursing staff in first aid knowledge, rescue procedures, rescue drugs and the use of rescue equipment, so that everyone can master and use them skillfully;
3. After receiving the notice of emergency patients, they can quickly carry out surgical rescue in the shortest time and cooperate with the rescue work flexibly and skillfully.
4. Strengthen the awareness of first aid, cultivate nurses' emergency ability in their daily work, make a retrospective evaluation of each work, learn lessons, and improve their emergency ability to emergencies.
5, require nursing staff to master all kinds of emergency nursing routine in the operating room.
Seven, efforts to improve the management level of head nurses, strengthen business learning, improve the overall quality.
1, strengthen communication with the director of nursing department and the head nurses of other departments, and learn the management mode and methods of superior hospitals.
2. Bold, scientific and effective management to improve the management level.
3, strengthen management, layers of implementation, strengthen the implementation of post responsibility system.
4. Care and respect motivate nurses, implement humanized management, increase the cohesion of departments, and pay attention to the cultivation of professionalism and dedication. Caring for nurses from life and study. Mobilize the enthusiasm of nurses, tap their potential and improve the quality of nursing.
Eight, strengthen cost management
Continue to deepen the "7S" management, and on the basis of the previous "5S" management achievements, further improve the work of increasing income and reducing expenditure. There are plans to clean up the consumables and medical materials in the department, and make regular inventory to reduce waste.
Nine, do a good job of "creation" and strive to create "dimethyl" success.
According to the start-up of the preparatory group of the "second-class first-class hospital" in the hospital, under the guidance of the nursing department, the departments earnestly implemented various relevant requirements according to the evaluation standards, and consolidated and further improved the improved and perfect contents. Repeated self-examination and self-correction, establish a long-term management mechanism, pay attention to details, and check for leaks.
In the new year, all the nursing staff in our department will, under the leadership of the hospital and the nursing department, optimize the workflow, continuously improve the comprehensive quality of all the nursing staff, enhance the concept of nursing service, and carry out high-quality nursing service in depth. Cooperate closely with clinicians to ensure nursing safety, improve service attitude, improve nursing quality and create good social and economic benefits. Lay a solid foundation for dimethyl ether.