Three articles on the work plan of the Department of Traditional Chinese Medicine Rehabilitation

Part 1

In 201x, 9 modern rehabilitation treatment projects were included in the basic medical insurance, which is an opportunity for the development of rehabilitation medicine. In addition, leaders at all levels in our hospital strongly support the Department of Rehabilitation Medicine. The director's management is decisive and orderly, and it coincides with the review of our hospital's "Second Class A" status, which puts forward higher requirements for the hardware and equipment, staffing, management, teaching and medical quality and safety of the Department of Rehabilitation Medicine. To this end, we are encouraged to continue to develop in department construction, diagnosis and treatment level, medical ethics and style, scientific research innovation, staffing, and hardware facilities. The 20xx annual work plan is now formulated as follows:

1. Department construction and personnel Echelon

In terms of department management, we will continue to use a new management model to operate the rehabilitation department with the goal of mutual benefit and win-win, high-quality service as the purpose, clear rewards and punishments as the criterion, and unity and harmony as the goal. Continuously expand the source of the disease and improve the efficacy and satisfaction rate. In order to meet the hospital's expansion requirements, the department's development plan in two years is to enrich five outpatient departments (physical therapy department, occupational therapy department, speech therapy department, traditional rehabilitation department, prosthetics and orthotics department); and establish a rehabilitation medicine ward. In order to gradually realize the expansion plan, active and effective measures need to be taken to focus on cultivating the political ideology, business capabilities and academic level of academic and technical leaders and reserve talents. According to the actual situation of the rehabilitation profession, it is necessary to introduce 1 to 2 professional rehabilitation therapists with a bachelor's degree or above, and those who can make prostheses and orthotics will be given priority. The overall quality still needs to be improved. Rehabilitation doctors have switched careers from many other majors and need to further study in high-level domestic rehabilitation centers. Young doctors and therapists are encouraged and supported to apply for postgraduate examinations. The scientific research awareness and ability of nursing staff still need to be strengthened and improved. Maintain a talent echelon with reasonable knowledge, academic qualifications, professional titles and age structure.

2. Medical ethics and medical style education, improve the quality of medical work, and ensure medical safety

Actively participate in free clinics and various spiritual civilization construction activities, and use the scientific meeting time on the first Saturday of every month Seriously study and implement relevant laws and regulations. Improve the professional ethics of medical staff and reflect the level of teaching hospitals. There is a sound quality management team, which conducts random inspections from time to time and holds a quality management control meeting once a month. Quality control points are set up, and invasive procedures such as acupuncture and partial sealing are strictly disinfected to avoid infection; pads and other items in direct contact with the patient's skin are cleaned and disinfected in a timely manner; manual treatment movements are standardized and regular training is provided; our department consults many patients. It is strictly implemented and the triage nurse will promptly notify the doctor in charge. Normal consultations are completed within 24 hours, and emergency consultations arrive within 10 minutes. Our department has many instruments. If there is a malfunction, please report it for repair in a timely manner. A dedicated person is responsible for inspection every week to eliminate hidden dangers. Valuable instruments are kept and kept by a dedicated person. A maintenance registration book is provided; in order to ensure continuous treatment of patients during holidays, rotating duty arrangements should be arranged, and the sense of responsibility should be improved; the construction of "harmonious doctor-patient relationship" should continue to be maintained and improved, and the physical therapy, occupational therapy, traditional rehabilitation, etc. of the Department of Rehabilitation Medicine are mostly one One-on-one treatment requires frequent and long contact with patients, which especially requires continued strengthening of service awareness and quality.

3. Adhere to the three basic trainings and constantly update knowledge

In order to improve the medical technology level of the general department and carefully organize the professional learning of the department staff, the department organizes lectures and discussions once a week , understand the new developments in treatment in the field of rehabilitation, repeatedly study the "Rehabilitation Medicine and Physical Diagnosis and Treatment Standards", or improve the level of medical services through case analysis and other forms; new teachers conduct trial lectures before teaching to discuss courseware production and teaching language and content; Regularly give lectures to lower-level doctors and interns, strengthen management, use standardized language and skillful movements; while teaching and treating, observe patient reactions and evaluate at any time to prevent shock caused by postural hypotension in special patients such as paraplegia and long-term bedridden patients. During training for patients with craniocerebral trauma and other injuries, avoid epilepsy induced by emotional excitement and fatigue, formulate emergency plans and be familiar with first aid treatment procedures.

4. Encourage the establishment of new technologies and new project scientific research projects and the publication of papers

Encourage the development of new projects suitable for clinical promotion; expand the scope of rehabilitation treatment and carry out special rehabilitation projects, such as : Rehabilitation treatment for patients with intellectual disabilities, bedside rehabilitation projects in intensive care units, imaginative movement therapy, etc. It is required to have a secondary vocational school or above and publish one paper in a core journal every year.

Each junior employee publishes one review or paper per year. A lot of work needs to be done in research, striving to publish more high-level papers, and actively applying for scientific research awards.

5. Problems that need to be solved by the hospital:

In order to cooperate with the development plan of key disciplines and increase the competitiveness of our hospital’s medical market, the problems that our department plans to apply to solve in 201x are:

1. The Department of Rehabilitation Medicine urgently needs to set up wards: firstly, it can meet the requirements of the "Second Class A" for the construction of the rehabilitation medicine discipline; secondly, it will help reduce the bed pressure of neurological patients, speed up the turnover of other departments, enrich treatment methods, and attract Third, patients who have been discharged from the hospital through neurological rehabilitation have greatly improved their quality of life. While they are satisfied with the quality of the hospital's medical services, they will increase publicity for the hospital and win good social effects for the hospital. , enhance the hospital’s influence and competitiveness.

2. Power bicycle: mainly used for functional rehabilitation of lower limbs in patients with hemiplegia. It has a good inhibitory effect on the symptoms of lower limb extensor muscle spasm in patients with hemiplegia, allowing them to exercise in a flexed posture and avoid knee hyperextension. The application of this instrument has good prospects, and the economic and social benefits are considerable.

3. What is still lacking according to the Class II standard: magnetic therapy device, swallowing therapy device, bobath ball, roller, etc.

Part 2

1. Medical safety and quality:

Implement the system for patients to ask for leave after leaving the hospital and regular return visits, and improve the case template of the rehabilitation department (check The contents of the room are detailed and accurate), education is in place, patients and their families are well trained, and the ward* implements a responsibility system.

2. Discipline construction (1. Development ideas 2. Specific measures 3. Number of beds 4. Talent echelon 5. New technologies)

1. Development ideas: Expand traditional Chinese medicine rehabilitation treatment and The influence of modern rehabilitation treatment improves the content of rehabilitation treatment. Strengthen the construction of children's health. (Child protection, training of caregivers, etc. may be considered).

2. Specific measures: Standardize department construction in accordance with Xingtai City’s key specialty standards, carry out activities such as free clinics, rehabilitation knowledge lectures, and television publicity to increase the social visibility of our hospital’s rehabilitation department. Continue to develop acupuncture treatment, rehabilitation treatment for stroke, cerebral palsy, children with intellectual disabilities, limb joint fractures (surgery) dysfunction, and spinal cord injury, and formulate a systematic and standardized rehabilitation treatment process. Standardize pediatric health diagnosis, treatment and equipment.

3. Number of beds: 30 beds, with a utilization rate of 80-100.

4. Talent echelon: Establish and improve the rehabilitation treatment unit, and initially form a rehabilitation treatment team with 1 rehabilitation physician, 2 rehabilitation therapists, and 1 rehabilitation physiotherapy nurse as the basic unit. Improve the construction of medical team, nursing team and treatment team. We also need 3 nurses and 3 rehabilitation therapists (boys are given priority).

5. New technology: guided education is used in clinical work.

3. Equipment planning (demand and purchase)

Physiotherapy equipment: (erkang): neuromuscular electrical stimulation therapy device (2 units), muscle excitation therapy device (2 units) , spastic muscle therapy device (3 units), 1 transcranial magnetic therapy device, 1 training slide, 1 training wave bridge, 1 ball bath, 2 balance bicycles, 1 drill roller, 1 electric stand-up bed , 1 circular pulley, 1 circular turntable, 2 rock see-saws. (Adult Rehabilitation): 1 multi-spectral light infrared therapy device, 1 neurological function reconstruction device, 4 brain intermediate frequency therapy devices, and 1 swallowing therapy device.

IV. Talent training

Focus on cultivating rehabilitation physicians and therapists within the department, strengthen exchanges and learning with various rehabilitation medical institutions, and become well-known in the city. Business lectures are arranged in the department every week, case discussions are held every month, and experts are invited to the department to guide teaching.

Fifth, goals: scientific and standardized rehabilitation construction, division of labor and cooperation among medical groups, nursing groups, and treatment groups, gradually breaking away from decentralized operations and centralized patient treatment. Departments can be responsible for treatment, rehabilitation, teaching, training, etc. .

Part 3

20xx is a year for the Rehabilitation Department to lay a solid foundation, and 20xx is a key year for the comprehensive development of the Rehabilitation Department. In order to achieve the harmonious development of the rehabilitation department and enhance sustainable competitiveness, a major work plan for 20xx has been formulated.

1. Work focus and work ideas

The focus of the work in 20xx is to continue to build the exercise and occupational therapy room of the outpatient rehabilitation department; to do a good job in horizontal cooperation and expand brain injury, nerve injury, etc. Functional training for injuries and illnesses; stabilizing the diagnosis and treatment of painful diseases and neck, shoulder, waist and leg pain; focusing on building rehabilitation wards and standardizing the development of rehabilitation ward management; effectively doing a good job in community rehabilitation services; comprehensively launching traditional Chinese medicine to treat pre-disease, natural diseases Moxibustion, sub-health services, etc.; actively carry out rehabilitation prevention, rehabilitation treatment and other comprehensive rehabilitation, improve the rehabilitation work system and service network, extensively contact experts in various disciplines to disseminate rehabilitation information and popularize rehabilitation knowledge; strengthen business learning, and strive to create department characteristics and brand.

2. Work tasks and measures

1. Regularly go to other departments for ward rounds to understand the patient’s recovery status, guide doctors in relevant departments to prescribe necessary rehabilitation treatment projects, and guide undergraduate staff to formulate rehabilitation programs Planning and implementation. Undergraduate doctors are proficient in the indications of various instruments and recommend undergraduate features to doctors in other related departments.

2. There is a plan to conduct comprehensive rehabilitation training for undergraduate doctors, so that rehabilitation theory and rehabilitation treatment technology can be trained once a week and once a month, so as to improve the rehabilitation theory and rehabilitation treatment technology level of each doctor. .

3. Comprehensively carry out exercise therapy, occupational therapy, speech training, and swallowing disorder treatment, expand functional rehabilitation after brain injury, cerebral palsy, and fracture surgery, and carry out planned internal medicine departments such as chronic obstructive pulmonary disease and cardiovascular and cerebrovascular diseases. Disease rehabilitation intervention.

4. Promote the characteristics and treatment effects of rehabilitation projects inside and outside the hospital, and raise awareness of rehabilitation in all sectors of society. Through timely feedback and suggestions from patients, we can promptly correct deficiencies in our work to improve work quality and service.

5. Conduct intra-department discussions on difficult patients to improve treatment effects and enhance the level of rehabilitation medical technology.

6. Labor remuneration is distributed in two levels, based on workload, combined with job work, professional title, and patient satisfaction.

7. Strengthen the management of patients in the inpatient department and implement a ward management model with rehabilitation characteristics. The department director and head nurse comprehensively organize and implement the management plan. The staff in the department are divided into ward management group, modern rehabilitation group, traditional rehabilitation group and rehabilitation nursing group.

The specific plan is as follows:

Ward management team: Dr. Zhou Li and Dr. Ou Shuhuan are responsible for managing the examination, diagnosis and treatment of specific patients, writing medical records, rehabilitation assessment, and formulating rehabilitation treatment plans. .

Modern Rehabilitation Team: The ward management team shares a part, with Zheng Jiaxin responsible for physical therapy, occupational therapy, and speech correction; Ou Shuhuan is responsible for physical factor therapy.

Traditional rehabilitation group: Zhou Li is responsible for acupuncture, massage, cupping, acupuncture, medicinal compresses, etc. Rehabilitation nursing team: Nurses give full play to the advantages of rehabilitation nursing and carry out nursing and rehabilitation education with rehabilitation characteristics.

8. Strengthen outpatient management. The outpatient department is the window of the rehabilitation department and is responsible for transporting patient numbers to the ward. Outpatient doctors receive patients, issue treatment orders or contact hospitalization, and leave them to the department for unified arrangements. Other departments introduce patients to our department, and our department arranges unified treatment.

9. Increase the training of department personnel, seek leadership support, and coordinate department personnel to rotate in departments related to rehabilitation medicine, such as neurology, neurosurgery, and orthopedic surgery, to learn relevant treatment knowledge and strengthen inter-department connections. Each year, 1 to 2 doctors are selected to go to higher-level hospitals for further study.

10. Actively introduce high-quality rehabilitation talents, especially rehabilitation therapists and masseurs, to facilitate better business development.

11. Create a scientific research atmosphere and strive to publish more than one paper every time.