2017年急诊科护理工作计划1.doc

2015年急诊科护理工作计划新的一年如期而至，2015年它是不平淡的一年，在这一年里：新大楼搬迁与使用、三甲”复审”、“推进优质护理服务”等重点工作都将在这一年完成，历史给了我们机会与挑战。在院领导及护理部的正确领导下，急诊科护理人员将进一步落实卫生部中国护理事业发展规划纲要（2013-2015年）及推进优质护理服务工作的要求，加强急诊护理工作的管理，提升急诊科内涵建设，提高病人满意度。现特制定2015年护理工作计划：一、工作目标1、认真落实三级综合医院评审标准1、做好急诊科优质护理服务等各项工作3、质控指标达标：（1）基础护理质量（合格90分）合格率100%（2）护理文件书写（合格80分）合格率95%（3）急救物品完好率达100%（4）一人一针一管一用一灭菌执行率100%（5）常规器械消毒灭菌率达100%（6）病人对护理工作满意度90%4、分层级进行在职教育，做好护士培养工作（1）“三基”理论考试（合格标准80分），合格率100%（2）护理技术操作（合格标准90分）合格率100%、（3）护理人员cpr考核达标率100%（4）开展专科护士培训，特殊区域专科护士培训率达100%（5）在省级医学杂志发表护理论文2篇以上二、实施方法1、加强护士科学管理（1）加强护士在职教育，提高护理人员的专业素质：强化相关知识的学习掌握，定期组织护士授课，实行轮流主讲；鼓励护士在职继续教育，利用自学或涵授的形式提高自己的学历。定期组织护士参加院外学习，以提高护理人员的素质，优化护理队伍，不断的更新护理知识。（2）组织护理人员认真学习等级医院复审标准和要求，学习优质护理服务工作标准。认真落实卫生部急诊指南和护理技术规范，规范护理行为。（3）优化排班模式：实施apn排班模式，减少交接班次；实施护士长分区责任包干，小组长分班责任，护士按岗位包干。（4）加大急诊科护理培训力度。制定并实施急诊科护理人员的在职培训计划，根据我科实际需要开展新护士规范化培训、专科培训和管理培训等，不断创新培训的方式方法，提高服务能力和专业技术水平。（5）严格执行各项法律法规及工作标准，全面履行护理职责：为患者提供整体护理服务，确保护理工作的安全有效（6）更新护理观念，铸就优质服务品牌：临床护理服务充分突出专科特色，责任护士运用专业技术知识，对患者开展个性化的健康教育，指导并解决护理疑难问题，提高专科护理水平，保障患者安全，提高医疗质量和效率。（7）树立法律意识，规范护理文件书写。提高护理人员法制意识，已成为护理管理的一个重要环节。对可能有纠纷的病人要及时汇报，记录要完善。（8）利用互联网通讯交流工具建立急诊科q群，飞信等，畅通信息渠道，提高学习、工作效率和职业幸福感。2、全面落实三级综合医院评审标准按院三级综合医院评审办公室要求落实好各项指标，转变应对、无需努力自然过的想法，克服蒙混会过关的想法，转变忙一阵子对付一下子的想法；通过学标准完善制度做好执行落实跟踪，做到持续改进有成效。（1）人人知晓三甲评审要求，做到认真学习，领悟标准。需要一是结合急诊科工作中存在的问题，讲解评审内容、方法、技巧和评审标准；二是学习评审标准，并逐项逐条进行研究；三是组织全科人员学习评审标准有关内容，做到人人知晓，逐条认真分析，明确急诊科的工作内容及存在的问题，制定切实可行的实施计划，并组织实施、追踪。（2）认真学习标准，落实分工责任。依据护理部、大科“三甲”工作时间进度表，明确并落实三甲复审各阶段任务。（3）急诊科护理人员依照医院、护理部、科室组织的培训，熟知知晓医院、护理部、科室安排的任务、时间和要求，明白在“三甲”复审工作中要做什么、怎么做、达到什么目标、完成时间等。（4）按评审标准要求，在医院层面的基础上，急诊科根据科室特点，完善、制定和培训有关的规章制度、预案、工作职责和流程、常规等。（5）医院等级评审护理资料是医院评审周期内护理工作的客观反映之一，科室护理资料统一进行分类管理，促进医院理顺护理管理、提高护理管理水平。3、开展优质护理工作以医院实施优质护理服务工作标准(试行)临床护理实践指南(2013版)和2013年广西优质护理服务活动考评标准为蓝本，落实医院优质护理服务等各项工作，扎实推进优质护理服务,努力为人民群众提供安全、优质、满意的护理服务。（1）继续推行责任制整体护理工作模式，制定开展优质护理服务的2015具体方案，为患者提供全面、全程、专业、人性化的护理服务。（2）根据工作能力、技术水平、工作年限、职称和学历等对护士进行分层管理。（3）不断完善急诊科绩效考核制度。护士的绩效考核与护理服务质量、数量、技术风险和患者满意度等挂钩，注重临床表现和工作业绩，将绩效考核结果与护士的收入分配、职称晋升、学习进修、奖励评优等挂钩，体现同工同酬、多劳多得、优绩优酬，调动护士工作积极性。（4）优化急诊服务流程，推行“一站式服务”，为病人提供简便通畅的就诊流程，为急诊患者开辟绿色通道。遇特殊专科急诊患者则由护工、实习医护生、跟班护士、护士陪同到相关科室就医。（5）护士能够熟练掌握常见危重症的护理和监护技术。（6）急诊抢救室的各种抢救物品和药品完好率100%；抢救仪器性能完好并处于备用状态。（7）执行无缝隙交接流程。收住院病人科室有交接登记记录，危重患者与病房交接有转交接流程及相关记录，出（接）诊护士完成患者的全程护理与治疗，做到无缝隙护理，保障患者安全。（8）急诊科设咨询台，对有需求的患者认真解答，帮助解决问题；分诊、输液区实行“首问责任制”。对患者进行健康宣教，提供便民服务等(9)重视优质护理活动的每月报送工作：认真填写市级卫生行政部门优质护理服务工作信息表次月2日前以电子邮件形式报送我院护理部。4、开展护理质量管理，加强护理安全管理，完善护理风险防范措施，有效地防范护理风险，为病人提供优质、安全有序的护理服务。（1）实行三级质量控制管理，每月组织两次一级质控检查，对存在的护理安全隐患，及时发现问题，解决问题，对二级，三级检查存在的问题，做好分析发生的原因，吸取的教训，提出防范与改进措施。杜绝严重差错及事故的发生.(2)加强重点护理人员的环节监控：对新入科护士加强管理，做到重点交待、重点跟班。切实做好护理安全管理工作，减少医疗纠纷和医疗事故隐患，保障病人就医安全。（3）加强重点环节管理，如病人交接、特殊用药、病人管道管理以及病人现存和潜在风险的评估等。（4）加强重点时段的管理：节假日、双休日、工作繁忙、易疲劳时间、交接班时均要加强监督和管理。实行弹性排班制及节假日备班制，合理搭配老，中，青值班人员。团结协作，共同完成好本班工作。（5）科室要加强护理安全隐患检查，发现问题，解决问题，从自身及科室的角度进行分析，分析发生的原因，吸取的教训，提出防范与改进措施。对同样问题反复出现的科室及个人，追究相关责任，杜绝严重差错及事故的发生。（6）完善护理紧急风险预案，平时工作中注意培养护士的应急能力，对每项应急工作如输液反应、过敏反应、药物渗漏、突发停水停电、火灾等，都要做回顾性评价，从中吸取经验教训，提高护士对突发事件的反应能（7）进行多种形式的病人问卷调查，了解护理工作、服务态度情况，针对调查中存在的问题进行整改。5、要不断加强急诊护理站的建设，提高护理人员的应急能力。（1）熟练掌握常见病情的判断及抢救流程及护理要点，实行定期考核。（2）熟练掌握心肺复苏术的抢救技能。（3）熟练伤口的处理和包扎止血技术及伤员的心理护理。（4）熟练急救时的催吐、灌肠、注射、给氧及体位一系列操作技术及病情监测等专业技能，要求准确及时到位。（5）熟练掌握各种仪器的使用并保证其性能良好，随时备用。（6）各类抢救药品、器械由专人负责，定时检查、定点放置、定期消毒、维护急救药品、毒麻药品基数与卡相符，严格急救药箱管理，保证院外急救的正常使用。（7）各类急救药品使用后及时清理、补充、记录，保持整齐清洁。6、教学、科研、论文：（1）做好护士分层级培训管理，提升护士业务能力。（2）鼓励护士在职学习，搭建护士成长平台，提高护理人员大专以上文凭占有比例90%以上。护师以上职称达到70%以上。（3）每月组织一次护理业务学习和一次护理查房：晋升主管护师于icu轮转学习3个月，提高护理人员重症护理技术和急救护理技术水平。（4）指定有临床经验、责任心强具有护师以上资格的护士做带教老师，培养学生的沟通技巧、临床操作技能等。我相信只要我们齐心协力努力执行以上工作，我们在2015年的护理工作中一定能取得好的成绩！9jwkffwvg#tym*jg&6a*cz7h$dq8kqqfhvzfedswsyxty#&qa9wkxfyeq!djs#xuyup2knxprwxma&ue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z8vg#tym*jg&6a*cz7h$dq8kqqfhvzfedswsyxty#&qa9wkxfyeq!djs#xuyup2knxprwxma&ue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxg89amue9aqgn8xp$r#͑gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>xrm6x4ngpp$vstt#&ksv*3tngk8!z89amywpazadnu#kn&muwfa5uxy7jnd6ywrrwwcvr9cpbk!zn%mz849gxgjqv$ue9wewz#qcue%&qypeh5pdx2zvkum>x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