Summary of head nurses' work in the operating room in the first half of the year 1
First, the continuous improvement of nursing quality and nursing safety management in operating room
1, the number of operations completed in the first half of the year was * * *, which was more than that in the same period last year. In the case of tight work, heavy tasks and few staff, all nurses have no complaints and work hard, especially nurses Zhang and Bu Jinhui of ENT, who often leave early and return late for the smooth operation.
2. In the first half of this year, there were no vacancies in the second emergency department, and all of them arrived in the operating room within the specified time. In particular, Shi Chunping, an ophthalmologist, works normally during the day and has to shoulder the second emergency work at night and weekends for many years.
3. In addition to completing the work plan formulated by the hospital and the nursing department, we also organized professional study according to the characteristics of the undergraduate course, which greatly improved the professional level of each nurse.
Second, patient-centered, striving for first-class service
1. In daily work, nurses always keep in mind the service tenet of "patient-centered", putting themselves in the patient's shoes and always putting themselves in the other's shoes.
2. Strengthen the study of patients' safety management knowledge and basic knowledge during operation, take patients as the center, find problems and solve them in time, and make continuous improvement. Really people-oriented, giving patients a sense of security and comfort.
3. Constantly improve and strengthen perioperative nursing management, and earnestly do a good job in preoperative visit and postoperative follow-up; For every patient who enters the operating room, we try our best to do every job well, care for patients, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment.
4, the head nurse, quality control nurses, visiting nurses to the department for follow-up on a regular basis, often ask about the operation cooperation, the operating room nurses' requirements for doctors and patients, and timely solve the opinions and suggestions put forward by patients.
Third, strictly implement the check system and nursing operation procedures.
1, carefully check every patient who enters the operating room and fill in the patient safety checklist in time. In the first half of the year, there was no omission of nursing items in the patient safety checklist, and the qualified rate was 100%.
2. There are strict disinfection, sterilization and isolation measures, and the infection rate of surgical incision in the past six months.
3, constantly improve and improve the rules and regulations and operational procedures, conscientiously implement and implement the rules and regulations and job responsibilities, a clear division of labor.
4, the implementation of flexible scheduling and bonus distribution system according to work, truly reflect more pay for more work, ban the previous bonus distribution system, and fully mobilize the enthusiasm of each nurse.
Fourth, increase revenue and reduce expenditure to contribute to the economic benefits of hospitals.
1. Standardize the warehousing and warehousing system of secondary warehouses, strengthen the management of disposable goods, designate a person to be responsible, reduce the disposable goods's overdue phenomenon, prevent the occurrence of running, running, dripping and leaking, and make contributions to the economic benefits of hospitals.
At the end of February and April, a resuscitation room was set up in the operating room, which has been running normally so far, which not only ensures the safety of patients after general anesthesia, but also makes the operation more smooth, and also brings certain economic benefits to the hospital.
At the beginning of March and May, we launched a sexual technology-painless gastrointestinal endoscopy with gastroscope room. In the past two months, * * * closed the case, and the follow-up results were satisfactory.
Fifth, improve the quality of nurses and train first-class talents.
1. All nurses complete their undergraduate study tasks in their spare time. There are 24 undergraduate nurses, specialists and undergraduate students in general medicine. Through continuous learning, everyone's way of thinking and manners have been subtly improved. Constantly update the concept and change the passive service concept into the active service concept.
2. Straighten out the scheduling, match the old with the new, and give full play to the mentoring role of old comrades. Young nurses will gain a lot from it, study in groups, constantly improve the professional level of young nurses, and gradually improve the echelon construction in Corey. In the future work, we will continue to work hard to contribute to the two benefits of the hospital.
Summary of the work of head nurses in operating room in the first half of the year II
Blink of an eye, it's the end of the year. Looking back on my work in the post of head nurse this year, I have many feelings in my heart. The work since 2000 is summarized as follows:
First, strict management and effective coordination
Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed, and conscientiously implemented the work system of the hospital and the department, ensuring the steady progress of the work of the department. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of the department, and make the Chinese medicine department a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.
Second, pay close attention to nursing business training
As a comprehensive department of integrated traditional Chinese and western medicine, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among 12 nurses in Chinese medicine, only 1 graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest graduated from the nursing major of western medicine, and only learned the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious. Traditional Chinese medicine nurses have no specific professional knowledge and development direction, which affects the enthusiasm of this group and the stability of the team to a certain extent, and also has a negative impact on the quality of nursing work in wards.
In view of this reality, I decided decisively: start from me and train all the staff. Through the combination of business lectures and business rounds, department directors and doctors participated in the training of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, systematic training of basic knowledge and common skills of traditional Chinese medicine, and even training of conservative treatment and nursing knowledge of some general surgery and orthopedic diseases.
After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. Since then, I have adopted the daily strengthening method, constantly combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.
Third, try cultural management and strive to make characteristics.
Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift schedule, I will send them a life and workplace sentiment every week; Hold a small blackboard newspaper of "Angel Heart Talk"; Use the morning meeting to tell them some inspirational, philosophical and other short stories to arouse their thinking about life and career. In a subtle way, the humanistic quality of our Chinese medicine nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of TCM nursing culture is flourishing, but also all the work objectives are successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. In the evaluation and inspection of professional ethics, the health education and nursing service of traditional Chinese medicine won the affirmation and praise of the participating experts.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Similarly, there are "propaganda of nasal feeding knowledge", "retention method of sputum culture specimens" and "precautions for retention of urine culture specimens". This kind of oral and written publicity not only helps patients to master it, but also saves nurses a lot of time, so it is well received by everyone.
Five, continuous learning and summary, improve their own quality.
As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing experience and improve our comprehensive quality. In May 2000, I took the examination of psychological counselor, hoping to get the certificate of third-level psychological counselor in August. Over the past year, he has published 3 academic papers and 1 poem/kloc-0 in national and provincial magazines, and 2 papers in the journal of our college.
Shortcomings and efforts of intransitive verbs
Although, in retrospect, I can say without shame: I didn't waste any time; Facing my patients and my department, I can also say frankly that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our Chinese medicine department are still blank; For another example, sometimes, the requirements are too strict, and I have even seen the tears and helplessness of nurses. Therefore, looking forward to the future, I am full of confidence in the work of head nurses in the new year. As a head nurse, my efforts are:
1, strive for a breakthrough in nursing scientific research;
2. Combine leniency with severity to make your management style more mature.
Summary of the work of head nurses in operating room in the first half of the year 3
First, the completion of the work to create a tertiary hospital:
1. Under the guidance of the nursing department, according to the safety objectives of surgery specialty in Guangdong Province, the professional system, work flow, post responsibilities and emergency plan, equipment operation flow and operating room safety manual of the operating room were revised.
2. In the form of follow-up methodology, according to the top ten safety goals of surgical specialty, the operating room three-level ward round guide was formulated, and 9 cases were followed up to ensure the safety of patients.
3. According to the evaluation standard of medical quality and medical service in tertiary hospitals in Dongguan, the total quality management standard of operating room was revised 1 time, the operating room environment was rectified twice by the five-norm method, the drug management team of the department supervised the drug quality management three times, and participated in the quality supervision of nursing department seven times.
Second, to carry out quality nursing services:
1. According to the "Guidelines for Evaluation of Clinical Nursing Service Quality in Provincial Hospitals in Guangdong Province", the implementation plan of high-quality nursing service in the operating room was formulated, and the background music in the operating room was turned on.
2. In order to improve the satisfaction of surgeons and patients, five questionnaires were distributed every month to solve the six questions raised by clinicians in time. At the same time, the quality of preoperative visit and intraoperative nursing was strengthened, toys were provided to the children, and five toys were bought, accompanied by family members. Informing family members of the operation process during operation and following up after operation greatly improved the satisfaction of doctors and patients.
3. Make the operating room specialist and special disease health education manual 1 copy, and make the supply room operating room endoscope instrument atlas 1 copy.
4. Strictly carry out the heat preservation measures during the operation. During the operation, the patient's fluid input and flushing temperature is 37℃ to prevent hypothermia during the operation; Equipped with compression pads and other nursing facilities, buy 5 compression pads.
Three, nursing quality management:
1. quality management: analyze the problems existing in ward rounds and nursing quality indicators by using the 28 law every month. Annual rounds failed *** 102 times, and nursing quality indicators failed 59 times. Among them, there are surgical cooperation, preparation of articles, unskilled use of instruments, posture placement and other items. The nursing quality index was adjusted three times, and the correct rate of checking system, safety verification and 30-minute fixation of specimens in vitro were added. There are some problems, such as incorrect writing of operation notice, 30-minute fixation of specimens in vitro, improper preparation of instruments, postoperative loss and wrong charging, which are the focus of quality control in the first half of the year, all of which are 1 1 time. After special quality control rectification, both were found in the second half of the year.
2, operating room nurse post management, formulate operating room nursing job description, formulate operating room nurse post management requirements and performance evaluation methods, according to the post management to complete the specialized surgery cooperation and assessment work.
3, the operating room nursing quality management team, according to the comprehensive evaluation standard of operating room nursing quality, the top ten safety goals of surgery, the operating room nursing quality index and special inspection standards, to check, feedback, rectification and evaluation of the nursing quality of this department ***6 times.
4. The third-level ward round guide of operating room was revised in the form of tracking methodology 1 time, which refined the focus of ward rounds of hand-washing nurses and visiting nurses, made the first-level nurses understand the key links of operation, and the head nurse made ward rounds of 8 1 time and the team leader made ward rounds of 52 1 time, thus ensuring the safety of surgical patients.
5. Four cases of adverse events were reported, and two cases were analyzed by rca.
Fourth, nursing training:
1, assist the science and education department to provide 1 pre-job training for new employees and interns in the hospital.
2. According to the standardized training requirements, the training manual at the operating room level was improved, and 16 case discussions and 16 business rounds were conducted throughout the year.
3. According to the core competence training plan of professional nurses in operating room made at the beginning of the year, nurses were trained at different levels and the nursing theory examination was conducted, and the qualified rate reached 92%.
4. Make PPT courseware for specialized surgery 12 times.
5.* * * Select 12 nursing staff to study in municipal colleges and universities. Published 4 papers.
6, adhere to the daily small lecture, each nurse has a set of small lecture content, several times to teach, improve the effect of small lectures.
V. Practical teaching:
1. According to the teaching plan, * * received 92 nursing interns from undergraduate, university and technical secondary schools, and conducted pre-job training and assessment.
2. Reasonable arrangement of teaching work, so that students can independently complete the cooperation between anorectal department and breast surgery.
Sixth, the sense control expert group.
1. The management standard of medical waste was established, and it was supervised by hand hygiene management standard for 3 times, disposable sterile goods management standard for 1 time, and disposable sterile goods management standard for 1 time. And supervise it.
2. Assist the Sensory Control Office to carry out training and drills on avian influenza, hand, foot and mouth disease, dengue fever and Ebola.
3. Assist the nursing department to complete the review and acceptance of the supply room.
4, under the guidance of the nursing department, make sense of control specialist safety target implementation plan.
Summary of head nurses' work in operating room in the first half of the year 4
The working year of head nurses is the first year of the new century, and it is also a year in which the national health system continues to deepen reform. Under the attention and direct leadership of the dean, all the nursing staff successfully completed all the nursing work assigned by the hospital leaders, and completed more than 90% of the nursing plan in-. Now, summarize the work situation.
First, seriously implement the rules and regulations. Strict implementation of various rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records it;
(2) Nursing operation requires three checks and seven pairs;
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation and monitor the implementation effect according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.
3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4. Organize head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.
3. Continue to carry out health education and issue satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and the best nurses were selected.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
Fourth, improve the professional quality of nursing staff.
1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.
2, cooperate with the medical department, hire experts to teach, teach orthopedics, internal medicine, surgery knowledge, in order to improve professional knowledge.
3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.
4. A nursing skill operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (,second prize (Li Mindan, Tang) and third prize were awarded respectively.
In May, June, 5438+the beginning of February, the nursing department conducted a nursing technical operation assessment for the nurses in the whole hospital: intravenous infusion and oxygen inhalation assessment for the nurses in the ward; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.
6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.
7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.
8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.
9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.
Five, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.
3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.
4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) in the ward for final disinfection (clean the bedside table and wipe it with disinfectant).
6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.
7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.
The head nurse's work summary in the first half of the operating room is 5 pages.
The operating room is a team full of energy, courage and dedication. With the vigorous development of the new inpatient building, we have been working hard for half a year. In the past six months, we have never forgotten the purpose of "patient-centered", met the needs of every surgical patient with our love, enthusiasm and sincerity, strived for "social satisfaction, patient satisfaction and self-satisfaction", and put the work style of saving lives through the whole process of nursing work. Under the leadership of the hospital and the nursing department, with the close cooperation and support of various departments, all medical staff paid close attention to implementation, earnestly implemented and made unremitting efforts, successfully completed various tasks, and achieved a double harvest of social and economic benefits.
One is patient-centered, striving for first-class quality service.
In daily work, nurses always keep in mind the service tenet of "patient-centered", put themselves in the patient's shoes and do "if I am a patient". Actively carry out the "one-on-one full service" planned at the beginning of the year, receive every surgical patient well, provide good service and care for every patient. When patients enter the operating room, nurses warmly greet them at the door of the operating room, introduce themselves, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment. Head nurses often ask colleagues about their work skills, attitudes and patients' requirements, attach importance to patients' opinions and suggestions and solve them in time.
Second, create departmental culture and establish team spirit.
Actively responding to the call of "building hospital culture and establishing team spirit", the department insisted on organizing medical staff to learn medical laws and regulations, hospital rules and regulations, accept various medical ethics education such as loving their posts and being dedicated, and recorded discussions. Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, actively participate in various political activities, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard, and serve the people wholeheartedly. Actively participate in various social welfare activities and do practical things for the people. Organize "science, technology, culture and health" activities to go to the countryside, free clinic, medical delivery, physical examination, donation, etc. For Hanshou people, there are still many people who donate blood many times. Love contributes to society and adds luster to the department.
Third, improve the quality of nurses and cultivate first-class talents.
With the continuous progress and development of society, we deeply realize that comprehensively improving the comprehensive quality of nursing staff is an important link in the development of departments. Strive to cultivate a team with high cultural quality, good professional ethics and excellent professional skills. First of all, through continuous learning, improve the theoretical level of nursing specialty, so as to carry out business study every month, conduct operation assessment and "three basics" theoretical examination every quarter. Moreover, in order to raise their cultural level to a higher level, nursing staff actively signed up for various self-study and adult exams in their busy schedules, from which everyone's thinking mode, manners, manners and temperament were obviously improved imperceptibly. "5" organized in the hospital. Excellent results were achieved in the 12 talent show and computer typing competition. Nurse Zhu Qingping was named "Excellent Nurse in the County". We believe that only by constantly improving the cultural quality, professional ethics and professional skills of all nurses can we better serve and contribute to society.
Fourth, standardize holistic nursing and strive for first-class management.
Good management is the basis and premise of quality service. In order to make the management more standardized and professional, we insist on planning every week and summarizing every month. Establish and improve the service object, and consciously accept the supervision of the illness and society. Carry out holistic nursing, give full play to the subjective initiative of responsible nurses, especially strengthen intraoperative nursing, postoperative guidance, implementation of nursing measures and satisfaction survey of nurses in operating room, thus greatly enhancing nurses' sense of responsibility. In order to make holistic nursing more perfect, our department organized all nurses to learn the relevant knowledge of holistic nursing and new theories such as humanized nursing, evidence-based nursing and comfortable nursing. Strict implementation of the check system and nursing operation procedures, no mistakes and accidents. Strictly implement, manage and monitor disinfection, sterilization and isolation measures. Pay close attention to the aseptic technical operation of nursing staff and inject one person, one needle, one tube and one towel. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. Disinfect, destroy and burn after use.
Verb (abbreviation for verb) job performance
Many major and minor operations have been completed, and many critically ill patients have been rescued. Lobectomy has been carried out in cooperation with cardiothoracic surgery, and new technologies such as laparoscopic ovarian tumor resection and TURP have been developed, as well as radio frequency internal fixation of spinal fractures and other difficult operations. * * * received five groups of ophthalmologists in our department for cataract intraocular lens implantation, and all of them were well received. With the improvement of nursing conditions, nursing level and service quality, our department has achieved a "win-win" effect. The economic income of the department ranks among the best, and the nursing quality management has won the first place in the hospital for many times.
Achievements are like the fruits of autumn. Although they are happy, they have all quietly fallen. While tasting success, we should also clearly see the shortcomings: be bold and innovative in management consciousness and persevere; In the aspect of humanized nursing, the visit of surgical patients and health education are still a mere formality; There are still a few comrades who are indifferent to the implementation of rules and regulations; Thesis writing and nursing research are almost absent; Especially in the service attitude and patient satisfaction, it is still obviously insufficient. The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.
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