Summary of quality nursing service in 2022 1
Busy, the whole year has passed in a hurry, taking stock of the gains and summing up the lessons, leaving a solid step; Sedimentation and accumulation, moving and inspiring, a good start is after the end of success. The new year is coming, which brings a happy ending to the past year.
First, down-to-earth, starting from the basic work of nursing.
First of all, the staff of the department are relatively young, lacking work experience and specialized knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and one will be assessed every week to gradually standardize the workflow. In addition, to improve the service quality, we should start with improving the work details: 1, improve the checking method, and change the traditional name of asking the patient's bed number and name into asking the patient's name, so that the patient can take the initiative to answer and avoid the possibility of checking errors; 2. Improve skin preparation method, use disposable skin preparation knife, cancel civil skin preparation knife, and change talcum powder lubrication into soap solution lubrication to improve work efficiency and skin preparation effect; 3. Promoting the use of family escort chairs only symbolizes the collection of user fees, which provides great convenience for patients; 4. Establish a nurse communication book, and write the contents of daily work quality control, meeting contents, handover precautions, etc. into the communication book for each class's reference, so as to reduce the disadvantages of long period before meeting communication and unable to improve in time, and achieve the purpose of continuous and timely quality improvement. 5. United City Baby Photo Studio provided the first photo of the newborn baby for free, leaving the joy of the newborn to us and the patient's family, and achieved particularly good results.
Second, pay attention to the implementation of the system, clarify the division of work, and prevent loopholes in work.
The work is detailed, the division of labor is implemented, and the responsible nurses and quality inspectors are responsible for writing documents. The three-level quality control mode, in which the bed nurse is responsible for filling in the medical record, the responsible nurse is in charge of management and the quality inspector is in charge of quality control, effectively controls the writing errors and irregular writing, and improves the writing quality. The discussion on holidays, the rescue of medicines, the lectures of interns, and the business study are all responsible for people, so that everyone has something to do, everyone is responsible, and everyone participates in department management, which effectively improves everyone's enthusiasm.
Third, strict delivery room management, complete the layout transformation.
Strengthen the management of delivery room, print the common emergency procedures of obstetrics, post them on the inner wall of delivery room, strengthen the operation procedures, implement the wristband identification system, strictly implement the wristband wearing work of newborns, establish the delivery room handover process and supervise the implementation, effectively strengthen the safety management of pregnant women and newborns, improve the vaccine reporting and checking procedures, and strengthen vaccine management. In addition, according to the acceptance standard of management year, the delivery room was improved again, disinfection supplies were configured, and the positions of waiting room, isolation delivery room and isolation delivery room were adjusted to meet the standard requirements.
Fourth, practice hard and strictly control the quality.
According to the situation of young nurses, we should make an operation training plan, incorporate basic operation items into daily assessment, check and supervise one item every week, assess common operation items one by one, especially TCM operation items, formulate operation standards, train all staff, and constantly improve operation procedures in operation assessment. Improve operation technology and effectively improve service quality.
Five, pioneering and innovative, continuous learning, complete the continuing education and teaching work.
Constantly enrich specialized knowledge, send midwives to Beijing to study, head nurses to Tianjin and Hangzhou for further study, introduce new concepts and technologies, improve work and technology, promote the learning atmosphere of departments, complete business study twice a month, carry out TCM nursing technology projects, learn TCM theory, and complete a national paper. At the same time, urge general nurses to complete the task of continuing education and strengthen the study of specialized knowledge. There are a lot of interns this year. In order to ensure the quality of teaching, detailed teaching plans and teachers' teaching plans are formulated to ensure that each batch of students receive two professional knowledge studies and successfully complete the teaching tasks throughout the year.
A year's efforts are not perfect, there are always gains and losses, enrichment and melancholy go hand in hand, and dissatisfaction with the status quo is the beginning of progress. It's another year, and only hard work can set sail and enter another cycle of struggle.
Summary of quality nursing service in 2022 II
It has been more than two months since the introduction of quality nursing service in April 1. Focusing on the work plans of nursing departments and departments, we aim at "good service, good quality, good medical ethics and people's satisfaction" and take improving the quality of nursing as the main line. 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 find any problems that need to be solved in the patient's life or nursing when you go deep into the ward, you will deal with them in time and solve them in place. However, according to the quality service evaluation table of Guizhou Province for 20 years, many of them can not be achieved under the existing conditions of our hospital. Now I will report on the quality service we can achieve and have achieved according to the existing conditions of our hospital.
First, unify thinking, raise awareness and organize implementation.
The leaders of hospitals and departments attach great importance to it and repeatedly emphasize the determination and importance of promoting high-quality nursing service, so that the concept of high-quality nursing service runs through the specific work of every nursing staff. We insist on bedside duty, especially for patients with hepatic hemangioma and after high frequency treatment. Prevent complications and do a good job in nursing critically ill patients.
Use the business study time and early meeting to organize nursing staff to learn the hospital quality nursing service work plan, nurse regulations, grading nursing guiding principles, contents and systems, and basic nursing services.
Project and technical service and work specification, the goal, connotation and slogan of quality nursing service. And make a hospital quality nursing service assessment scale.
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 nurse classification management system. According to the nurses' situation, patients' condition and nursing workload in our hospital, the patient-centered personnel organization structure and nursing department system are implemented. Every nurse is divided according to patients, and the responsibility lies with 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: reasonably arrange nurses' scheduling and implement flexible scheduling at the same time to ensure the implementation of basic nursing work and ensure the continuity and quality of nursing work.
5. Strictly implement basic nursing: while doing basic nursing, integrate the opportunity of communication with patients, understand patients' needs, and give patients health education, treatment guidance and inform relevant precautions, 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, some safety signs, such as anti-falling bed, anti-falling, drug allergy, high-risk drug signs, etc. , formulate the patient admission risk assessment table and assessment sheet to reduce the occurrence of adverse events.
7. Regularly check the environmental sanitation and basic nursing work in hospitals and wards, check whether the reception of inpatients and nurses is in place, and give guidance. The existing problems are analyzed, and the improvement measures are put forward.
Three, actively promote quality nursing service and overall nursing responsibility system.
1, after carrying out high-quality nursing service and responsibility system holistic nursing, the responsible nurse can understand the diagnosis, condition, medication and auxiliary examination of the patients in charge, find out the shortcomings in the work 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 for nurses, ensure that beds are given to nurses, and gradually realize that nurses can closely observe the patient's vital signs and illness changes in wards or patients under normal circumstances; Patrol patients regularly and make bedside handover seriously. Nursing work is welcomed 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, issue satisfaction questionnaires, set up suggestion books and boxes, and announce hospital supervision telephone numbers.
2. Implement ten convenience service measures.
Summary of quality nursing service in 2022 3
In response to the call of the Ministry of Health, our hospital has also taken corresponding measures and selected two pilot departments in the hospital. As the first batch of key departments in the hospital, the second department of surgery began to carry out this activity in mid-May, 2000. All nursing staff can take the initiative and devote themselves to the "quality nursing service" with full service enthusiasm.
First, the goal is clear, the organization is effective, and the department that the masses are satisfied with is created.
1. With the great attention and careful cooperation of hospital leaders, a hospital mobilization meeting was held on May 20th, 2000. At the meeting, the leaders made it clear that they would give careful cooperation and strong support to this work, and at the same time, they would carefully coordinate the cooperation and strong support of all relevant departments, relieve the worries of nursing staff, return the time to nurses, and let nurses serve patients better.
2. As the first batch of pilot departments, the vice president in charge of nursing and the head nurse of nursing department can do it by themselves and give strong support in human and financial resources. Learn relevant documents of the Ministry of Health in time. The head nurse organized all nurses to interpret the connotation of basic nursing, and learned the Notice of the General Office of the Ministry of Health on Printing and Distributing the Activity Plan of the Demonstration Project of Quality Nursing Service in 2020 and the Notice of the Ministry of Health on Printing and Distributing Three Documents of Basic Nursing Service for Inpatients in Xinjiang Uygur Autonomous Region, which further understood the spirit of the document with the theme of "Consolidating Basic Nursing and Bringing Satisfied Service" and further improved the nurses' ideological understanding.
3. The head nurse repeatedly emphasized the necessity and importance of this work at the weekly morning meeting, constantly strengthened the education of nurses' ideological quality and sense of responsibility, emphasized the service attitude, treated every patient carefully, patiently and enthusiastically, and carefully checked and diagnosed correctly during consultation; In the treatment, explain patiently to the patient, get the patient's cooperation, and serve with a smile. Taking "patient satisfaction" as the perceptual standard, we should pay attention to realistic management and innovative services, formulate detailed implementation measures, clarify the responsibilities at all levels, and strive to build excellent departments that satisfy the society.
Second, effective measures to ensure service quality
1. Basic information of the department: there are 30 beds in the department and 39 beds are actually open. * * * There are 8 nursing staff in the department, including 3 with junior college education and 5 with technical secondary school education, of which 6 are nurses in charge 1 person, nurses 1 person and nurses.
2. According to the actual situation of the department, on the basis of the activity plan and implementation plan of the nursing department, the department formulated the activity plan and implementation plan of the "demonstration project of high-quality nursing service" in the second department of surgery to publicize the connotation of the basic nursing service project.
3. The department changes the scheduling mode, implements the double-shift scheduling mode, redefines the job responsibilities of nursing staff, and implements the contract responsibility system from admission to discharge, so that patients can get all-round care during hospitalization. It has achieved zero complaints and disputes from the masses, and many good deeds have emerged.
4. Nurses can carry out clinical nursing services in strict accordance with basic nursing services, and finish early and late nursing work on time. At the same time, accompany the patient all the time. Personality is the care for critically ill patients, and nursing measures such as washing, wiping and defecation are basically in place to satisfy patients. Every day, the head nurse and the shift staff will shift to the patient's bedside on time. Ensure timely examination and detailed handover, avoid omissions, understand patients' opinions and continuously improve the quality of nursing service.
5, in terms of medical safety and quality, the general medical staff * * * to participate in, every Monday, led by the head nurse nursing staff for safety education, general medical staff to participate in, to ensure that the 24-hour boot, in case the department has a critically ill patient or a long time to save the patient's emergency. Personality is the director of the department and the head nurse, who is often called to the ward to rescue patients at night, holidays and Sundays. At the same time, the hospital has also given strong financial support, which has greatly improved the nurses' working intention and can better serve clinical patients.
6. Since the development of high-quality nursing service, strengthening basic nursing means expanding the scope of nursing work and extending the leading role of nursing staff, which undoubtedly greatly increases the workload of nurses, but these have not affected nurses in the second department of surgery at all. They still serve every patient warmly as always. Besides washing face, washing hair, turning over, patting back, taking a bath and cutting nails, nurses will also send medicine to patients' bedside to cover them. The head nurse often goes to the patient's bedside to ask about the patient's condition and the service attitude and measures of the nursing staff-in place, urging the nursing staff to take every patient seriously and let the patients feel the warmth of the family. The department has made a "quality nursing service mailbox" to gain various opinions and suggestions from patients.
Correct the existing problems in time. And monthly survey of patient satisfaction, satisfaction reached 100%. The nursing staff in the department have also been praised orally by patients many times. At the same time, 35 letters of commendation were received. No one complained.
Third, * * * Strive for progress through exploration * * *
"High-quality nursing service demonstration project" reinterprets the connotation of nursing work, enriches nursing service materials, breaks the long-term nursing mode of nurses assisting doctors to treat, returns to nursing mode, pays more attention to psychological nursing, life nursing and other materials, and changes nurses' working place from the original nurse station to ward. In view of this series of changes, we believe that:
The challenge is unprecedented and there is no fixed pattern to follow. Only by constantly summing up and perfecting the work, * * * exploring and practicing together, and * * * striving for progress together, can we wholeheartedly bring full, comprehensive, high-quality and intimate nursing services to patients and create a comfortable, warm and harmonious atmosphere for medical treatment.
Summary of quality nursing service in 2022 4
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, 2000, the whole hospital held a working meeting for cadres above head nurses, which timely conveyed the spirit of relevant provincial and municipal documents, 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 shift 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 service in 2022: 5 pages
In order to further deepen the nursing reform, actively promote the "quality nursing service demonstration", improve the quality of nursing service in our hospital, and carry out quality nursing activities, our hospital has done the following work.
I. Specific measures and steady progress
1. Make activity plan and specific schedule: The nursing department, medical department, human resources department, finance department, security department, logistics department and other departments have made detailed and thorough plans and specific implementation plans for the "Quality Nursing Service Demonstration Project". The pilot ward started at 5438+00 on June, and arranged specific merit-creating activities every month in combination with the nursing work plan at the beginning of the year and gradually implemented them;
2. Responsibility should be assigned to people: the director of the nursing department and the head nurse sign the basic nursing responsibility letter with the nurses in the ward, and implement the basic nursing responsibility contract system: each nurse is in charge of several beds and is responsible for all the treatment, nursing and health education of patients;
3. Pay attention to details, implement basic nursing and optimize workflow: set up a quality control supervision team for basic nursing, and the quality director of the nursing department personally serves as the head of the basic nursing inspection team to supervise the basic nursing service in the ward every week; Supervise the head nurse on duty every day, the head nurse participates in the basic nursing work all the time, and checks the completion of the basic nursing work in the department every day; Procedural implementation of morning and evening nursing: implement the workflow of asking, seeing, doing and teaching, and refine and standardize the head nurse's daily workflow, handover workflow, basic nursing workflow, morning and evening nursing workflow and health education workflow; Build a nursing safety culture, equip patients with complete safety equipment, use obvious safety identification signs, and strengthen the health education of patients' safety awareness and common sense; Starting from the details, create a neat, clean and comfortable ward environment;
4. Reform the division and arrangement of nurses: try to popularize the nursing work mode of responsibility system, cooperate with the medical group to implement the management mode of grouping configuration, implement the responsibility system of patient treatment and nursing, implement flexible scheduling, flexibly and reasonably allocate nursing manpower, realize seamless nursing, and resolutely put an end to the separation of treatment and nursing;
5. Improve the rules and regulations: improve and revise the rules and regulations, job responsibilities, workflow, disease nursing routine and clinical nursing service norms and standards of our hospital;
6. Reform nursing documents: according to the new requirements of the Ministry of Health for the writing of nursing medical records, simplify the writing of nursing documents, cancel the long-term doctor's advice and paste it into medical records, and keep it for 3 months temporarily; Introduce the content of basic nursing and reflect the professional characteristics;
7. Pay attention to health education: set up a health education quality inspection team, formulate health education inspection standards and scoring tables, and urge and improve nurses' health education and communication skills.
8. Combination of basic nursing and specialized nursing: there are wound nursing team, intravenous infusion treatment management team and nurse occupational safety protection team;
9. Implementing humanized nursing management and providing humanized nursing service for patients: ① establishing the system of ward round for the dean, the director of medical department and the director of nursing department every Thursday; ② Increase the allowance for night nurses; ③ Evaluate the job satisfaction of nurses every month; (4) further improve the equal pay for equal work for all nurses, including the right to promotion (competing for the position of head nurse); ⑤ Actively sending nurses out for further study, fully embodying their own values and stimulating their sense of professional accomplishment;
10. Trial three-level distribution of nursing salary: combining the number of critically ill patients, the number of night shifts, patient satisfaction, basic nursing workload and the investigation of nursing units and nursing work in the whole hospital, discuss the classification of wards, and plan to tilt the commission of nursing expenses for some departments to reflect the excellent work and excellent reward; Departments to develop performance appraisal system, to assess the completion of nursing staff's treatment, basic nursing, etc. , the real implementation of more work.
1 1. Evaluation of nursing service effect: ① Publicize clinical nursing service items, grading nursing standards and service contents in a prominent position in the ward, and introduce the mechanism of patients and society participating in evaluation; ② Conduct a patient satisfaction survey once a month to investigate 30% of the total number of critically ill and first-class nursing patients, understand the satisfaction of patients and their families with nursing services, and popularize service experience and highlights; ③ Select the most satisfied nurses every quarter. Wards select job stars and nursing service stars every month, and present smiling dolls or "job stars" signs to set an excellent example and stimulate nurses' enthusiasm.
Second, achieve results.
(1) improved the logistics support system and greatly improved the satisfaction of clinical medical staff.
The catering center provides patients with ordering food and therapeutic food delivery services to the pilot ward, which reduces patients' going out and effectively controls the company; The pharmacy department is equipped with medicine blue, and the oral medicine is distributed to patients in different meals and bags, which reduces the risk of wrong delivery and wrong medication; The materials department is responsible for receiving and sending all kinds of materials; Integrated management of disinfection supply center and operation department provides fast and reliable logistics service for clinic; Semi-closed ward management, safe floor responsibility system, strengthening ward safety and floating personnel management; The clinical laboratory sends and receives all specimens in a unified way, which keeps nurses from leaving the ward, reduces the time of nurses' non-nursing work and improves the satisfaction rate of nurses; Nurses' willingness to shift shifts, the reduction of shift frequency, the increase of nursing manpower in high-risk periods such as night shifts and holidays, and the combination of 24-hour seamless nursing and the management mode of medical group configuration have alleviated the psychological pressure of nurses and doctors, strengthened the communication between doctors and nurses, and made the relationship between doctors and nurses more harmonious.
(2) Satisfaction of patients and their families
1, the work and management of nurses were further standardized, reducing the burden on patients and their families, and the accompanying rate decreased by 30%; Various safety details, safety measures and the strengthening of safety knowledge education for patients and their families have further ensured the safety of patients and reduced the occurrence of adverse events.
2. With the improvement of the logistics support system, the non-nursing work is reduced, the communication time between nurses and patients is obviously increased, the doctor-patient relationship is harmonious, and the satisfaction of patients and their families is improved.
3. The implementation of order service and semi-closed management effectively controls the entry and exit of idlers, ensures the safety of patients' property, reduces the interference to patients' treatment, nursing and rest time, and further improves the satisfaction of patients and their families.
(3) Social satisfaction
Entering the community, campus, society and other medical activities, and carrying out networking activities with various newspapers have increased the connection between the hospital and society, made the excellence activities deeply rooted in people's hearts, and received reports and publicity from community residents, various newspapers, internet and other media, especially a series of social education activities in cooperation with Southern Metropolis Daily and other media, which strengthened the hospital brand in people's hearts and improved social satisfaction.
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