Work plan of rehabilitation department of traditional Chinese medicine [three articles]

In 20 1x, nine 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 supported the rehabilitation medicine department, and the director of the department managed decisively and orderly, which coincided with the "Dimethyl" review in our hospital, and put forward higher requirements for the hardware equipment, staffing, management, teaching and medical quality and safety guarantee of the rehabilitation medicine department. Therefore, it urges us to develop continuously in the aspects of department construction, diagnosis and treatment level, medical ethics, scientific research innovation, staffing and hardware facilities. The annual work plan for 20xx is hereby formulated as follows:

I. Department Construction and Personnel Echelon

In terms of department management, we will continue to operate the rehabilitation department with the purpose of mutual benefit and win-win, the purpose of quality service, the principle of clear rewards and punishments, and the goal of unity and harmony. Constantly expand the source of the disease and improve the curative effect and satisfaction rate. In order to meet the requirements of hospital expansion, the department development plan after two years is to enrich five outpatient departments (physical therapy department, occupational therapy department, speech therapy department, traditional rehabilitation department and prosthetic orthosis department); Establish a rehabilitation medical ward. In order to gradually realize the enrollment expansion plan, we must take active and effective measures to focus on cultivating the political thought, professional ability and academic level of academic and technical leaders and reserve talents. According to the actual situation of rehabilitation specialty, it is necessary to introduce 1~2 rehabilitation therapists with bachelor degree or above, and those who can make prosthetic orthoses are preferred. The overall quality still needs to be improved. Because rehabilitation doctors are transferred from many departments and other specialties, they need to further study in high-level rehabilitation centers in China, and encourage young doctors and therapists to apply for graduate students. The scientific research consciousness and ability of nursing staff need to be strengthened and improved. Maintain a talent echelon with reasonable knowledge, education, professional title and age structure.

Second, medical ethics 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 time of scientific meetings on the first Saturday of each month to seriously study and implement relevant laws and regulations. Improve the professional ethics of medical staff and reflect the level of teaching hospitals. Have a sound quality management team, conduct random inspections and hold a quality management control meeting once a month. Set up quality control points, carry out invasive operations such as acupuncture and local sealing, and strictly disinfect to avoid infection; Articles such as pads in direct contact with patients' skin should be cleaned and disinfected in time; Manual therapy is standardized and trained regularly; There are many consultation patients in our department, so the triage nurse should strictly inform the competent doctor in time, and the normal consultation will be completed within 24 hours, and the emergency consultation 10 minutes will arrive; There are many instruments in our department, which need to be repaired in time if they break down. Every week, a special person will be responsible for checking and eliminating hidden dangers, and valuable instruments will be kept by a special person, and a maintenance register will be established. In order to ensure the continuous treatment of patients during holidays, it is necessary to arrange duty in turn to improve the sense of responsibility; Constantly improve the construction of "harmonious doctor-patient relationship". Physical therapy, occupational therapy and traditional rehabilitation in rehabilitation medicine department are mostly one-on-one treatment, which requires more contact with patients and takes a long time. In particular, we should continue to strengthen service awareness and quality.

Third, adhere to the "three basics" training and constantly update knowledge.

In order to improve the medical technical level of general practitioners and seriously organize the professional study of department staff, the department organizes lectures and discussions once a week to learn about the new progress of treatment in the field of rehabilitation, study the Code of Rehabilitation Medicine and Physical Diagnosis and Treatment repeatedly, or improve the medical service level through case analysis. Before the new teacher gives a lecture, he will discuss courseware making, teaching language and content. Give lectures to junior doctors and interns regularly, strengthen management, standardize the language, and be skilled in action; At the same time of teaching and treatment, patients' reactions should be observed and evaluated at any time, so as to prevent special patients, such as paraplegia, shock caused by postural hypotension in patients in bed for a long time, epilepsy caused by emotional excitement and fatigue in patients' training, etc., and make emergency plans and be familiar with emergency handling procedures.

Four, encourage the publication of new technologies, new projects and research projects.

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 mental retardation patients, bedside rehabilitation project in intensive care unit, imaginative exercise therapy, etc. It is required that secondary vocational schools and above publish core journal papers 1 article every year. Every beginner will publish a summary or paper every year. A lot of work needs to be done in research in order to publish more high-level papers and actively declare scientific research awards.

Verb (abbreviation for verb) Problems that hospitals need to solve:

In order to cooperate with the development planning of key disciplines and increase the competitiveness of our hospital's medical market, our department plans to apply for the solution 20 1x:

1. Rehabilitation medicine department urgently needs to set up wards: First, it can meet the "dimethyl" requirements of rehabilitation medicine discipline construction; Secondly, it is beneficial to reduce the bed pressure of patients in neurology department, speed up the turnover of other departments, enrich treatment methods, attract the source of disease and improve economic benefits; Thirdly, patients discharged from hospital through neurological rehabilitation have greatly improved their quality of life, and they are satisfied with the quality of hospital medical services, and at the same time, they will increase their publicity to the hospital, so that the hospital can win good social effects and enhance its influence and competitiveness.

2. Power bicycle: mainly used for functional rehabilitation of lower limbs of hemiplegic patients. It has a good inhibitory effect on the symptoms of lower limb extensor spasm in hemiplegic patients. Exercise in flexion posture can avoid knee hyperextension. The instrument has a broad application prospect and considerable economic and social benefits.

3. What is missing according to the dimethyl standard: magnetic therapy instrument, swallowing therapy instrument, bobath ball, roller, etc.

extreme

First, medical safety and medical quality:

Implement the system of patients leaving the hospital and returning to visit regularly, improve the case template of rehabilitation department (the content of rounds is detailed), put education in place, do a good job in training patients and their families, and implement the responsibility system of wards.

Second, discipline construction (1. Development ideas II. Specific measures. Number of beds 4. Talent echelon 5. New technology)

1. development ideas: expand the influence of traditional Chinese medicine rehabilitation treatment and modern rehabilitation treatment, and improve the content of rehabilitation treatment. Strengthen the construction of children's health. (child care, care worker training, etc.). Can be considered).

2. Specific measures: standardize the construction of departments according to Xingtai key specialist standards, and carry out free clinic, rehabilitation knowledge lectures, TV publicity and other activities to improve the social visibility of rehabilitation department in our hospital. Continue to carry out acupuncture treatment, stroke, cerebral palsy, mental retardation of children, dysfunction of limb joint fracture (postoperative), spinal cord injury and postoperative rehabilitation treatment, and formulate a systematic and standardized rehabilitation treatment process. Standardize children's health diagnosis and treatment and equipment.

3. Number of beds: 30 beds, with the utilization rate reaching 80- 100%.

4. Talent echelon: Establish and improve rehabilitation units, and initially form a rehabilitation group with 1 rehabilitation doctors, 2 rehabilitation therapists and 1 rehabilitation physiotherapy nurses as basic units. Improve the construction of medical group, nursing group and treatment group. We also need 3 nurses and 3 rehabilitation therapists (boys are preferred).

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

Three. Equipment planning (demand and purchase)

Physical therapy equipment: (Erkang): neuromuscular electrical stimulation therapeutic instrument (2 sets), muscle excitation therapeutic instrument (2 sets), spasmodic therapeutic instrument (3 sets), transcranial magnetic therapeutic instrument 1 set, training slide 1 set, training wave bridge 1 set, ball bath 1 set. (Adult rehabilitation): Multi-spectral infrared therapeutic instrument 1 set, neural function reconstructor 1 set, 4 brain intermediate frequency therapeutic instruments, swallowing therapeutic instrument 1 set.

The fourth is talent training.

Focus on training department rehabilitation doctors and therapists, strengthen exchanges and learning with various rehabilitation medical institutions, and achieve well-known in the city. Arrange business lectures in the department every week and conduct case discussions every month. The department invites experts to guide teaching.

Objective: Rehabilitation construction should be scientific and standardized, and the medical group, nursing group and treatment group should work together, gradually break away from scattered work and concentrate patients on treatment. Departments can undertake treatment, rehabilitation, teaching and training.

Tizo

20xx is a year to lay a solid foundation, and 20xx is a crucial year for the all-round development of rehabilitation. In order to develop the rehabilitation department harmoniously and enhance its sustainable competitiveness, the main work plan for 20xx is formulated.

First, the focus of work and work ideas

The focus of work in 20xx is to continue to do a good job in the construction of exercise therapy room in outpatient rehabilitation department; Do a good job in the functional training of lateral combination and expansion of brain injury, nerve injury and other injuries; Diagnosis and treatment of stable pain diseases and neck, shoulder, back and leg pain diseases; Focus on the construction of rehabilitation wards and standardize the management of rehabilitation wards; Do a good job in community rehabilitation services; Comprehensively start the work of preventing diseases, moxibustion and sub-health services in traditional Chinese medicine; Actively carry out comprehensive rehabilitation such as rehabilitation prevention and rehabilitation treatment, improve the rehabilitation work system and service network, and widely contact experts from various disciplines to disseminate rehabilitation information and popularize rehabilitation knowledge; Strengthen business study, and strive to create the characteristics and brands of departments.

Ii. tasks and measures

1. Go to other departments to make rounds regularly to learn about patients' rehabilitation, guide doctors in relevant departments to set up needed rehabilitation treatment projects, and guide undergraduate staff to make rehabilitation plans and implement them. Undergraduate doctors are familiar with the indications of various instruments and recommend undergraduate characteristics to doctors in other related departments.

2. Carry out comprehensive rehabilitation training for undergraduate doctors in a planned way, so that rehabilitation theory and rehabilitation treatment technology can be trained once a week and once a month, so as to improve the level of rehabilitation theory and rehabilitation treatment technology of each doctor.

3. Carry out exercise therapy, occupational therapy, speech training and treatment of dysphagia in an all-round way, expand functional rehabilitation after brain injury, cerebral palsy and fracture, and carry out rehabilitation interventions for chronic obstructive pulmonary disease, cardiovascular and cerebrovascular diseases in a planned way.

4. Publicize the characteristics and therapeutic effects of rehabilitation programs inside and outside the hospital, and raise the awareness of rehabilitation from all walks of life. Through timely feedback from patients, we can correct the shortcomings in our work in time and improve the quality of work and service.

5. Discuss the department difficult patients, improve the treatment effect and the level of rehabilitation technology.

6. Labor remuneration shall be distributed at two levels, mainly based on workload, combined with post work, professional title and patient satisfaction.

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

The specific scheme is as follows:

Ward management group: Dr. Zhou Li and Dr. Qu Shuhuan are responsible for the examination, diagnosis and treatment of specific patients, writing medical records, rehabilitation evaluation and making rehabilitation treatment plans.

Modern rehabilitation group: part of it is shared by ward management group, and Zheng Jiaxin is responsible for physical therapy, occupational therapy and speech correction; Qu Shuhuan is in charge of physical factor therapy.

Traditional rehabilitation group: Zhou Li is responsible for acupuncture, massage, cupping, small needle knife and drug dressing. Rehabilitation nursing group: nurses give full play to the advantages of rehabilitation nursing and carry out nursing and rehabilitation education with rehabilitation characteristics.

8. Strengthen the management of outpatient service, which is the window of rehabilitation department and is responsible for transporting patients to the ward. Outpatient doctors receive patients, open treatment orders or contact hospitalization, which is arranged by the department, and other departments introduce patients to our department, and our department arranges treatment in a unified way.

9. Strengthen the training of department personnel, strive for leadership support, coordinate the rotation of staff in the department to related departments of rehabilitation medicine such as neurology, neurosurgery and orthopedics, learn relevant processing knowledge, and strengthen the contact between departments. Every year, 1 ~ 2 doctors are sent to higher hospitals for further study.

10. Actively introduce high-quality rehabilitation talents, especially rehabilitation therapists and masseurs, so as to better carry out business.

1 1. Create a scientific research atmosphere and strive to publish more than 1 paper at a time.