Pediatric Nursing Safety Work Plan

Part 1

The pediatric nursing work in 201x will focus on the work plan of the hospital and nursing department, based on the "Second Level General Hospital" evaluation standards and the "Evaluation Rules for Quality Nursing Services (201x Edition)" 》, the main focus is to consolidate the "Second Class A Hospital", promote high-quality nursing services, and continue to carry out the work of the baby-friendly hospital. The current plan is as follows:

1. Further strengthen the work of high-quality nursing services

1. Continue to carry out high-quality nursing services in depth. Based on the review of the "Second Class A Hospital" in August 201x, the problems found in various quality control and the proposed rectification measures will be implemented one by one. Strengthen the implementation of the responsibility system for holistic care.

2. Continue to implement the responsibility-based holistic nursing work model, with nurses in charge of children, consolidating basic nursing care, and providing comprehensive and holistic nursing services.

3. In accordance with the "Evaluation Rules for Quality Nursing Services (201x Edition)", special inspections of the implementation of quality nursing services will be conducted regularly every month, and quality nursing group activities will be conducted and recorded in a timely manner.

II. Strengthen the construction of provincial-level clinical nursing key specialty projects

1. In accordance with the implementation plan of the Ministry of Nursing’s “Provincial-level clinical nursing key specialty project construction”, conscientiously implement various tasks.

3. Further improve the pediatric quality control management system.

1. The department continues to implement the head nurse--the quality control team leader--to control the quality of pediatric nursing care.

2. Conduct an investigation into department nurses’ distribution of rewards for quality assessment of nursing work, and formulate methods for assessment and distribution of quality work in the department.

3. Formulate and implement pediatric nursing rules and regulations, especially training plans for core systems, nursing routines, and nursing emergency plans.

4. Strengthen human resources management.

1. Implement the "Nursing Regulations". In the case of insufficient existing nurses, the department still implements a flexible scheduling work model for nursing human resources. According to the ward usage rate, number of children admitted, The difficulty level of nursing work, specialty characteristics, and flexible scheduling work model.

2. Implement the hierarchical management plan for nurses, strengthen training for junior nurses, and conduct strict assessment and management in strict accordance with the "Work Manual for Junior Nurses".

3. Continue to promote quantitative assessment of nursing work, implement performance assessment based on nursing workload, quality, patient satisfaction, combined with nursing difficulty, technical requirements, etc., and integrate it with the evaluation, promotion, and evaluation of nurses. Salary distribution combined.

5. Strengthen the quality control of pediatric clinical care and achieve the purpose of continuous improvement

1. Establish and improve the pediatric quality control management system.

2. Every month, the quality control team in each department uses the PDCA management tool to carry out quality control activities every month.

3. According to the existing problems recorded in the "Nursing Quality and Safety Briefing", analyze and rectify the causes.

4. Carry out regular nursing rounds for critically ill clinical patients; implement nursing case discussion and consultation systems.

5. Strengthen the inspection of the understanding and implementation of nursing rules and regulations, especially the core nursing system, nursing routines, operating procedures, and nursing emergency plans.

6. Strengthen the quality management of neonatal care units in accordance with the "Assessment Standards for Secondary General Hospitals".

6. Strengthen nursing safety management and ensure patient safety

1. Hold ward nurses’ meetings every month to analyze and rectify problems existing in the department in a timely manner.

2. Establish an active reporting mechanism for non-punitive adverse nursing events, collect and analyze adverse nursing events in a timely manner every month, and formulate relevant rectification and prevention measures.

3. Implement safety target management of key patients, and the risk assessment rate of patients upon admission should reach 100%.

4. Regularly provide nursing safety warning education to all nursing staff.

5. Based on the statistics of adverse events in pediatric nursing in 201x, conduct safety warning education on problems that are prone to occur in the department.

7. Strengthen on-the-job training and improve the professional quality of nursing staff.

1. Formulate the department’s “Three Basics” and “Three Stricts” nursing theory and operational skills training plan, and carry out implementation assessments according to the plan.

2. Regularly carry out training and assessment on critically ill patient care theories and techniques, critical patient care routines and technical specifications, work processes and emergency plans.

3. Regularly carry out training and assessment on common clinical nursing technology operations: According to the regulations on hierarchical management of nurses, strengthen training and assessment at all levels.

4. Strengthen access training for junior nurses and new nurses.

5. Organize nursing business classes within the department 1-2 times a month, no less than 12 times a year.

6. Regularly conduct business rounds, nursing case discussions, and nursing consultations to strengthen theory-to-practice learning.

7. It is planned to select 1 to 2 nursing backbones to go to higher-level hospitals to study and train neonatology specialist nurses and children's gastroenterology specialist nurses.

8. Adhere to "patient-centered" and improve nursing service satisfaction

1. Through various forms of learning and activities, strengthen nurses' communication skills, proactive service awareness, Quality awareness and safety awareness education.

2. Regularly hold nurse-patient public holiday symposiums every month to educate patients on health knowledge, listen to patients’ opinions, and carry out convenience measures.

3. Distribute satisfaction survey forms to patients, conduct a survey on the satisfaction of doctors and nurses on nursing work, and go deep into departments to actively listen to the opinions and suggestions of doctors and nurses on nursing management.

4. Carry out monthly follow-up telephone visits to patients after discharge.

5. Pay attention to cultivating nurses’ daily etiquette, standardizing nurses’ service behaviors, nursing operation terms, etc., and cultivating nurses to establish a good professional image.

9. Further strengthen the nursing work of "baby-friendly hospitals"

1. Strengthen the knowledge training of nursing staff on "baby-friendly work"

2. Strengthen breastfeeding Health education and education

3. According to the "Baby-friendly Hospital Evaluation Rules (201x Edition)", special inspections of the implementation of "baby-friendly" services will be carried out regularly every month, and timely supervision and group activities will be carried out and recorded.

10. Do a good job in teaching and scientific research

1. Strictly implement the "Intern Management System", check the quality of teaching, and designate N2-2 and above nurses to be responsible for teaching interns , the head nurse is the chief teaching teacher, attaches great importance to the quality of teaching, arranges lectures within the department, and does a good job in examinations.

2. Enhance nurses’ awareness of scientific research and strive to introduce or carry out 1 to 2 new technology projects within the year.

Part 2

In the new year, the new starting point is to further implement the "patient-centered" service purpose, strengthen basic nursing, fully implement the nursing responsibility system, and improve the overall Improve the level of nursing services and improve patient satisfaction. This plan is formulated based on the relevant spirit of the Nursing Department and the actual situation of our department.

1. Strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide high-quality, safe and orderly nursing services to sick children.

1. Continuously strengthen safety awareness education, promptly remind when unsafe factors are discovered at work, and propose corrective measures, organize discussions and learn from nursing errors inside and outside the hospital as examples, so that nursing staff can fully understand nursing Error factors include new situations and new characteristics, and lessons can be learned from them to keep the safety alarm bell ringing.

2. 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. .

3. Strengthen the management of children with key illnesses, such as special care children in the intensive care unit and critically ill children in the general pediatrics ward. Make the above-mentioned children the focus of discussions during morning meetings and handovers in the department, and focus on The patient's existing and potential risks are assessed to achieve comprehensive awareness and attract the attention of each class.

4. Improve nursing document records and reduce safety hazards. , standardize nursing document records, and conscientiously implement the "cross principles, that is, objective, true, accurate, timely, and complete" in nursing records.

5. Improve the nursing emergency risk plan, and pay attention to cultivating nurses' emergency preparedness in daily work. Ability, each emergency work must be retrospectively evaluated, lessons learned, and nurses' ability to respond to emergencies improved.

2. Be patient-centered, promote humanized services, strengthen communication between nurses and patients, improve patient satisfaction, and avoid nursing disputes.

1. Office shift nurses sincerely welcome newly admitted patients, send the sick children to their beds, and actively provide admission and health education to the sick children’s families

2. Responsible nurses are required to communicate with the children’s families every day, including health education, understanding the disease outcome, life needs, effects and reactions of the children, etc., and conscientiously implement various nursing operation notification procedures. , respecting the parents’ right to know and relieving their concerns.

3. Hold monthly work break symposiums, issue patient satisfaction surveys, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.

3. Carry out in-depth "people-oriented" holistic nursing work. Detail the work process and clarify job responsibilities.

1. Revise the responsibilities of each class, change the scheduling model, refine the work process of each class, find weak links, clarify the division of nursing labor, and strive to make the new responsibilities more reasonable and practical.

2. Pay close attention to basic nursing and specialist nursing, and implement a responsible nurse responsibility system. Provide overall nursing services to patients, closely observe the patient's condition, communicate with the patient at any time, provide patients with daily care and basic care, ensure patient safety, and embody humanized nursing care.

3. Deepen the hierarchical use of nurses, and allocate responsible nurses according to the patient's condition, nursing difficulty and technical requirements. Critically ill patients are responsible for nurses with high seniority and strong ability, reflecting the corresponding ability level.

IV. Nurses implement performance distribution

Distribution principles: efficiency, quality first, distribution according to work, taking into account justice and fairness.

Assignment basis: patient satisfaction, workload, existing risks, nursing quality, and sense of responsibility.

5. Strengthen patient health education

1. Responsible nurses will conduct daily self-examination based on the treatment and nursing routines, special diets, and diseases of common diseases in the department

Precautions for prevention and medication are explained to patients in detail, health education and rehabilitation guidance are provided to patients, and psychological care is provided.

2. A nursing office meeting is held every month, and each nurse reports on her work situation and feelings. Conduct monthly patient satisfaction surveys and carefully listen to patients’ opinions and suggestions on quality nursing work. Provide timely feedback on existing problems and propose corrective measures to continuously improve the quality of care and improve patient satisfaction.

VI. New businesses and new technologies

1. Focus on the development of pediatric rehabilitation and health care, and select 1-2 nurses to further study pediatric rehabilitation and health care

2. Strengthen scientific research awareness, and strive to launch 1-2 new technologies within the year.

Part 3

The Department of Pediatrics is a young team full of energy, love and hard work. Under the correct leadership and strong support of leaders at all levels of the hospital, pediatrics has developed rapidly and all work has reached a new level. In the new year, in order to implement the service concept of "caring for life and loving care", our hospital actively responded to the "Quality Nursing Service Project" launched by the Ministry of Health. Accelerate the pace of pediatric development and comprehensively improve the level of pediatric nursing work. The 201x nursing work plan is specially formulated:

1. Strengthen nursing quality management. Continuously improve quality and ensure clinical safety

1. Improve nursing quality assessment standards. Further refine and quantify assessment indicators.

2. Give full play to the role of the quality control team. Establish a first-level nursing quality management team headed by the head nurse. Two head nurse assistants conduct inspections and assessments from time to time. Provide timely feedback on inspection and assessment results and propose corrective measures as the basis for individual rewards and punishments to continuously improve the quality of care.

2. Strengthen the on-the-job education of nursing staff and improve the level of specialist nursing.

1. The department formulates detailed training and assessment plans and implements them. The content includes: various operating techniques, the use of commonly used and emergency drugs and their adverse reactions, nursing routines for common diseases, critical first aid, hospital awareness knowledge and core systems, etc.

2. Create a strong learning atmosphere. There has been a movement among general nurses to become "learning nurses". "Advance with the times, start with me!" In order to meet the learning needs of nurses with different professional titles and different seniority, the department has formulated professional learning plans for nurses within one year, within three years, and more than five years of employment, and insists on asking questions during morning meetings twice a week . (No more than 15 minutes) Select technical experts to train, guide and assess general nurses in basic operations. Promote learning for everyone.

This initiative has established a platform for general nursing staff to absorb new knowledge and information.

3. Continue to increase the training of specialist nurses. According to the plan, nurses are selected to take turns to go to higher-level hospitals for further training and participate in various short-term training courses, and nurses are encouraged to participate in continuing education. Let our nursing level keep pace with the times to meet the standards of tertiary hospitals and ensure the stability of specialist nurses.

4. PICU is an unaccompanied ward, and all treatment and care are completed by nurses. For the cure and recovery of children, a nursing team with superb professional skills, comprehensive knowledge, and strong emergency response capabilities is extremely important. The department organizes risk plan drills every quarter to improve nurses' emergency response capabilities. Increase efforts to learn pediatric first aid techniques and new developments so that everyone can pass the test.

3. Establish a "patient-centered" service concept and improve service quality.

1. Integrate our hospital's service concept of "caring for life, loving care" and humanistic care into the nursing services for children. Cultivate nursing staff to establish a "patient-centered" concept, take the patient's voice as the first signal, the patient's needs as the first need, the patient's interests as the first consideration, and the patient's satisfaction as the first criterion. Strengthen proactive service awareness, quality awareness, and safety awareness. On the basis of further standardizing nursing operations, improve nurse-patient communication skills, thereby improving the quality of nursing care and ensuring the safety and effectiveness of nursing work.

2. Pay attention to collecting information on nursing service needs. Obtain patients’ needs and feedback information by understanding return visits, talking with inpatients, issuing satisfaction questionnaires, etc., and often listen to doctors’ opinions and provide them in a timely manner. Improve measures, and at the same time provide incentives for nurses to work, mobilize their enthusiasm for work, and achieve truly proactive services in terms of thoughts and actions. Apply the service concept of "Serve with Heart, Create Touch" into actual work. Enhance nurses' sense of responsibility, promote nursing work to be closer to patients, and close the nurse-patient relationship.

3. Continue to carry out etiquette services in depth in the department. General nurses provide services in Mandarin, maintain standardized appearance, wear light makeup, and serve enthusiastically. The leader of the code of conduct conducts random inspections and incorporates etiquette services into the personal quality assessment of nurses to improve the overall quality of nurses. At the same time, we will increase health education efforts to make parents understand and trust medical staff and promote doctor-patient harmony.

IV. Strengthen hospital infection management and reduce hospital infection rate

1. Develop and improve the department’s hospital infection management and disinfection and isolation system to achieve continuous improvement.

2. The hospital infection control staff will inspect the hospital infection work of the general department from time to time, and the head nurse will make random inspections from time to time. Solve problems in a timely manner and assign responsibility to the person responsible.

3. Conduct regular training and assessment on hospital infection knowledge, enhance nursing staff’s awareness of hospital infection, and strictly implement various operating procedures and disinfection and isolation systems.

4. Strengthen the management of disposable supplies. Strictly enforce medical waste disposal regulations.

5. Strengthen nursing safety management to prevent errors and accidents.

1. Strengthen the management of emergency medicines, items and equipment, strictly enforce the delivery system, and maintain a good emergency state. The head nurse insisted on "five checks".

2. Strictly implement various operating procedures and core systems.

3. Strengthen nursing defect management and strictly implement the error accident management system.

4. Nurses’ personal assessment registration should be carried out in a timely manner, summarized and announced every month, and the reward and punishment system should be implemented.

5. Identify the person responsible for any errors, analyze the reasons, discuss preventive measures, implement corrective measures in a timely manner, and prevent similar errors from occurring.

6. Strengthen the study of legal knowledge and enhance legal awareness. Standardize nursing behavior.

Sixth, do a good job in teaching and scientific research

1. The department selects a teaching team leader to be fully responsible for the teaching work of the department.

2. Formulate training courseware for induction, internship and further training personnel. There is a plan to organize learning and conduct assessments.

3. Hold teaching symposiums every month to solicit everyone’s opinions, constantly sum up experience, and improve teaching levels.

4. Enhance scientific research awareness and actively write papers.

7. Strengthen the management of department property, equipment and consumables.

1. Valuable equipment should be kept by dedicated personnel and inspected and maintained regularly.

2. All kinds of items are managed by dedicated personnel and counted and registered every quarter.

3. All types of consumables are managed by dedicated personnel, and the expenditure on consumables received is announced every week in a timely manner so that everyone is aware of the situation, eliminates waste, and increases revenue and reduces expenditure.

Part 4

In 201x, with the care and support of leaders at all levels of the hospital, the environmental facilities of the pediatric ward have been greatly improved. In the new year, with the improvement of department conditions Improvement has also put forward higher requirements for nursing work. According to the 201x nursing work plan of the Nursing Department and the actual work of the undergraduate department, the 201x pediatric nursing work plan is specially formulated as follows:

1. Continuously carry out high-quality nursing Service

1. Organize all nursing staff to carefully study the "Evaluation Rules for Quality Nursing Services", find gaps according to the evaluation standards, implement them, and improve nursing services.

2. Strengthen service awareness in accordance with the Nursing Department’s requirements for nurses’ cultivation and etiquette standards. Insist on holding a clothing sorting ceremony before going to work, and implement "saying hello" starting from me and the people around me. Keep nurses neat, elegant, dignified and generous at work, laying a good foundation for providing comfortable services to patients.

2. Carry out responsible holistic nursing and improve clinical nursing services:

1. Pilot responsible holistic nursing, standardize nursing procedures, improve the quality of holistic nursing records, and enrich health education content , provide better overall care for children.

2. Organize the study of "Pediatrics", familiarize yourself with the causes, pathology and pathogenesis of relevant diseases, and enrich the content of health education. Responsible nurses go deep into the ward to strengthen health education for children's families, improve their ability to solve problems with nursing methods, and promote the early recovery of children.

2. Let experienced nurses give lectures to new nurses and impart overall nursing experience. If you encounter vague concepts, discuss them together and solve the problems together.

3. Organize a teaching round every month to analyze existing problems and propose improvement measures.

3. Pay attention to the quality cultivation of nursing staff

Based on the "Fifth Edition of Basic Nursing", we should continue to learn business knowledge. Strengthen the training of eleven nursing techniques and first aid abilities, improve the quality of nursing, and cultivate a nursing team with excellent professional skills and high quality.

1. Formulate a training plan for 201x, with nurses with outstanding professional capabilities in the department serving as training teachers. Strengthen eleven nursing technologies, improve the success rate of scalp venipuncture in children, strengthen the legal awareness of nursing staff, strengthen legal concepts, organize the learning of relevant legal knowledge, and flexibly apply it to work. Encourage nurses to self-study and take notes on readings.

2. Senior nurses should strengthen emergency and first aid training. Set an example for junior nurses at work, teach by words and deeds, and carry forward the excellent style of pediatric unity and cooperation.

3. Strongly praise and reward nurses who have performed well in previous assessments to inspire nurses to be dedicated and enthusiastic, and to better provide loving services to children.

4. Strengthen basic care and standardize work order.

1. Strictly implement the disinfection and isolation system. Wash your hands before each operation; disinfect the air in the treatment room and ward every day to prevent iatrogenic infections.

2. Carry out morning and evening care and ensure basic care is in place. Keep the children's bed unit clean and tidy, and the environment warm and comfortable.

3. Cooperate with the Nursing Department to implement systems such as monthly nursing quality inspections, night rounds, and business rounds.