示范病房总结妇产科

videoconference, Secretary of the provincial Committee of Xia Baolong stressed: this year is the five water treatment 357 timetables for three years to resolve outstanding issues, obviously worked, victory of the year. The Countys departments at all levels must firmly establish the guanghui is gold and silver green development concept, convinced that Castle is not relaxed, always maintaining strategic ability and strong determination to improve the environment, consistently playing well five water treatment of winning the war, ever-higher levels of comprehensive well-off society was built. (A) lay the sewage uphill battle. This year we will river water quality improved at the county level, up to five this basic objective grasp of pollution control that focus, with the focus on three things: a good job, clear rivers reaching the County created. Organization look back special inspection, the County garbage River, black and odorous River is Dragnet investigation, timely rectification of problems found in place firmly to prevent river pollution rebound. In accordance with the one-stop strategy, improving the inferior five water quality monitoring stations work this year to ensure the Elimination of 1 provincial control, five water quality section 3 municipalities controlled deterioration, ensure the creation this year of clear rivers standards. Second, pay special attention to pollution-cutting construction of nanotubes. Intercepting nanotubes are the basis of pollution of water source engineering, engineering, matter of success or failure of water management. Urban sewage treatment, to improve effluent from sewage treatment rate, running accuracy, compliance requirement, speed up the towns support network construction, is focusing on nanotubes home last meters question. Domestic sewage treatment in rural areas, this year is the final year of the three-year action, determination to fight and the momentum around, ending the battle on which fully to ensure the realization of all County 648 formed village coverage. Also, be sure to attach importance to focus on rural domestic wastewater treatment facility operation and management, ensure that wastewater treatment facility up and running, role play, avoid the Sun problem. Third, pay special attention to the River Lake pond desilting operation. Provinces now have focused on pollution control of water go to dig up mud, as the deepening water of this years plays. Next, to jump-start an investigation line touches work, implementation plan according to the priorities and the programme of work, in accordance with the one river one policy requires detailed cleaning, dredging plan, planning ahead of time cleaning out mud way out, according to local conditions to do sludge, promote scientific resource utilization of silt and mud. (B) the heavy regulation of heavily polluting industries. Pollution of water must grab the source, wastewater is primarily the source of backward production capacity, increase the intensity of示范病房”优质护理工作总结妇女保健临床科妇产科病房今年妇产科病房为了配合卫生体制改革和落实上级领导关于”优质护理服务示范工程”活动精神，及时转变了服务模式及管理理念，采取责任小组及责任护士包干负责患者的分工模式切实加强基础护理，改良服务流程、简化书写护理文件等一系列措施，为母婴提供优质、安全、便捷、温馨的护理服务。现简单总结如下:一， 病房创新护理工作模式，实施全程护理。落实责任包干，实行小组负责，包干到人的临床护理工作模式，科室结合护士分层、扁平化管理相结合，根据患者病情，护理难度，技术要求等要素对护士进行合理分工，护理患者实行小组负责制，构建专业组长一责任护士工作模式，落实分级护理制度，做到病人分级，护士分层，既强调高年资护士，对危重病人的管理，又强调人人参与生活护理，实行整体包干全人护理，保证责任护士管床到位，专业组长不仅分管病人还负责对本小组护士工作给予监督管理，并指导本组护理人员完成医疗护理任务及危重病人的护理，责任护士负责对新分管的病人病情的观察落实治疗性护理和健康教育、心理护理、生活护理，做到全程全方位的护理。二、继续完善有关规章制度，明确岗位职责。1. 妇产科病房继续完善了临床护理工作规章制度、疾病护理常规、临床护理服务规范，按卫生部住院患者基础护理服务项目（试行）、基础护理服务工作规范、常用临床护理技术服务规范有关内容，结合本医院实际情况，完善符合本院实际的临床护理服务标准。2.完善了护士岗位责任制，完善了各级各类护士的岗位职责、任职资格和工作标准，并组织落实，定期不定期检查监督，从而进一步规范临床护理执业行为。三、加强人力资源管理，保障护理安全1.病房制定了护理人力资源调配应急预案。病房依据临床护理工作需要合理配置护理人员，并根据各护理单元需求进行动态调配。2. 保证了临床一线护士的配备。 病房实际开发床位数与护士人数之比为1：0.4；每名责任护士平均负责患者数量未超过8个，病房护士长根据科室、病房护士人力情况进行调配，实行了弹性排班，科学合理的安排了人力。3.加强病人安全管理（1）制定了护理意外及紧急事件的处理预案，建立了主动报告护理不良事件制度及可执行的工作流程，护理不良事件能够及时上报，有原因分析、反馈及改进措施。（2）对有潜在危险行为的住院患者（心里抑郁、自杀倾向、走失、病情突发变化等）进行了预警备案，严格交接班，确保各项护理措施落实到位，防止病人住院期间发生意外。（3）危重病人及行动不便病人外出检查有专人护送。（4）对压疮、跌倒、坠床、管道滑脱等高危患者设立了警示标识，根据病情佩戴手腕带。（5）对药品、器材进行了规范管理，如注射药、内服药、外用药分开放置；高危药品单独放置并有醒目标识，定期检查急救药品、抢救仪器，保证处于性能良好状态。四、加大培训力度。以责任制整体护理为核心，加强了对护理管理者和各层级护士的培训，以适应护理工作模式的改革，提高岗位胜任能力。1.制定护理人员在职培训计划并组织实施，要求培训率达100%。制定了专科护理领域护士培养计划并组织实施。2.加强了对各层级护士的培训，组织学习了卫生部和卫生厅“优质工程”的相关文件及服务规范，针对各层级护士规范化培训要求组织培训，使全体护士均能掌握优质护理服务的内容和要求及改革护理工作的必要性。3每月组织全科护理人员进行护理查房及护理病例讨论，遇到护理问题及时组织讨论研究护理对策，提高护理人员整体护理能力。五、加强临床护理管理，提高临床护理质量1.完善了护理质量管理组织，完善了护理质量考核标准，定期进行质量考评，每月召开一次质量控制与持续改进会议。建立了疑难、危重症患者护理查房、护理会诊、护理病例讨论制度并组织实施。2.改革护理工作模式。示范科室妇产科实施了责任制分工方式，每名责任护士均负责一定数量的患者，整合了基础护理、病情观察、治疗、沟通和健康指导等护理工作。结合护士分层管理，按患者病情轻重、护理难度和技术要求分配责任护士，危重患者由年资高、能力强的护士负责，分管病人数8，体现了能级对应，加强了护患沟通、医护配合。3.公示分级护理标准。根据综合医院分级护理指导原则（试行）等文件要求，结合病房实际，细化了分级护理标准、服务内涵和服务项目，在示范病房显要位置公示并遵照落实六、取得成效1.患者满意度提高由于责任护士实行分床到护，责任与分工明确，密切了护患之间的接触，护理人员主动服务的意识比以前增强了，因而建立了良好的护患关系，今年通过对示范科室住院患者进行满意度调查满意度达到97%，取得明显的社会效益。2.护理人员整体素质有了进一步的提高由于明确了分级护理服务的内涵，责任护士不仅要为患者提供治疗和护理，还要利用专业知识对所管患者进行病情观察、康复和健康指导，这就需要有较好的专业知识和沟通技巧，因而护理人员主动学习的积极性提高了，整体素质也有了进一步的提高。3.全面提升护理质量由于责任护士对所分管的患者提供连续的、全程的护理服务，并明确了临床护士应当负责的基础护理服务项目和工作规范，因而增强了护士的责任感，逐渐扭转了患者家属承担患者生活护理的局面，全面提升了护理质量。七、存在问题 1.本院还未建立绩效考核工作方案，编外人员没有与编内人员同工同酬，无激励机制不能充分调动护士的积极性。2. “优质护理服务”示范科室妇产科病房实际开放床位数与护士总数比为1:0.4，未达广西医院护理岗位设置名录（试行）中要求的1:0.6的标准。3.由于人力资源问题及无激励机制，护士工作积极性不高，主动服务意识不强，对患者的分级护理落实不够。4. 护理安全管理有待进一步加强，妇产科病房护士因沟通解释不到位导致投诉1起。病人外出检查陪送、标本送检、等仍由护理人员完成。 2011年12.31月 为了促进本公司各项经营活动由事后管理向事前管理方式的转变，强化生产经营全过程控制，提高资金使用的计划性，特制定本管理办法，以增加公司资金运行的透明度treatment of heavily polluting industries. According to municipal, and municipal government deployment of seven big heavy pollution industry regulation three years action plans, requirements to December 2016 end of Qian, all included shut stopped eliminated of enterprise all shut stopped eliminated in place; June 30, 2017 Qian, all included place regulation upgrade and agglomeration restructuring of enterprise by unified standard regulation in place, late not standard of enterprise are implementation discontinued; June 30, 2018 Qian, all intends Park production of enterprise relocation Park in place, late not Park of are discontinued. In the process of renovation, will focus on four aspects: to firmly close the high energy consumption and heavy pollution, hopeless enterprise governance and production lines, eliminated a number of yearly emission intensity, low value-added products of backward production capacity. Second, we must strictly enforce the space, total project Trinity environment access system, promoting industry access and environmental conditions of access of enterprises to the Park, industrial park, in principle, no longer the class on the new project. Thirdly, promoting replacement and reconstruction of heavily polluting industries, mergers and reorganizations, guide enterprises to energy conservation, recycling and low-carbon and clean production, and improve the level of green development. Four to establish a long-term supervision mechanism, increase the intensity of special inspections, investigate and punish the rectification is not in place, normal business of running anti-pollution installations do not. (Iii) linkage to promote flood control water, drainage, water supply, improving water saving. Speed up cross Yang support river dike reinforcement, and along Pu seawall except insurance reinforcement, and Lake Qian sluice, and BA Cao sluice, and cloud cover reservoir, focus flood control drainage engineering construction, vigorously implementation strong library solid di spread row engineering, increased geological disaster hidden points governance efforts, solid advance small basin torrent disaster governance, efforts