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Summary of monthly nursing work
Inadvertently, a piece of work is over. Looking back on this work, I believe you have many feelings. It's time to write a work summary. So, do you know anything about job summary? The following is a summary of my one-month nursing work for your reference, hoping to help friends in need.
Monthly nursing work summary During 1 quality month, the nursing department conducted nursing quality inspection and spot check on the nursing work of various departments, including ward management, clinical nursing, disinfection and isolation, nursing documents, first-aid supplies, nurses' instruments, nursing service quality and nursing technical operation. Score according to the Detailed Rules for Nurse Performance Appraisal and Scoring. But clearly put forward:
1. In some wards, patients' articles were not placed neatly, and bedside tables were not wiped in time. The bathroom smells terrible.
2. The head nurse did not make the bedside handover in the morning in time, and all kinds of shifts in the ward were incomplete.
3. The sanitary treatment of individual patients is not good enough. There are some problems in the excellent nursing demonstration ward: some patients don't know enough about the drugs used, and some patients don't know their own nursing level.
The treatment room is a mess.
5. Some nurses in the outpatient treatment room did not wear masks when handling.
Rectification measures: feed back the above problems to the head nurse in time, find out the causes of the problems and analyze the possible adverse consequences, so that each head nurse can have a correct understanding of the problems existing in the work subjectively; Establish a shift book for medicines, first-aid medicines and refrigerators; Supervise the head nurses of all subjects to organize business study and have study notes; Strengthen the concept of aseptic technology; Establish an early shift system. Supervise the health work of health workers, and patients and their families will tidy up their belongings. For the newly admitted patients, the nurse on duty will carry out sanitary disposal in time when the patient's condition permits, and the responsible nurse will carry out supervision and inspection.
Monthly nursing summary 2 focuses on the theme of "patient-centered, improving the quality of medical services" and carries out the practice activities of "three good and one satisfaction", which has achieved certain results. The report reads as follows:
First, strengthen organizational leadership and seriously organize implementation.
The leadership of the hospital attached great importance to it, held a special meeting, formulated and issued specific measures to carry out the "Service Quality Month" activity, and asked all departments of the hospital to raise awareness, strengthen leadership, seriously mobilize, and closely combine publicity and education with post service; To do a good job of implementation, we should take quality month as an opportunity to create an atmosphere of "everyone cares about quality and everyone values quality". At the same time, the hospital office actively communicated and coordinated with various functional departments to form a joint effort, which laid a good foundation for promoting the hospital service quality month.
Second, carry out all kinds of publicity to improve quality awareness.
Combined with the actual situation of our unit, we carried out various publicity activities in the service quality month. Use the publicity column to publicize the theme and content of the service quality month activity. The medical, nursing and administrative logistics departments should call leaders to clarify the knowledge of service quality, increase publicity efforts, improve employees' awareness of service quality, and carry out service quality publicity activities in the form of publicity slogans to create a good atmosphere in which everyone cares about service quality and everyone values service quality. At the same time, organize employees to seriously study the hospital's rules and regulations, job responsibilities and post operation procedures, and effectively improve the level of work philosophy and sense of responsibility.
Third, strengthen business training and highlight the focus of service quality.
1. In order to practice in accordance with the law and standardize behavior, doctors' laws and regulations and professional training were carried out in time, theoretical examinations were organized, and cardiopulmonary resuscitation plans were rehearsed; The participation rate of business learning in the hospital is over 90%, and it is organized by combining the guidance of external teachers and senior and intermediate doctors in the hospital. And organize the medical staff of the whole hospital to learn the excellent deeds of Dr. Zou Mofan, impart teaching experience and effective communication skills with family members, and enhance the image of doctors.
2. Organize business study and training for all nursing staff. Organize head nurses to comment on nursing work; Cooperate with the center's "three basics" theory and skills examination, organize nursing staff to watch videos, field practice and random examinations, and organize nursing staff to participate in the "three basics" theory and skills examination organized by higher authorities; Organize professional training for foreign nurses, including: asphyxiation rescue, emergency plan and treatment.
In the management of canteen, we put food safety in the first place. In connection with the promulgation of the Food Safety Law, managers and employees of canteens were repeatedly asked to organize lectures on food hygiene knowledge, and professionals from district health and epidemic prevention departments were invited to give lectures and training in hospitals, and each person was given a brochure on the Food Safety Law to organize cooking competitions for employees.
Fourth, grasp the key points, self-examination and self-correction.
In the service quality month, we combined with the characteristics and nature of our own work, took ISO quality management system standards and various rules and regulations as the criterion, and carried out the following work in view of the problems existing in daily medical management and service:
1. Seriously carry out management and service quality inspection (spot check) and self-inspection. Check content:
First, check the employees' implementation of rules and regulations, performance of job responsibilities and observance of labor discipline. Regular and irregular inspections and spot checks by various functional departments, as well as departmental self-examination, specifically checking the employees' commuting time and their compliance with labor discipline during work and hospitalization;
The second is to check the attitude of the staff in implementing business operation procedures and prescribed actions, serving patients and receiving family members. Specifically, check whether the traces recorded by medical staff in professional work conform to the operating rules, check the situation of nursing staff in nursing work and their operating procedures in receiving family members, and understand the reception attitude of nursing staff through interviews with family members.
The third is to check whether the cleanliness of the department meets the requirements. Check the cleanliness inside and outside the office, locker room and ward of the department staff.
The problems found in the inspection (including random inspection by superior leaders) are as follows:
Medical treatment: 30 medical records of the whole hospital (5 in each ward) were randomly selected, of which 2 were defective, mainly manifested as: the doctor's orders were altered. No violation of the "Five Rationalities" was found during the inspection.
Nursing:
① There are 1 row of nursing staff dozing off on the job, and 1 row of workers' work clothes are hung in the patient activity hall of the ward;
(2) Disinfection and isolation work, individual ward floors failed to disinfect the treatment room within the specified time;
③ There are 1 nursing records with defects in nursing writing, which are reflected in the temperature list, admission evaluation and nursing records, and there are 1 nursing records in advance;
④ The dressing rooms of individual ward staff are untidy, and the items on the workbench of the nursing station are messy and snacks.
2. In terms of security services, we have carried out inspections to find hidden dangers and plug loopholes. First, check the operation of the facilities and equipment of the department, and whether the staff use the equipment correctly according to the operating procedures to ensure the safety of customers. Check the operation of the facilities and equipment of the ward and logistics team, check the actual operation process of the staff using the equipment, and check the self-inspection record account of the department; The second is to check the maintenance of fire control facilities and equipment. Check the maintenance and fixed-point placement of fire fighting facilities and equipment in various departments of the hospital.
The main problems found through inspection are that the safety service awareness of employees and department leaders needs to be further improved, and the self-inspection ledger records need to be clear.
In view of the hidden dangers and problems existing in service quality such as violation of discipline, business work and safety work, all departments are required to formulate corresponding treatment and rectification opinions and measures, carry out thorough rectification, and make relevant treatment and rectification records for inspection by the unit.
Five, the organization to carry out the "two festivals to promote stability" safety special inspection.
Make a safety inspection plan and issue safety inspection notices to all departments during the National Day on September 20th. Require all departments to do a good job in self-inspection and safety hazard investigation of facilities and equipment operation, and understand the ideological trends of departmental employees; On the eve of the festival, the main leaders of the hospital are responsible for forming a hospital inspection team to check the safety work of all departments in the hospital. Through the inspection of key places, departments and equipment in the hospital, the problems found were rectified in time. At the same time, carefully check all kinds of special equipment to ensure holiday safety.
Rectification measures of intransitive verbs
Through the development of this service quality month, we found that there are still the following shortcomings:
The executive power of individual department leaders is not enough; The staff service is insufficient, and the service concept is flawed and insufficient. Therefore, the following rectification measures are proposed:
The first is to further improve the professional quality of medical staff. Seriously study the relevant laws and regulations, system norms and job responsibilities, and require every medical staff to master and abide by them, and comprehensively improve their professional quality. Relevant functional departments regularly organize business study and business inspection and assessment. In order to ensure the quality of study, test scores are linked to personal economic benefits.
The second is to establish and improve rules and regulations and strictly implement various operating procedures. Constantly improve various rules and regulations and job responsibilities in practical work, and implement the responsibility to individuals; In order to make all the work timely, objective and flexible, the functional departments insist on combining regular and irregular inspection of service quality, report and feedback the information obtained in the inspection in time, and ask for rectification in time to ensure the effectiveness of the inspection.
The third is to strengthen the business training for all kinds of personnel and improve the awareness of service quality. Make plans to organize the training of management ability and execution of middle-level cadres, further strengthen the pre-job and on-the-job training of employees, and continuously improve the service level and service awareness of employees; Organize on-the-job training for different positions and types of work, do a good job in the implementation and execution of basic medical work, improve service quality according to standardized operating procedures, and increase assessment efforts to measure the implementation of measures with results.
Through the above measures, we can achieve the "six further" goals, namely: to further enhance service awareness; The service attitude is further corrected; Service behavior is further standardized; Service efficiency has been further improved; The service quality has been further improved; Service discipline has been further strengthened.
Monthly nursing work summary 3 1. Implementing ISO quality management documents to improve nursing quality.
1, improve the ISO9000 quality standard document.
Strict implementation of ISO9000 document is the fundamental guarantee to improve nursing quality and ensure patient safety. According to the requirements of hospital comprehensive objectives, the nursing department runs ISO9000 quality standard documents, which makes nursing management gradually standardized, institutionalized and legalized, and makes the responsibilities of nursing staff concrete and documented. The management of nursing unit has been further strengthened, and the procedures of each nursing link have been continuously improved.
Quality control of nursing service is the core of quality management. Through quality control, some unhealthy conditions can be blocked and changed, so that the nursing quality is always in a state that meets the requirements of quality standards. Establish the policy of putting prevention first and shift the focus of work from post-inspection to pre-control. Further improve the Work Instruction of Nursing Department, formulate various emergency plans, revise the writing norms of nursing documents according to the actual situation, improve the norms of placing articles and equipment in nurse stations, treatment rooms and disposal rooms, determine the content of implementing nursing hotel services, and revise the safety education system and head nurse's rounds system, so as to make all work have rules to follow.
The control scope of nursing quality standard includes all nursing links, such as guidance to newly admitted patients, implementation of doctor's orders, various treatments and nursing, health education, discharge guidance, patient satisfaction survey, etc. Through the control of nursing quality standards, the continuous improvement of nursing quality management has been realized, and the nursing error rate has been continuously reduced, which has won the trust of patients and brought good economic and social benefits to the hospital.
2. Carefully organize the operation and implementation of the nursing quality system.
In order to run ISO standard in nursing quality management, so that every link can be controlled, and finally realize the goal of treatment, treatment and nursing for inpatients. The nursing department gives full play to the role of quality control organization composed of head nurses, ward nursing quality teams and old experts, organizes regular and irregular inspections, supervision and guidance every month, and pays close attention to the implementation of the system. The quality control organization of the nursing department conducts inspection once a week, and the nursing department organizes a major inspection at the end of each month. Ward nursing quality group checks the work of nurses in each class every day. The head nurse visits the ward at least four times a day to closely observe the changes of each patient's condition and ideological trends, find problems and solve them in time, understand the patient's satisfaction with nursing work and solve the patient's needs. Implement the whole process of guiding doctors, grouping nursing and the nurse in charge responsibility system to provide patients with full-process quality nursing services.
The nursing department makes rounds with the business dean once a week to understand the clinical needs, nurses' business learning and nursing document writing. The nursing department insists on making rounds in holidays, critically ill patients and visiting wards at least twice a week and once a month at night, so as to find out the problems in nursing work in time. Nurses make rounds at night every week 1 time, and conduct a patient satisfaction questionnaire survey at the end of each month. The unqualified items in the inspection and satisfaction survey are fed back to the nurse in charge and the head nurse in writing, and their signatures are linked to the assessment scores. At the monthly summary meeting, the general problems are explained in a centralized way, corrective and preventive measures are put forward, and then the unqualified items of each nursing unit are fed back in writing. For example, there are many first-class patients in the ward. At the head nurse's meeting, remind the head nurse to strictly implement the graded nursing system and patrol the ward as required, especially at night, and carefully observe the condition and handle it in time if it changes.
Give full play to the supervision and guidance function of quality control network, take standards as the basis, take quality as the core, focus on weak links, take inspection, supervision and guidance as the means, and adopt the methods of combining regular inspection with anytime inspection, comprehensive inspection with single spot check to control the quality of nursing service, ensure that patients are cared for, understand their physical and mental status and disease changes, and provide basic care for critically ill and self-care patients; Communication, consultation and nursing guidance with patients are in place. Paying attention to the overall improvement of nurses' quality has achieved good results. Implement the whole process control of patients from admission to discharge, so that all aspects of nursing work are under close monitoring from beginning to end, and ensure the safety of patients.
Through the examination, the work of nursing unit was effectively promoted, and the nursing quality and patient satisfaction were further improved.
3, pay special attention to the management of critically ill patients and the implementation of basic nursing.
While improving the quality of nursing, we should pay attention to strengthening the care of critically ill patients. Every nurse is required to know eight things about first-class critically ill patients: bed number, name, diagnosis, symptoms and signs, auxiliary examination, treatment and nursing, condition change and psychological state. Head nurses are required to master each patient's condition and psychological state, give timely nursing guidance to critically ill patients, ensure that the rescue and nursing work of critically ill patients is in place, and improve the success rate of rescue. Pay special attention to the "four specialties": special personnel (new nurses, nurses with weak sense of responsibility and fluctuating thoughts and emotions), special time (noon, evening and holidays), special patients (the elderly, the sick, infants, patients with difficult and critical diseases and major surgery) and patients with special operations (unconventional operations or difficult technical operations, new business and new technology development, etc.). ), do prevention first. Communication, consultation and nursing guidance with patients are in place. Paying attention to the overall improvement of nurses' quality has achieved good results.
Over the past year, 205 critically ill patients, 356 intensive care patients, and 1-level nursing patients 1.507 patients were rescued, and the nursing department guided and coordinated the rescue of 26 patients. The qualified rate of nursing technical operation is 97%, the qualified rate of basic nursing is 95%, the qualified rate of intensive care and first-class nursing is 98%, the qualified rate of writing nursing documents is 98%, the intact rate of first-aid articles is 1 0,000%, and conventional instruments are used.
4. Organize nurses to study ISO9000 nursing guide seriously.
Since the trial operation of "ISO9000 Nursing Work Instruction" in 20xx 65438+ 10, the nursing department has made a study plan, organized nurses to learn the rules and regulations and post responsibilities of the nursing unit from June to June, and learned the rest of the nursing work instructions. On July 4-5, all nurses were tested. It was officially put into operation on July 1 day, 20xx. Through nearly one year's clinical implementation, the nursing quality and patient satisfaction have been improved.
Since the implementation of ISO9000 document, nursing quality and patient satisfaction have been greatly improved. After passing the certification, it will further promote the development of nursing in our hospital and lay a solid foundation for building a nursing brand in chest hospital.
Second, carry out high-quality services, improve service quality, and build a brand of chest care.
A first-class new specialized hospital has been established, and the nursing service of "first-class management, first-class quality, first-class technology, first-class environment and first-class service" has been carefully created, and the activities of feeling affection and caring have been carried out, creating "quality service demonstration ward", "standardized nursing document writing ward" and warm service activities, so that nurses can firmly establish the service concept of "people-oriented, nursing first", create a warm and comfortable medical atmosphere, and mobilize the enthusiasm of head nurses and nurses.
1, standardize the behavior of nurses. Nurses are full of energy, neatly dressed, wearing badges, hairnets and light-colored clothes. Introduce new measures of quality service, so that each nursing unit can achieve: five ones: patients get a greeting when they are admitted to hospital, see a smiling face of warm reception, a warm medical environment and a love card, and nurses will actively try to do something meaningful for patients during hospitalization; Three initiatives: nurses take the initiative to receive, observe and help patients; Master: master the patient's condition, treatment and examination results, master the patient's medical expenses, and master the patient's family, social and psychological factors; Seven tones: there are greetings when the patient is admitted to the hospital, greetings when he is treated, apologies when the operation fails, thanks when he cooperates with the patient, inquiries when he receives the call, greetings when he answers the phone, and medicine delivery when he leaves the hospital; Let patients feel the warmth of nursing service in chest hospital. Through consultation with the laboratory king, the problem of blood drawing twice a day for newly admitted patients was solved, which alleviated the pain of patients and improved the satisfaction rate of patients.
2. Hotel personalized smile service: When receiving patients and their families, we should use civilized language, be kind, speak appropriately, establish the concept of patient first, speak and do things from the patient's point of view, and let patients feel that we are all thinking of them. Nurses show concern, patience and love for patients from every little thing. Standardized service is the platform, and personalized service is the ultimate goal.
3. The relationship between 3.ICU and surgery has been straightened out independently. ICU nurses are relatively fixed, which is conducive to the improvement of management and professional level and makes surgical nursing work more standardized. The head nurse can concentrate on ward nursing. Two months after the establishment of ICU, she came to 20 shifts of intensive care patients in Neier and Neiliu, which played a good role in mentoring.
4. Mobile medal activities were carried out, and each nursing unit won medals in turn.
The second nursing unit outside the chest won three mobile medals for "excellent service demonstration ward" and three mobile medals for "nursing document writing standard ward".
Three nursing units in the hospital won 1 mobile medal for "excellent service demonstration ward" and 3 mobile medals for "nursing document writing standard ward".
Summary of monthly nursing work 4 Nursing work especially exercises people's patience and psychological quality, and does it with heart, so that everyone's comprehensive quality can go to a higher level. In the face of patients suffering from illness, it is always a feeling of comfort and joy to see that your family members are very grateful for your good nursing work. Although my internship time is only about six months, it has become the most precious wealth in life.
In more than half a year's nursing practice, under the careful guidance and patient teaching of the teaching teacher, I have carefully studied the treatment regulations and its laws and regulations, actively participated in the training of nursing regulations organized by the hospital, and participated in the study of nursing staff many times. Through study, I realize that the legal system is improving day by day, and people's legal concept is constantly strengthening. It has become people's knowledge to act according to law and safeguard their legitimate rights and interests according to law. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which makes people put forward higher and newer requirements for medical care services, thus enriching legal knowledge, enhancing safety protection awareness, and enabling nurses to understand the usage of the law and reduce the occurrence according to law.
Both the theoretical level and the practical level have been improved to some extent. During the internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform the duties of the intern nurse, be strict with myself, respect teachers, unite students, care for patients, be late and leave early, work hard, standardize nursing work, provide high-quality skills and services, be flexible in basic nursing, have regular love activities, combine theory with practice, study theory in a planned and focused way, and take measures and records in practice. Always take "love, care and patience" as the foundation, strive to be "diligent in eyes, hands, feet and mouth", think about patients' thoughts, worry about patients' urgency, and provide quality services wholeheartedly, thus establishing a good medical ethics.
In the practice work of each department, we can standardize the writing of all kinds of nursing documents, complete the handover records in time, do a good job in patient evaluation and health education, do a good job in nursing common diseases and frequently-occurring diseases in each department, conscientiously implement aseptic operation procedures, do a good job in preoperative preparation and guidance, and complete intraoperative and postoperative care and observation. Can seriously analyze and solve the problems found in time at work, and be proficient in internal and external, maternal and child care and intensive care. Strictly carry out three checks and seven pairs, and actively participate in various case discussions and academic lectures, constantly enrich their professional knowledge, and have a more comprehensive understanding and understanding of holistic nursing technology and ward management knowledge through learning.
The above is my internship summary. Through more than half a year's internship, my theoretical level and practical level have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level and provide quality services for patients.
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