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120 first aid station work plan
Emergency refers to the emergency department of a hospital. Emergency medicine is written as "Emergency treatment" in English, which means treatment in emergency situations. Divided into emergency treatment and rescue. Now I will bring you the 120 first aid station work plan, I hope you like it!
120 first aid station work plan Part 1
1. We must continue to strengthen emergency services The construction of nursing stations improves the emergency response capabilities of nursing staff
1. Deepen the first aid awareness and group awareness of nursing staff, conduct regular planned and organized business target training, and cultivate qualified nursing staff in the emergency department.
2. Continuously establish and improve the rules and regulations of the emergency department, strengthen personnel's learning of health administrative laws and regulations, and enhance personnel's legal awareness.
3. Promote the standardized management of various emergency work to improve the success rate of rescue.
2. Focus on combining the "three basics" training with clinical practice to improve the professional quality of personnel.
1. Be proficient in the judgment of common conditions, rescue procedures and key points of care, and conduct regular assessments.
2. Be proficient in cardiopulmonary resuscitation skills.
3. Be proficient in wound treatment, bandaging and hemostasis techniques and psychological care of the wounded.
4. Be proficient in a series of operational techniques such as inducing vomiting, enema, injection, oxygen administration and body positioning during first aid, as well as condition monitoring and other professional skills, which are required to be accurate and timely.
3. Strictly manage the rescue room and treatment room to gain valuable rescue opportunities for patients
1. Be proficient in the use of various instruments and ensure that they have good performance and are ready for use at any time.
2. Special personnel are responsible for all types of rescue medicines and equipment. They are regularly inspected, placed at fixed points, disinfected regularly, the drug base is maintained consistent with the card, and first aid kits are strictly managed to ensure the normal use of out-of-hospital first aid.
3. Clean, replenish and record all types of emergency medicines in a timely manner after use, and keep them neat and clean.
4. Strictly implement various work standards to ensure the safety and effectiveness of nursing work and the comprehensive implementation of overall nursing work
1. Strictly implement the "three checks and seven pairs" system to prevent Errors and accidents occur.
2. Strictly implement the operating principles of aseptic technology and nursing procedures, carry out holistic care with the goal of improving or restoring the patient's health, care for and considerate the patient physically, psychologically and in daily life, and promote humanized services .
3. Strictly implement the "Twelve Core Systems"
4. Strengthen the proper management of waste disposable items to prevent the occurrence of nosocomial infections.
120 First Aid Station Work Plan Part 2
1. Guiding Ideology
Take first aid as a guide, conscientiously implement the scientific concept of development, and conscientiously implement the "patient-centered approach" The relevant requirements of the Traditional Chinese Medicine Hospital Management Year activities with the theme of "focusing on the characteristics and advantages of traditional Chinese medicine" are to maintain health, care for life, and serve the people wholeheartedly as the purpose of the department, in order to build our department into a trustworthy hospital for the public, a trustworthy hospital, and noble medical ethics. The department with superb medical skills has taken solid steps.
2. Tasks, goals and requirements
1. Strengthen the training of existing professional and technical personnel in the department, and the academic (department) leaders and talent echelon should be able to meet the needs of emergency connotation construction As the focus, continuing education in traditional Chinese medicine will be carried out in a planned manner. During the year, 15 people will be sent to participate in various academic activities related to emergency rescue. Under the same conditions, training courses on appropriate technical aspects of traditional Chinese medicine will be prioritized. It is planned to send a Chinese medicine practitioner to a higher-level hospital for further study. We attach great importance to the "Three Basics and Three Stricts" and strengthen special training on medical history inquiry and standardized physical examination, standardized writing of large medical records, and rational use of antibiotics.
2. Further improve the quality of medical care, improve the diagnosis and treatment routines for common emergency diseases, and implement them in clinical work. Improve the ability to deal with critical and severe diseases and the quality of diagnosis and treatment, actively apply traditional Chinese medicine in the treatment of critical and severe diseases, ensure the full participation of traditional Chinese medicine, and give full play to the characteristics and advantages of traditional Chinese medicine. Improve the level of dialectical treatment, diagnosis and differential diagnosis of characteristic diseases, improve the suitability of examination and treatment, and the safety and rationality of drug use. Improve the treatment rate of key emergency departments.
Medical staff are required to be proficient in the knowledge and skills of traditional Chinese and Western medicine first aid, and increase the utilization rate of traditional Chinese medicine in critical cases.
Focus on "quality, safety, service, price" and pay close attention to connotation construction. Improve the "green channel" for emergency, admission, and surgery to make emergency services timely, safe, convenient, and effective. Improve the 24-hour emergency service directory and emergency work procedures, and coordinate with various clinical departments. Efforts should be made to manage emergency plans carefully and have procedures for classified management of large numbers of patients. The goal is to enable emergency patients to be safely admitted to hospital after their diagnosis is confirmed within 24 hours and their condition is stable.
Strive to achieve 50,000 outpatient diagnosis and treatment visits; 700 discharged patients; 120 observation visits; business revenue to reach 4 million, and the proportion of drug revenue in industry revenue to decrease by 5%.
In-hospital emergency consultation time is ≤10 minutes, emergency stay time is ≤48 hours, emergency application of TCM diagnosis and treatment techniques ≥3 items, critical and critical rescue success rate ≥80%, emergency and severe TCM treatment rate, emergency The treatment rate of integrated traditional Chinese and Western medicine for critical illness is ≥30%. First aid supplies are 100% intact.
3. Service attitude
Adhere to the patient-centered approach, carry out in-depth activities to create a "Quality Service Demonstration Post", standardize service behavior, innovate service content, focus on service skills, and implement doctor-patient Communication and informed notification system, timely and appropriate handling of various disputes, regular analysis and summary, strengthening safety measures to prevent medical accidents. Extend the scope of services, ensure service quality, comprehensively improve medical service levels, improve patient satisfaction rates, and build a harmonious doctor-patient relationship
3. Strengthen leadership, establish various management organizations of the department, and implement responsibilities.
1. Establish a medical quality control team
Team leader:
Members:
Main responsibilities: Responsible for the medical quality management of the undergraduate department Work, supervise the writing of various medical documents, and strictly prevent the occurrence of medical disputes.
2. Establish an infection control team:
Team leader:
Members:
Main responsibilities: Responsible for various infections in the undergraduate department Report the disease and strictly prevent nosocomial infection and cross-infection.
4. Supervision and management
1. Earnestly implement the first-diagnosis responsibility system, shift handover system, critical patient rescue system and other major core systems. Responsibilities of all types of personnel at all levels and priority according to the condition. Get diagnostic and treatment procedures. Strengthen the evaluation of medical records for link operation, focus on inspection of content related to medical quality and patient safety, improve the quality control system of regular inspection, evaluation, feedback, and summary, insist on one small check every week and one big check every month, and strengthen link management and coagulation The discussion of difficult medical records and the handling opinions of third-level doctors on changes in condition during ward rounds should be monitored with emphasis to promote continuous improvement and enhancement of basic quality.
2. Formulate training and assessment plans for all types of personnel at all levels, increase on-the-job training, and increase the assessment of the training effectiveness of doctors at all levels. Adopt various forms to carry out professional quality, business quality and management quality training for department employees at different levels and in a focused manner, so as to strengthen the awareness of professional responsibility of all employees.
3. Strengthen regular maintenance, monitoring and dedicated management of emergency rescue equipment, promptly discover problems and eliminate faults, so that the integrity rate of rescue equipment reaches 100%. Strengthen training and standardize use so that medical staff can master it proficiently, use it correctly, and ensure safe operation to meet the emergency needs of patients.
4. Strictly control nosocomial infections. Strengthen the training of cardiopulmonary resuscitation skills to reach an advanced level. Conduct regular training and assessment for management personnel as required.
5. Reward and Punishment Methods
1. Medical staff who relieve patients from pain, receive praise and affirmation from patients and their families, and receive letters of commendation or banners will be rewarded 100 yuan by the department;
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2. Those who fail to conscientiously implement various rules and regulations such as the first-diagnosis responsibility system will be punished according to the hospital management rules;
3. Those who do not write medical records carefully and cause medical disputes will be punished according to the hospital management rules. ;
4. Those who fail to pass the three basic trainings will be fined 50 yuan to 100 yuan each time;
5. Those who fail to perform cardiopulmonary resuscitation skills will be fined 100 yuan.
Rewards and punishments are not the purpose, but encourage us to work harder, ensure service quality, improve
medical standards, improve patient satisfaction, and build a harmonious doctor-patient relationship.
120 First Aid Station Work Plan Part 3
1. Strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly care Serve.
1. Implement various rules and regulations: regular and irregular inspections, supervision in place, and supervision and inspection records.
2. Strengthen safety awareness: prompt reminders when discovering unsafe factors at work, and strictly implement the "Four Don'ts".
3. Strengthen the management of key periods: such as night shifts, mid-day shifts, holidays, etc., implement a flexible shift system, reasonably match old, middle-aged and young personnel on duty, and also pay attention to cultivating the independent spirit of nurses when they are on duty independently. .
4. Hierarchical management: Carry out hierarchical management of the nurses in charge - nurses - nurses - new nurses (within 1 year) - internship nurses, and strengthen the training of new nurses. Training, learning and education to improve their professional capabilities.
5. Improve nursing document records and reduce safety hazards: standardize nursing document records and conscientiously implement the "cross principles" in nursing records, which are objective, true, accurate, timely and complete.
6. Strengthen the occupational protection of nursing staff: organize general nurses to learn relevant knowledge, formulate occupational exposure reporting systems, occupational exposure prevention measures, and specific handling measures and procedures after occupational exposure.
7. Improve the nursing emergency risk plan: Pay attention to cultivating the emergency response capabilities of nurses in daily work, conduct retrospective evaluations of each emergency work, draw lessons from them, and improve nurses' response to emergencies. ability.
2. Be patient-centered, promote civilized and high-quality services, strengthen communication between nurses and patients, improve patient satisfaction, and avoid nursing disputes.
1. Ensure and improve convenience measures, assign management responsibilities to people, and deal with problems in a timely manner when problems are discovered.
2. Strengthen service awareness education and improve the concept of humanized active service. Continue to implement the nurses' behavioral norms, implement nurses' civilized language in daily work, and improve the quality of health education.
3. Carefully implement the notification procedures before and after clinical treatment, respect the patient’s right to know, and relieve the patient’s concerns.
4. Hold monthly work break symposiums, distribute patient satisfaction surveys, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.
3. Regular and irregular nursing quality inspections to maintain continuous improvement of nursing quality.
1. Give full play to the role of the nursing quality control team and conduct quality inspections every week so that problems can be discovered, corrected and dealt with in a timely manner.
2. Continuously modify and improve various nursing quality standards, organize learning, and implement various nursing work according to standards.
3. The head nurse conducts regular and irregular quality inspections, analyzes the causes of deficiencies and rectifies them in a timely manner, and strengthens the service awareness and quality awareness of nursing staff.
4. Regularly conduct a comprehensive analysis of the quality control team, head nurse quality inspection, and nursing department quality inspection feedback to find the reasons, formulate practical rectification measures, and check the implementation of rectifications.
4. Strengthen the management of nosocomial infections
1. Strictly implement the disinfection and isolation system formulated by the nosocomial infection management leading group.
2. Standardize disposable items and promptly destroy them, soak them and process them intensively, and conduct regular inspections and supervisions. Regularly test, inspect and register the concentration of each disinfectant solution.
3. Add a "General Affairs Class" to be responsible for the cleaning, detoxification and maintenance of various items and instruments in the undergraduate department.
5. Strictly implement the three basics and three strict trainings, strengthen teaching, further training, and continuing education, and improve the professional quality of nursing staff.
1. Train nursing staff at all levels according to the three basics and three strictness training plan, and organize theoretical examinations and technical operation assessments every month. According to the nurse in charge (or over 45 years old) - nurse (or over 35 years old) - nurse - new nurse (within 1 year) - trainee nurse, they will be trained and managed in layers. p>
2. Ask nurses questions during nursing rounds, covering basic theoretical knowledge, specialist theoretical knowledge, nosocomial infection knowledge, etc.
3. Frequently review nursing emergency risk plan knowledge, conduct first aid technical drills every quarter, master the use of first aid equipment and instruments, and improve nurses' emergency response capabilities.
4. Conduct comprehensive evaluation through department recommendations and nursing department assessments, select nursing key personnel, conduct regular training and study, arrange nursing lecture tasks, and establish a nursing department-head nurse-nursing key personnel-new nurses hierarchical nursing teaching management network.
120 First Aid Station Work Plan Part 4
The emergency nursing work in __ will focus on the shortcomings, pay close attention to the connotation construction, further strengthen the establishment of the emergency first aid professional team, stabilize the first aid team, and continuously Improve emergency green channels to ensure timely, safe, convenient and effective emergency services. Strengthen collaboration with other departments of the hospital, improve emergency work procedures, improve emergency service quality, and build the hospital's image. The plan is now as follows:
1. Emergency nursing safety is the focus of this year’s work
1. Strengthen nursing safety monitoring and management, conduct regular monthly analysis and discussion meetings of adverse nursing events, Conduct key analysis on key individuals (such as new employees) to learn from others’ lessons and prevent mistakes.
2. Strictly implement the checking system to prevent errors and accidents. Quality controllers conduct weekly inspections and provide timely feedback when problems are found.
3. Conduct routine inspections of the department’s rescue drugs and equipment every week to ensure that their performance is intact and safety performance is checked. If problems are found, they are repaired in a timely manner to ensure a 100% integrity rate.
4. Based on the provincial emergency nursing safety management goals, formulate department safety management goals and organize training to implement them.
5. Practice first aid skills diligently to ensure that rescue patients receive effective first aid treatment as soon as possible.
2. Pay attention to business construction and improve the overall quality of the nursing team
1. Training of professional skills: Develop professional knowledge training and assessment plans, implement closed-book examinations, pay attention to actual results, and not become mere formalities , laying a solid foundation for cultivating nurses’ professional abilities.
2. Technical operation training: arrange a technical operation training every month, organize first aid technical training for medical staff on time according to the assessment requirements of the emergency center, complete the municipal first aid skills assessment on time, and ensure that personnel People pass.
3. Strengthen the learning and mastering of relevant knowledge, and regularly organize the study of various emergency plans, relevant knowledge of first-aid drugs, rescue procedures, and green channel regulations.
3. Enhance proactive service awareness and promote harmonious doctor-patient relationship
Standardize service behavior, pay attention to service skills, implement informed notification system, promptly and properly handle various conflicts, and conduct regular analysis and summary , strengthen safety measures. Extend the scope of services, such as telephone follow-up visits after patients leave the hospital. Emergency patients should: have nurses observe, accompany and care about them when they are in the hospital, have nurses greet them with explanations and blessings when they are discharged, and strive to create a window image.
4. Establish legal awareness and ensure the rights and interests of doctors and patients
1. Further standardize the writing of nursing documents, start with the details, and conduct regular analysis and analysis of defects in pre-hospital emergency medical records and rescue records improve.
2. Implement notification of the patient’s condition, medication, and invasive procedures. Nurses must be notified and signed for operations such as gastric lavage and urinary catheterization, and relevant information should be informed according to the instructions for special medications, such as Infusion drip rate and common adverse reactions, etc.
5. Strictly implement the core system to ensure the safety, effectiveness and comprehensive implementation of nursing work
1. Establish inspection, evaluation, and feedback mechanisms, regularly listen to the opinions of medical staff, and promptly propose rectifications measure.
2. Formulate work responsibilities and quality standards for each shift, enhance the awareness of all employees to participate in quality management, and improve the quality of care.
3. Actively participate in business rounds organized by the nursing department, learn nursing work experience, and improve nursing standards.
6. Strengthen the safety management of pre-hospital first aid and long-distance medical escort
1. Increase pre-hospital first aid facilities (such as syringe pumps, etc.) and organize regular training on pre-hospital first aid knowledge and skills. Improve the level and speed of pre-hospital first aid.
2. Summarize and analyze each long-distance medical escort, listen to the opinions of medical staff, and continuously improve the documentation, disease notification and related work content of medical escorts.
7. Comprehensively implement nurse performance management and improve nurses’ work enthusiasm
1. The department formulates the department’s performance based on the performance management plan of the Nursing Department and combined with the work characteristics of the undergraduate department Develop assessment plans and organize their implementation.
2. Focus on quality and carry out performance management of nurses based on workload, attendance, labor discipline, service complaints, business skills and three basic examination results, professional titles, continuing education, and working years in undergraduate departments. .
In short, in XX, our department will face many difficulties such as the renewal of most nursing staff and arduous work tasks. We will further gather everyone’s strength, unite as one, and work together. Under the leadership of the superior department, With the support, all work can be operated safely to ensure a win-win situation for both parties.
120 First Aid Station Work Plan Part 5
1. Guiding Ideology
Under the correct leadership of the superior authorities and guided by the spirit of the __ National Congress of the Party , with the goal of doing a good job in the new rural cooperative medical care and urban residents' medical insurance, with the purpose of maintaining health, caring for life, and serving the people wholeheartedly, in order to build our department into a department that the public trusts, the hospital can trust, and the medical ethics are noble and the medical skills are superb. Take solid steps.
2. Main measures
1. Medical quality
On the basis of consolidating the results of the emergency management annual activities of the previous two years, combined with the review and rectification work of grade hospitals , focusing on "quality, safety, service, price" and paying close attention to connotation construction. It is necessary to further strengthen the establishment of emergency first aid professional teams, learn emergency medical knowledge, understand the importance of emergency first aid in the current society, and stabilize the emergency first aid team. Improve the "green channel" for emergency, admission, and surgery to make emergency services timely, safe, convenient, and effective. Improve the 24-hour emergency service directory, emergency work procedures, management documents, and specifications for various support system services. Coordinate the cooperation of various clinical departments on emergency work. There are procedures for classifying and managing large numbers of patients. The goal is to enable emergency patients who are under observation to be safely admitted to hospital after their diagnosis is clear within 24 hours and their condition is stable. Strengthen first-aid guidance from superior doctors, strengthen three-level consultations, and strengthen collaboration with other specialties to increase the success rate of rescue of critically ill patients to more than 98%.
2. Quality management.
Pay close attention to the "Three Basics and Three Stricts" and strengthen special training on medical history inquiry and standardized physical examination, standardized writing of large medical records, and rational use of antibiotics. Earnestly implement the first-diagnosis responsibility system, the handover system, the critical patient rescue system, the responsibilities of various personnel at all levels, and the priority access to diagnosis and treatment procedures based on the condition. Strengthen the evaluation of operational medical records, focus on inspection of content related to medical quality and patient safety, improve the quality control system of regular inspection, evaluation, feedback, and summary, insist on small inspections every week and one major inspection every month, and manage links and condense difficulties. Medical record discussions and ward rounds by third-level doctors on handling changes in condition should focus on monitoring to promote continuous improvement and enhancement of basic quality.
3. Equipment management
It is necessary to strengthen regular maintenance, monitoring and dedicated management of emergency equipment, timely discover problems and eliminate faults, so that the integrity rate of rescue equipment reaches 100%. Strengthen training and standardize use so that medical staff can master it proficiently, use it correctly, and ensure safe operation to meet the emergency needs of patients. Strictly nosocomial infection. Strengthen the training of cardiopulmonary resuscitation skills to reach an advanced level.
4. Service attitude
We must focus on high-quality service. Adhere to the patient-centered approach, carry out in-depth activities to create "Quality Service Demonstration Posts", standardize service behaviors, innovate service content, focus on service skills, implement doctor-patient communication and informed notification systems, promptly and properly handle various disputes, and conduct regular analysis and summary , strengthen safety measures to prevent medical accidents. Extend the scope of services, ensure service quality, comprehensively improve medical service levels, improve patient satisfaction rates, and build a harmonious doctor-patient relationship
5. Training plan
It is necessary to formulate training for all types of personnel at all levels Assessment plans, intensified on-the-job training, and planned continuing education projects in traditional Chinese medicine. Increase the assessment of the training effectiveness of doctors at all levels. We adopt various forms to conduct professional quality, business quality, and management quality training for all employees at different levels and in a focused manner, so as to strengthen the awareness of professional responsibility of all employees.
In ~2019, with the support of the hospital, we hope to send doctors and nurses to higher-level hospitals to further study cardiovascular medicine, neurology, ICU or CCU and other related majors, so that they can better carry out business. At the same time, we will establish a group of advanced models with both medical and moral integrity to promote the all-round development of talents.
6. Construction of traditional Chinese medicine characteristics
It is necessary to implement the policy of "TCM as the body and Western medicine as the application", highlight the advantageous goals, and strengthen the construction of traditional Chinese medicine characteristics. Formulate a training plan for traditional Chinese medicine theory and technology for personnel working in traditional Chinese medicine and integrated traditional Chinese and Western medicine, and increase training and continuing education on basic knowledge of traditional Chinese medicine. According to the requirements for the construction of the emergency department of a second-class traditional Chinese medicine hospital, there must be diagnostic and treatment specifications for common diseases and special diseases in the department, as well as operating procedures for special techniques, so that there are at least three types of normative documents for the department. Increase the utilization rate of traditional Chinese medicine in emergency treatment. Professional emergency medical staff should be proficient in the knowledge and skills of traditional Chinese and Western medicine first aid, and increase the utilization rate of traditional Chinese medicine in critical and severe cases, so that the participation rate of traditional Chinese medicine is above 30%.
7. Promote medical insurance reform
It is necessary to promote the smooth progress of medical insurance reform and make all aspects of the new rural cooperative medical care more detailed. At the same time, we conduct targeted publicity for special groups, improve the quality and level of services, and strive to create a win-win situation in which the people benefit and the medical industry develops.
8. Key research topics
This year we will focus on learning and researching multiple organ dysfunction syndrome, resuscitation and cardiovascular emergency, infection and rational application of antibiotics, non-invasive and invasive Research on topics such as positive pressure ventilation therapy, severe trauma and shock, acute respiratory distress syndrome, and disseminated intravascular coagulation have brought the first aid level of our hospital's emergency department to a higher level.
9. Pre-hospital first aid
Increase pre-hospital first aid facilities, strengthen training in pre-hospital first aid knowledge and skills, and improve the level of pre-hospital first aid. Such as vehicle-mounted ECG monitoring defibrillator, ventilator, etc.
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