Orthopedics work plan

As orthopedic doctors, do we know how to summarize our work and know a new work plan? The following is the orthopedic work plan I have compiled for you. You are welcome to read and refer to it! Annual work plan of the Department of Orthopedics 1

In order to better develop and inherit the professional characteristics of the Department of Orthopedics and Traumatology of Traditional Chinese Medicine and better serve the people’s health cause, our department focuses on the development of orthopedics and traumatology and gives full play to the advantages of the Department of Orthopedics and Traumatology of Traditional Chinese Medicine. , strengthen the patient-centered approach, improve the diagnosis and treatment technology of traditional Chinese medicine in orthopedics and the application of traditional Chinese medicine in the specialty of orthopedics. According to the hospital development plan, the 20XX annual work plan of our department is specially formulated.

1. Guiding ideology

Guided by the health work guidelines, policies, laws and regulations of the state and superior authorities, and strictly follow the relevant diagnosis and treatment specifications of health-related departments, hospitals and undergraduate departments and regulations to perform their duties, adhere to the people-oriented approach, conscientiously implement the scientific outlook on development, change development ideas, clarify development ideas, establish a sense of crisis, and seize development opportunities; through the introduction and training of department professionals, strengthen the purchase of advanced medical equipment, and strive to improve own quality and medical service level, and strive to provide better medical services for the health of the general public.

2. Strengthen medical management and improve medical quality

1. We will take reform and innovation as the driving force, target the construction of key departments, win the market with service quality, and strive for medical quality development, to achieve the "four prohibitions" and "five mores", that is, to prohibit indifference in attitude, prevarication style, hasty admissions, and carelessness in diagnosis and treatment; more explanations, more comfort, more understanding, more warmth, and more help, so that medical services Quality is at the forefront.

2. The quality control team is responsible for management work carefully according to their respective positions.

Establish practical quality control plans and regular effect review systems at all levels, so that our department’s three-level ward rounds, consultations, discussions and other systems can be implemented, so that the quality of various medical treatments can be fully guaranteed.

3. It is necessary to regularly educate medical staff on the importance of the job responsibility system, improve various rules and regulations, and regularly and irregularly inspect various medical conditions and the implementation of the job responsibility system.

Pre-job education must be provided to new employees. Clarify the various systems and professional ethics of the hospital, constantly sum up experience, use strengths to offset weaknesses, and improve the management system. Establish medical defect prevention measures, medical accident prevention and treatment plans, implement a medical defect accountability system, and educate all medical staff in the hospital to put medical safety first.

4. Strengthen the management of medical documents and standardize medical documents in various subjects.

Conduct regular inspections, provide timely feedback on deficiencies, and make improvements so that the writing of medical documents can meet the requirements and goals specified by the Ministry of Health. Carry out informed choice activities, provide individualized services, and carefully fill out various informed consent forms. The department's grade A medical record writing pass rate reaches 98%, and there are no grade C medical records; the prescription pass rate reaches more than 98%; various auxiliary inspection report forms meet the requirements of the health department.

3. Prevent medical accidents and ensure medical safety

It is necessary to do a good job in medical quality assessment and carry out management work in strict accordance with the management specifications, work systems and re-evaluation rules formulated by the hospital. . Strictly implement medical preventive measures and medical accident handling and prevention plans, implement a liability investigation system for medical defects, and carry out medical activities in strict accordance with medical operating procedures and standards. Shift the focus of medical quality management work from final quality evaluation of medical care to inspection and supervision of quality in each link of the entire medical process. 1. Continue to focus on medical safety education and relevant laws and regulations, standardize medical practice in accordance with the law, strictly implement personnel access and technical access, strengthen medical safety education for medical staff, and organize lectures, trainings, and examinations on the prevention and handling of medical disputes.

2. Strengthen medical safety precautions, start with controlling medical defects, and strictly implement the "Medical Disputes, Medical Accident Handling and Liability Accountability System", which will have a significant impact on the hospital If the dispute is considered to be a medical malpractice, liability should be investigated. Focus on learning from experience.

3. Starting from controlling medical defects, strengthen the system for reporting at any time difficult cases, iatrogenic injuries, special, critical, serious complications, and disputed patients.

4. Regularly hold medical safety meetings to report on the handling of medical safety incidents and medical disputes, and summarize experiences.

4. Strengthen business training for professional and technical personnel and do a good job in continuing education

According to the situation of our department, in line with the principle of what is missing, what is missing, what is learned, what is learned, and what is learned is applied. Based on the principle of need for training, if the hospital's economic conditions permit, medical staff will be selected to study and train in hospitals at the provincial level and outside the province to absorb advanced technology and improve their technical level.

Professional and technical personnel with intermediate professional titles must closely integrate their own majors, and through self-study, off-the-job learning, and conscious and rigorous supplementation, they must add new theories, new technologies, and new methods to their professional skills. Master knowledge of interdisciplinary and related disciplines. Professional and technical personnel with junior professional titles should develop professional technical knowledge and skills in conjunction with their own positions, master professional technologies, participate in scientific research, and be able to solve more complex and difficult diseases. By inviting municipal-level experts to provide professional technical guidance, surgery, and lectures to our department, we will improve the level of our department's business personnel and continuously develop new technologies and new businesses. Lectures are scheduled regularly in the department and are in charge of the department director. Professionals are actively encouraged to self-study, and department heads supervise the review of business notes, and include business learning within the scope of regular performance evaluations.

5. Implement TCM diagnosis and treatment plans, standardize treatment procedures, and improve clinical diagnosis and treatment levels

Further optimize TCM diagnosis and treatment plans, implement TCM clinical pathways, and standardize treatment procedures for dominant diseases, focusing on Master the treatment methods of dominant diseases, continuously summarize and analyze, and improve the level of clinical diagnosis and treatment.

1. Based on the actual situation of our department, focus on common and frequently-occurring diseases, refer to the clinical path management documents issued by the Ministry of Health, and follow the principles of evidence-based medicine to formulate a TCM diagnosis and treatment plan for the Department of Orthopedics and Traumatology, and determine key disease types. : Distal radius fractures, simple thoracolumbar fractures and knee paralysis are the dominant diseases. Medical staff are regularly organized to implement education and training to improve the diagnosis and treatment technology of the dominant diseases.

2. Establish a clinical pathway statistical work system, and regularly conduct statistical analysis on quality and safety indicators such as the number of hospitalizations, clinical cure rate, clinical improvement rate, clinical non-healing rate, and clinical effectiveness rate for patients entering the clinical pathway. .

3. Regularly evaluate the clinical treatment efficacy of clinically dominant diseases, summarize the adverse factors that affect treatment, and formulate optimization and improvement measures for diagnosis and treatment plans.

4. Summarize and analyze the factors that affect the implementation of clinical pathways for diseases, and continuously improve and improve pathway standards.

6. Highlight the traditional characteristics of traditional Chinese medicine, take the integration of traditional Chinese and Western medicine as the direction, and strive to accelerate the construction of specialties

Highlighting the characteristics of traditional Chinese medicine is the foundation for the development and construction of our department. Our department will continue to adhere to inheriting and developing the traditional essence of traditional Chinese medicine, highlighting the characteristics of traditional Chinese medicine, and giving full play to the special advantages of traditional Chinese medicine orthopedics and traumatology as the foundation of the department, giving full play to the unique advantages of traditional Chinese medicine, and continuously improving the clinical efficacy of traditional Chinese medicine. Specific measures to give full play to the characteristics and advantages of traditional Chinese medicine:

① Make full use of and give full play to the advantages of traditional Chinese medicine bone-setting methods and small splint fixation to treat common clinical shoulder, elbow and wrist joint dislocations, humeral surgical neck fractures, humeral shaft fractures, For various types of fractures of the distal humerus, fractures of the radius and ulna, and other diseases that are advantageous in traditional Chinese medicine orthopedic treatment, manual reduction and small splint fixation are used to guide functional rehabilitation exercises, which not only reduces the patient's financial burden, but also reduces the incidence of disability due to injury. To achieve the best therapeutic effect. At the same time, we will do a good job in outpatient hospitalization registration and follow-up work, and further improve and perfect traditional Chinese medicine diagnosis and treatment methods.

②Standardize and improve the use and management of orthopedic protocol: The Department of Orthopedics and Traumatology has formulated an intra-department protocol, among which the bone-setting potion has the functions of activating blood circulation and removing blood stasis, reducing swelling and relieving pain, and promoting soft tissue repair and fracture healing. , mainly treats various fractures and soft tissue injuries; the bone joint fumigation formula has the effects of relaxing muscles and activating collaterals, reducing swelling and pain, and tonifying and strengthening bones, and is mainly used to treat senile chronic osteoarthritis and osteoporosis. This year, we will further improve and enhance the effectiveness of each agreement party through the observation, comparison, analysis and summary of the effectiveness of each agreement party.

7. Overall goals and tasks:

1. Hospital bed utilization rate ≥ 85%; 2. Average length of stay ≤ 10 days; 3. Diagnosis rate within three days of admission ≥ 95%; 4 , the admission and discharge diagnosis compliance rate is ≥95%; 5. Sanjikao Orthopedic Nurse Work Plan 2

In a year when the national health system continues to deepen reform, all daily nursing staff, under the attention and direct leadership of the dean, In line with the service tenet of "everything is patient-centered, everything is for the patient", we have successfully completed various daily nursing tasks assigned by the hospital leaders, and completed more than 90% of the 2014 daily nursing plan. The 2015 work plan is now The summary is as follows:

1. Conscientiously implement various rules and regulations

Strict implementation of rules and regulations is the fundamental guarantee for improving the quality of daily care and ensuring safe medical care.

1. The Daily Nursing Department reiterated the responsibilities of daily nursing staff at all levels, and clarified the responsibility system of various positions and the daily nursing work system. For example, responsible nurses and circulating nurses should perform their duties to prevent patients from changing themselves. The undesirable phenomena of hanging bottles and self-pulling needles.

2. Adhere to the check-up system:

(1) Require medical orders to be checked every shift, with the head nurse participating in the total check 1-2 times a week and keeping records;

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(2) Three checks and seven pairs are required during daily nursing operations;

(3) Persistence in filling in the infusion card, no major daily nursing errors have occurred in the past year.

3. Conscientiously implement the daily nursing routines of orthopedics and microsurgery, insist on filling in various information data registration books, and equip with five operation trays.

4. Adhere to the bedside handover system and daily morning care to prevent the occurrence of complications.

2. Improve the management level of the head nurse

1. Adhere to the recording and assessment of the head nurse's handbook: The head nurse's handbook is required to be submitted to the daily nursing department for assessment before the 5th of each month, and based on The head nurse will focus on supervising the implementation of the annual plan, quarterly arrangement, and monthly plan that are suitable for the department and monitor the implementation effect. The head nurse is required to make a brief summary of the monthly work to facilitate summarizing experience and carrying out work.

2. Adhere to the head nurse regular meeting system: According to the requirements of the graded hospital, a regular meeting of the head nurse is held once a week. The content is: arrange the focus of this week’s work, summarize the advantages and disadvantages of last week’s work, and propose corresponding rectification measures, feedback to each head nurse on daily nursing quality control inspections, and learn relevant information on head nurse management.

3. Check the quality of daily nursing care every month and provide timely feedback to continuously improve the management level of the head nurse.

4. Organize head nurses to go out to study and visit, learn from the advanced experience of brother units, and expand their knowledge: At the end of May, the head nurses of the three wards were sent to participate in the international daily nursing new progress study class. After the study, they All nurses reported.

3. Strengthen the construction of medical ethics and medical style among daily nursing staff

1. Continue to implement the nurses’ behavioral norms and implement 50 sentences of nurses’ civilized language in daily work.

2. Organize all nurses to participate in etiquette training at Wenling Hotel and Wanchang Hotel in June and November respectively.

3. Continue to carry out health education, issue satisfaction survey forms to inpatients, (regular or irregular assessment) satisfaction survey results are above 95%, and raise issues existing in the satisfaction survey Corrective measures were taken and the best nurses were selected.

4. The department holds a regular work break symposium once a month to solicit the opinions of patients and provide maximum satisfaction to the patients' requirements.

5. Conduct pre-job professional ethics education, rules and regulations, nurse behavioral standards education and daily nursing basic knowledge, specialist knowledge, and daily nursing technical operation assessment for newly assigned nurses. Those who pass the job will be given the job.

4. Improve the professional quality of daily nursing staff

1. Conduct three-level training for in-service personnel and organize theoretical examinations.

2. Cooperate with the medical department and hire experts to teach orthopedics, internal medicine, and surgery to improve professional knowledge.

3. Each department will ask questions 1-2 times a week in the morning, covering basic theoretical knowledge and orthopedic knowledge.

4. A daily nursing technology operation competition (sterile operation) was held on "Women's Day", and the first prize (Wu Weiwei), the second prize (Li Mindan, Tang Haiping), and the third prize were selected Awards (Zhou Lijun) were given respectively.

In May and early December, the daily nursing department conducted daily nursing technical operation assessment on all the nurses in the hospital:

Ward nurse assessment: intravenous infusion, oxygen inhalation; emergency room nurse assessment : Cardiopulmonary resuscitation, oxygen inhalation, gastric lavage; operating room nurse assessment: intravenous infusion, aseptic operation.

6. Strengthened the daily care of critically ill patients, and adhered to the bedside handover system and morning daily care.

7. Adhere to daily nursing business rounds: daily nursing business rounds were conducted in three wards every month, and daily nursing diagnoses and daily nursing measures were discussed to improve business quality. purpose.

8. From September to November, pre-job training was conducted for 9 new nurses who entered the hospital this year. The content was basic daily nursing and specialist daily nursing knowledge. The head nurse was organized to give a lesson to each of them to improve their skills. The head nurse’s teaching ability.

9. There are 5 nurses in the hospital taking the self-study examination for daily nursing college, and 3 nurses are taking the correspondence course for daily nursing college.

5. Strengthened nosocomial infection management

1. Strictly implemented 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. For high-risk departments such as operating rooms and outpatient operating rooms in summer, secondary air culture is carried out every month to ensure There was no case of infection in the sterile incision.

3. The department insists on carrying out ultraviolet disinfection of the treatment room and dressing room every month, and records that the ultraviolet lamp tubes are dusted with absolute alcohol every week, and records that the ultraviolet light tubes are disinfected every two months. Strength is monitored.

4. After use of disposable products, all wards, operating rooms, and emergency rooms can be destroyed in time, soaked, concentrated, and regularly inspected and supervised. Regular testing and inspection of various disinfectant concentrations should be carried out in the morning. Room daily care includes one bed, one center and one wet sweep.

5. The treatment rooms and dressing rooms of each ward can adhere to the mopping of disinfectant solution (1:400 disinfectant) twice a day, and the floors in the wards are regularly mopped with disinfectant (1:400 disinfectant). Ling) The bed sheets of discharged patients were terminally disinfected (bedside tables were cleaned and wiped with disinfectant).

6. The operating room strictly implements hospital dyeing management requirements, and chemical indicators are used in the sterile bag.

7. The supply room has established a monitoring record book for disinfection items, and regular monitoring of each disinfection item has been carried out.

6. Daily nursing staff complete daily nursing work well

1. Adhere to the purpose of taking patients as the center, quality as the core, and providing quality services to patients, and carry out in-depth It provides patient-centered health education, through the distribution of health education manuals, and through the words and deeds of nurses, so that patients can familiarize themselves with disease prevention and treatment, rehabilitation and related medical treatment, daily care and self-care knowledge.

2. In August, a holistic daily nursing model ward was launched in the three wards. In addition to teaching patients about disease prevention, treatment and recovery, nurses in the three wards also went to the wards to talk to the patients

3. Throughout the year, 2,357 inpatients were admitted, 125 were kept under observation, and 2,380 operations were performed in the operating room. Emergency nurses provide full services to emergency patients, including escorting patients to take X-rays, doing B-ultrasound and electrocardiogram, accompanying patients to go through admission procedures, and sending patients to the operating room. Responsible nurses and circulating nurses are fixed in the three wards, so that patients can get Attentive service.

4. The daily nursing staff of the hospital wrote 30 daily nursing papers, one of which participated in the third national orthopedic daily nursing academic exchange, 3 of which participated in the academic exchange in Taizhou, and 2 of which participated in the " "Contemporary Nurses" The 21st National Daily Nursing Academic Exchange.

7. Problems:

1. The quality of individual nurses is not high and the concept of sterility is not strong. .

2. The overall daily care is still in the exploratory stage, and the writing of daily care is not standardized.

3. Due to the small number of daily nursing staff, basic daily care is not in place. For example, patients in first-level daily care cannot receive services from first-level nurses, which is second only to daily work.

4. Ward management is still unsatisfactory.

Due to the attention, support and help of the dean, internal management and external image, daily nursing work has achieved certain results in the construction of daily nursing quality and professional ethics over the past year, but there are also certain shortcomings. Needs further improvement.