Work plan of obstetrics and gynecology in 2023 1

1, obstetrics and gynecology nursing work plan

A year is fleeting. Looking back on this year's work, there are many gains and many shortcomings. Summing up experience, drawing lessons, combining with the actual situation of the department and the requirements of the nursing department, we now make a 20xx nursing plan:

First, continue to strengthen the detailed management and hierarchical management of nursing staff to ensure nursing safety. In 20xx, the performance appraisal system will be strictly implemented, the competition system for the responsible team leader will be implemented, the quality control work will be divided into personnel, and the responsibility will be implemented to people, so as to give full play to the role of the responsible team leader and the responsible nurse, strengthen inspection in daily work, increase the self-management ability of each class in the department, and standardize the management of the department.

The second is to strengthen business study, update knowledge, expand service connotation and increase economic income. Make a midwife training plan, focus on training midwives to observe the labor process and judge dystocia, increase the observation records of labor process in nursing documents, record the progress of the whole labor process in detail, improve the midwife's ability to observe and handle abnormal labor process, and organize all nurses to study the nursing of common and critical diseases in our department, and organize nursing rounds for critically ill patients in time; Strengthen the training of new businesses and technologies, strictly implement the access system, and improve the theoretical and operational capabilities of the whole department.

Third, strict disinfection and isolation to prevent hospital infection.

1, management of delivery room and neonatal room: delivery room and neonatal room are the most important things to prevent hospital infection. Midwifery class personnel implement weekly shift system, and the head nurse is responsible for overall quality control. Strict disinfection and isolation and goods handover management, strengthen hospital infection control and monitoring. Through inspection and supervision, the management of delivery room and neonatal room has been comprehensively improved, and all kinds of nursing quality control and management have been completed.

2, standardize medical waste disposal, strict disinfection and sterilization. And do a good job of registration.

3. Strengthen ward management, strictly implement disinfection and isolation system, disinfect the wards of maternal and infant roommates and patients with fever every day, and do terminal disinfection on the day of discharge to prevent cross infection.

Fourthly, strengthen nursing safety management and practice teaching strictly.

Practice teaching is an important part of nursing safety management. Implement one-to-one teaching mode for interns and advanced students, strengthen labor discipline management, make study plans, take regular exams for changing disciplines, conduct surveys on interns' satisfaction with teachers, and select the most satisfied teachers in the year.

Fifth, the morning meeting nursing class should hand over the manuscripts to improve the nurses' mastery of patients' "ten knowledge" and language communication ability.

Six, continue to carry out high-quality nursing services, constantly expand the connotation of services, increase the content of high-quality services, and improve the quality of services.

Quantity. Continue to provide the first step of delivery for newborn babies free of charge, do a good job in health education of postpartum breast care and neonatal care, carry out traditional Chinese medicine nursing operation technology, meet the reasonable needs of patients as much as possible, solicit opinions from patients regularly, improve service quality, and provide a satisfactory medical environment for patients' families.

Seven, strengthen the management of medical equipment, the responsibility of emergency medical equipment to people, put the equipment in each area to designate a person responsible for management, maintenance, regular inspection and maintenance, to ensure that each equipment is in a good standby state, to achieve the greatest economy of medical equipment; Strengthen the management of emergency medical devices, assign special personnel to be responsible for them, place them at fixed points, disinfect them regularly, check and maintain them regularly, and stand by at any time.

Eight, strengthen health education and postpartum visit. In 20xx, the department will record scientific and educational films such as Breastfeeding and Neonatal Care, and play them in the ward. At the same time, daily work should cooperate with education, guide treatment and nursing at any time, and seize every opportunity to do education well. Midwives are responsible for calling 15- 40 days after delivery to learn about postpartum recovery and breastfeeding, and urge the parturient to come to the hospital for follow-up visit and family planning guidance 42 days after delivery.

Nine. Offering lectures on maternal knowledge: The "quasi-mommy class" is scheduled to start on October 4th, 20xx, and will be taught by experienced doctors and midwives in the department. Teaching methods include lectures, demonstrations, question-and-answer interaction and study tours. And solicit opinions and suggestions extensively to adjust the teaching content and meet the needs of prospective fathers and expectant mothers for health care knowledge.

Ten, standardize the fees, carefully study the charging standards, the price controller and the head nurse of the department should do a good job of checking the fees charged by the department, do a good job of not leaking fees, resolutely refuse to charge fees that should not be charged, and do a good job in the management of reasonable fees.

Work Plan II of Obstetrics and Gynecology in 2023

1, quality and safety "pay attention to specifications and details"

According to the disease classification standard, the content of * * * outside the chest (oxygen supply and closed thoracic drainage patients must measure oxygen saturation; Heart patients must auscultate heart rate, heart rhythm, etc. ); In the injection room, we should strengthen the management of injecting drugs in outpatient department, learn the knowledge of new drugs every month, implement the rules of safe operation and use of injecting drugs, and implement the procedures for handling adverse drug reactions formulated by the department; The Department of Neurology establishes hospital nurses' safety files, implements monthly safety score and annual safety score management, and summarizes and ranks them on 1 month 1 day, and the safety score is linked to the annual assessment.

Department II of Orthopaedics formulates and perfects emergency plans for orthopedic specialties, such as traumatic hemorrhagic shock, cervical spinal cord injury, osteofascial compartment syndrome, artificial joint dislocation, pulmonary embolism and fat embolism. Training and assessment are conducted in the form of scenario simulation to improve the emergency response ability and emergency handling ability of hospital nurses. Gynecology selects the best quality controller and the best quality individual for commendation once every six months. Preoperative visit to the operating room should focus on quality, intraoperative nursing and service, and postoperative follow-up should focus on collapse.

In addition, some departments have summarized, refined and summarized the good practices in clinical nursing work, requiring all departments to seriously organize learning and promote it in the whole hospital.

Gastroenterology and endocrinology departments attach importance to the management of intravenous infusion and put forward more concise management methods. Require two punctuality, two inaccuracies and one guarantee. Two in time: take the initiative to change the liquid in time to avoid empty flow and reduce the ringing of the call; Timely discover and deal with infusion failures and infusion reactions. No two: workers or accompanying personnel are not allowed to change fluids and pull out needles; Don't put infusion or empty bottles on the patient's bedside table. One guarantee: ensure that the infusion patients receive "three deliveries" (meals, water and toilets), so as to satisfy the patients and reassure them. Pay attention to the prevention of transfusion reaction and do a good job in quality control of three links. (1) Drug inspection link: Three inspections: inspection before administration, inspection before infusion and inspection before liquid exchange. Fourth look: look at the expiration date of liquids and drugs; Look for cracks in glass bottles; See if the bottle cap is loose; Check whether there are impurities, discoloration, turbidity and precipitation in the liquid. Familiarity: familiarity with the contraindications of drug compatibility, and familiarity with the ways and methods of administration. Mastery: Mastering the performance, main function, commonly used dosage, side effects and prevention of drugs, clinical manifestations and treatment methods of infusion reactions. (2) dosing: one is reasonable and the other is inappropriate. Rationality: reasonably arrange the input sequence of various drugs and liquids. Two disadvantages: the administration time should not be too early, a bottle of liquid should not be used for more than 2 hours at a time, and antibiotics should be prepared now; Too many drugs should not be added to a bottle of liquid at the same time, and compatibility should be strictly in accordance with the requirements of compatibility taboos. (3) Operation link: master the word "strict", that is, wash hands, dress and disinfect in strict accordance with aseptic technical operation requirements; The packaging and validity of sterile syringes and infusion tubes meet the requirements. There are five procedures to deal with infusion reaction: stop infusion, handle symptoms, check report, * * *, and fill in infusion reaction records as required.

"Five Views, Five Elements and Five Theories" in Oncology and Children's Basic Nursing II. Five look: see the patient, see the sickbed, look at the bedside table, look under the bed and look around; Do five things well: do a good job in life care, make the bed, arrange the bedside table and bed, arrange the equipment belt, open the window for ventilation and adjust the room temperature; Five points: greet patients, explain the significance of basic nursing, health education, ask for needs and solicit opinions. Pediatric surgery and orthopedics suggest that the positive signs of drug allergy should be marked in the upper right corner of medical records, temporary doctor's advice, whiteboard, bedside and long-term treatment, so as to achieve five unification.

These measures will better ensure the quality of care and patient safety.

2, teaching and training "based on professional, combined with clinical" respiratory nursing staff.

Clear training objectives and specific plans; Children's first department held a big discussion around "what kind of hospital nurses patients are most satisfied with", "the language and behavior that patients dislike the most", "the language and behavior that patients are most moved by" and "the language and behavior that patients can't tolerate and easily lead to disputes" to interpret patients' needs; Attach importance to the study of humanistic knowledge and improve the emotional intelligence of hospital nurses; The second department of pediatrics carries out the training of hospital nurses' thesis writing, encourages hospital nurses to think hard at work and improve their thesis writing ability; In hepatobiliary surgery, young nurses in the hospital are encouraged to write a "work reflection diary" within three years, recording the times of participating in the rescue care of critically ill patients, the times of unsuccessful work or failed nursing operation, reasons analysis and experience, as well as their views and feelings on nursing work, life and things, self-evaluating at monthly meetings, guiding teachers, helping and urging them to develop good habits of reviewing, checking, summarizing and self-evaluating; Pay attention to guide young nurses in the hospital to understand the key points of patient's condition observation and nursing during bedside rounds in urology, guide nurses in general hospitals to pay attention to and attach importance to patients' complaints and feelings, find out patients' condition changes in time, give correct evaluation and provide effective intervention measures, and strengthen the training of specialized service technologies such as obstetric massage, neonatal massage, passive exercise and postpartum classroom; Gynecology has formulated the backbone assessment index; The Department of Hematology signed the Responsibility Letter for Nurses in Responsible Hospitals, which enabled nurses in responsible hospitals to take the initiative to take charge of ward management, actively participate in ward management, and be responsible for ward satisfaction and quality. The training plan of digestive specialty is detailed, with outstanding professional characteristics; The emergency room sent 2-3 nurses in charge with strong comprehensive quality to set up a training group for nurses in primary hospitals, and adopted various forms such as "retrospective analysis of typical cases, scenario simulation, regular assessment of special lectures, random sampling" to train and assess nurses in primary hospitals in a planned way from the aspects of system responsibilities, specialty theory and skills.

3. Operating room nursing service "pursues patient satisfaction"

Continue to carry out the "star hospital nurses" selection activities; It is planned to add a convenient locker in the injection room to facilitate patients to store medicines and articles; Gynecology carries out the competition of "advanced individual with high quality nursing service", selects and commends it once every six months, continues to carry out activities such as professional hospital nurses competing for posts, and carries out patient evaluation activities twice to understand the social recognition of happy teams; In gastrointestinal surgery, discharged patients voted for the "Star of Hospital Nurses" in that month, so as to fully tap and mobilize the work enthusiasm of hospital nurses. Gynecology continues to insist on issuing satisfaction questionnaires to every discharged patient and making monthly summary and analysis; Intimate services in ophthalmology and stomatology: such as preparing magnifying glasses, sunglasses and disposable cups, preparing pills for patients after stomatology, and providing comfortable prone pillows for patients after vitrectomy. The operating room should reasonably adjust the temperature and humidity in the operating room, prepare a thermal blanket to keep the patients warm, and add a liquid heating box to fully ensure that all surgical patients are flushed with warm physiological saline during the operation on the same day to prevent hypothermia during the operation. Adding jelly gel position pad is beneficial to the skin protection of critically ill patients during operation; Newborns provide self-made soft pillows, ear pads, etc. Ensure the beauty of the baby's head and the deformation of the auricle, and make the nursing service more humanized.

3. Work plan for obstetrics and gynecology in 2023

First, medical care.

Under the guidance of the director and the supervision of the attending physician, the daily medical activities of outpatient service, family planning and ward are completed in time. Complete medical records in strict accordance with the requirements of medical record writing specifications. The inpatient medical records and observation medical records must be completed within 24 hours after the patient is admitted to the hospital, and the attending physician must check and sign the inpatient medical records within 48 hours. Grasp the weak links and control the quality of medical records. Where difficult and critical patients, departments should organize discussions at any time, formulate treatment plans, and constantly improve the diagnostic coincidence rate and rescue success rate.

Second, study.

Continue to focus on the "three basics" training, and prepare to organize business study twice a month from this year, striving for practical content, high technology content, new ideas, strong operability, planning and pertinence, preparing lessons, setting time, location, content and speaker. It is planned to carry out the second "three basics" examination, strengthen the supervision and training of young doctors' basic theory and operation, and improve their comprehensive quality through academic activities such as going out for further study and listening to special lectures.

Third, management.

Do a good job in the implementation of various systems, based on the strict implementation of various systems in medical care, and prevent errors and accidents. Continue to make all registration records. All the items that must be recorded in the Second Hospital should be carefully registered in time, and a special person should be appointed to take charge of them, and regular inspection and supervision should be carried out. Strengthen the construction of medical ethics and eliminate unhealthy practices in medical work.

4. Work plan for obstetrics and gynecology in 2023

In xxxx, with the joint efforts of general practitioners, the care and support of hospital leaders and the help of various functional departments, the obstetrics and gynecology department of our hospital developed steadily. Our department conscientiously implements the maternal and infant health care law, actively cooperates with the hospital to build our hospital into a second-class boutique hospital in the Three Gorges reservoir area, takes the quality service model as the core, expands the service field, and strives to improve the business level. In the new year, we are determined to push our work to a higher level and make the following plans:

First, strictly require every medical staff to establish a correct outlook on life, world outlook and values, abide by all disciplines and laws, abide by the rules and regulations of the hospital, love their jobs, take the hospital as their home, go to work on time, not be late, not leave early, and ask for leave in advance.

2. Study politics and business twice a month. Difficult cases should be discussed, and consultation and referral should be recorded.

3. In the writing of medical documents, the rate of Grade A medical records is over 90%, and Grade C medical records are eliminated. 4. Emphasize the training of medical treatment and skills, and ensure that every medical staff can be standardized and programmed, can operate all kinds of skills fluently and skillfully, and strictly abide by aseptic operation procedures.

Fourth, in xxxx, we should vigorously tap our own potential. Create departmental characteristics, vigorously publicize through newspapers, leaflets, advertisements, etc., and publicize our commitments, preferential policies and quality services in place.

Fifth, improve the rate of hospital delivery, do a good job in prenatal examination, patiently explain the health care and precautions during pregnancy, and inform them that hospital delivery is to reduce the morbidity and mortality of pregnant women, fetuses and newborns, and ensure the safety of mothers and babies.

Sixth, in terms of personnel training, in order to better carry out business, it is planned to send Zhang Yi to a higher hospital for further study next year.

Seven, xxxx, strive to complete the total annual income of 4.2 million yuan, and strive to greatly improve the number of outpatients, inpatients (especially obstetric patients) and the number of operating tables.

Xxxx year 65438+February 3rd.

5. Work plan for obstetrics and gynecology in 2023

1. Laparoscopic surgery depends on instruments, and the quality of instruments directly affects the progress of surgery. Therefore, visiting nurses must check the function of laparoscopic instruments and the tightness of pipelines before operation 1 day to ensure the good function of instruments. Always check the operation of the equipment during the operation to ensure that the equipment is in good working condition.

2. After the patient enters the operating room, the nurse should talk to him in a gentle voice, not with curious eyes, not talking about the patient's condition face to face, respecting the patient's privacy and making the patient trust the medical staff more.

3. Pay attention to the respiratory and circulatory functions when visiting nurses, ensure that patients are comfortable, safe, free from collateral damage and electric burns under the premise of fully exposing the surgical field, and pad the articular process with soft pads to avoid oppression. During the operation, the visiting nurse observes the patient's posture to prevent the belt from being too tight or too loose, and regularly massages the compressed parts to ensure local blood circulation. Correct posture can greatly reduce postoperative complications such as deep vein thrombosis.

4. Visiting nurses should be familiar with the performance of various instruments and have experience in connection and application of various instruments. In order to accumulate data and total experience, visiting nurses should do a good job of video recording according to the needs of the operation process and closely observe the patient's vital signs and infusion speed.

5. Clear vision is the premise of laparoscopic surgery, especially in nursing cooperation, so keep clear vision of laparoscopic surgery during the operation. The visiting nurse adjusts the monitor in time according to the screen display, prepares hot water, wipes the lens and removes the fog. When electrocoagulation stops bleeding for a long time, you can properly open the puncture sheath to smoke or aspirator.

6. Instrument nurses should be familiar with the names and uses of surgical instruments, brush their hands in advance to sort out the instruments, and deliver the instruments accurately and quickly according to the surgical steps during the operation. Used instruments should be recovered and put away in time to prevent accidental collision and damage. Cooperate closely with the doctor during the operation to ensure the smooth operation.

7. Laparoscopy is a kind of equipment integrating mechanical, photoelectric and optical technologies. Laparoscopic instruments are very precise, so handle them carefully to avoid collision. In order to protect the equipment from working effectively and normally, the equipment should be maintained after operation. When cleaning, open the instrument joints and all shaft joints, soak them in suitable enzyme solution for 5 minutes, take them out, rinse them with running water and dry them, install them correctly, and coat them with antirust oil. Make inventory registration and keep it by special personnel. Pay special attention to protect the lens, and the light source line cannot be twisted into an angle. Laparoscopic instruments can be soaked in normal temperature plasma sterilizer or 2% glutaraldehyde solution for more than 10h.

8. Closely observe the patient's condition during the operation, and often ask the patient if there is any discomfort. Send the patient back to the ward after the operation, so that he can spend the recovery period happily.

6. Work plan for obstetrics and gynecology in 2023

Another new starting point, another round of new efforts, with new hope, full of the journey of the new year. This plan is also a new breakthrough:

First, strengthen detail management and cultivate good work habits.

Details determine quality. Obstetrics and gynecology are random, and their usual work habits are poor. As a head nurse, she is busy with daily affairs and neglects management. In 20xx, she will focus on daily quality control, starting from small things and ensuring quality control.

Wear it in daily work, and control one or two pieces a week to form a standard, so that department personnel can gradually form a good habit of quality control, reduce lazy psychology and coping psychology, and really start from facilitating work and management. In addition, we should give full play to the role of quality control staff and responsible nurses, give them some daily quality control work, raise everyone's awareness of participation, mobilize general practitioners to participate in management, effectively improve self-management awareness and improve the efficiency of department management.

Two, standardize business rounds, improve the effect of rounds.

Change the situation of ward rounds in previous years, the bed nurse is responsible for selecting medical records, really selecting difficult medical records in departments, writing nursing plans, and the responsible nurse is responsible for discussing difficult nursing problems of diseases, brainstorming, proposing solutions to problems, improving professional level and solving nursing problems. At the same time, the discussion process is also a learning process, learning the knowledge of specialized diseases and standardizing the nursing routine of specialized diseases. Every time a specialized disease is standardized, the nursing routine of this disease will be applied to daily work, and the standardization of nursing work will be gradually improved.

Third, strengthen business study and improve the overall professional level.

Strengthen the study of specialist professional knowledge, systematically study obstetrics and gynecology, perinatal knowledge, neonatal resuscitation, obstetric emergency care and emergency procedures, with the participation of general practitioners, and everyone takes turns to prepare lessons once a month. And carry out emergency rescue drills in obstetrics, so that everyone can pass the exam and improve the emergency ability and specialized nursing level.

Fourth, design and use special health education manuals to strengthen health education.

Design specialist health education manuals, which are divided into neonatal health care manuals, puerperal health care manuals and gynecological health care manuals, express health care knowledge in concise and bright language forms, and design fresh pages to attract patients to truly understand knowledge. At the same time, standardize the contents of health education in departments, make health education manuals for nursing staff, form an integrated health education content, which is backed up by departments and mastered by everyone, thus effectively improving the level of health education.

Five, apply for nursing research projects and carry out scientific research work.

Applied nursing research project: observation and study on the effect of Chinese medicine application on promoting lactation. Carry out comprehensive observation and research on the effect, conduct statistical analysis, write research papers and submit application materials within one year. General practitioners are required to participate in scientific research projects, learn scientific research knowledge, and improve the overall quality and professional level of all kinds of personnel.

Six, strengthen the management of delivery room, complete the daily work and quality control work.

Delivery room management is a weak link in department management. Delivery room handover and inspection are not systematically implemented. In 20xx, the management of delivery room was refined, and a person in charge was appointed for each job. The team leader is always responsible for overall quality control and comprehensively improving delivery room management. At the same time, strengthen the control and monitoring of hospital infection, and complete the control and management of various nursing quality.

At the beginning of the year, I am willing to work hard to achieve higher goals. Nursing work is trivial and repetitive, and nursing quality control runs through every day. I am willing to use every day's hard work for the smooth development of the department's work, improve the standardization and practicality of management with every day's efforts, and strive for the happy work of every nursing staff in the department with every day's efforts.

7. Work plan for obstetrics and gynecology in 2023

First, continue to strengthen the detailed management and hierarchical management of nursing staff to ensure nursing safety.

In 20xx, the performance appraisal system will be strictly implemented, the competition system for the responsible team leader will be implemented, the quality control work will be divided into personnel, and the responsibility will be implemented to people, so as to give full play to the role of the responsible team leader and the responsible nurse, strengthen inspection in daily work, increase the self-management ability of each class in the department, and standardize the management of the department.

The second is to strengthen business study, update knowledge, expand service connotation and increase economic income.

Make a midwife training plan, focus on training midwives to observe the labor process and judge dystocia, increase the observation records of labor process in nursing documents, record the progress of the whole labor process in detail, improve the midwife's ability to observe and handle abnormal labor process, and organize all nurses to study the nursing of common and critical diseases in our department, and organize nursing rounds for critically ill patients in time; Strengthen the training of new businesses and technologies, strictly implement the access system, and improve the theoretical and operational capabilities of the whole department.

Third, strict disinfection and isolation to prevent hospital infection.

1, management of delivery room and neonatal room: delivery room and neonatal room are the most important things to prevent hospital infection. Midwifery class personnel implement weekly shift system, and the head nurse is responsible for overall quality control. Strict disinfection and isolation and goods handover management, strengthen hospital infection control and monitoring. Through inspection and supervision, the management of delivery room and neonatal room has been comprehensively improved, and all kinds of nursing quality control and management have been completed.

2, standardize medical waste disposal, strict disinfection and sterilization. And do a good job of registration.

3. Strengthen ward management, strictly implement disinfection and isolation system, disinfect the wards of maternal and infant roommates and patients with fever every day, and do terminal disinfection on the day of discharge to prevent cross infection.

Fourthly, strengthen nursing safety management and practice teaching strictly.

Practice teaching is an important part of nursing safety management. Implement one-to-one teaching mode for interns and advanced students, strengthen labor discipline management, make study plans, take regular exams for changing disciplines, conduct surveys on interns' satisfaction with teachers, and select the most satisfied teachers in the year.

Fifth, the morning meeting nursing class should hand over the manuscripts to improve the nurses' mastery of patients' "ten knowledge" and language communication ability.

Six, continue to carry out high-quality nursing services, constantly expand the connotation of services, increase the content of high-quality services, and improve the quality of services.

Continue to provide the first step of delivery for newborn babies free of charge, do a good job in postpartum nursing room health education and neonatal care, carry out TCM nursing operation techniques, meet the reasonable needs of patients as much as possible, solicit opinions from patients regularly, improve service quality, and provide a satisfactory medical environment for patients' families.

Seven, strengthen the management of medical equipment, emergency medical equipment responsibility to the people.

Assign special personnel to manage and maintain the equipment placed in each area, check and maintain it regularly to ensure that each equipment is in a good standby state and realize the economy of medical equipment; Strengthen the management of emergency medical devices, assign special personnel to be responsible for them, place them at fixed points, disinfect them regularly, check and maintain them regularly, and stand by at any time.

Eight, strengthen health education and postpartum visit.

In the 20xx department, I will play my own scientific and educational films such as Breastfeeding and Neonatal Care in the ward, and at the same time cooperate with education to carry out daily work, guide treatment and nursing at any time, and make use of every opportunity to do a good job in education. Midwives are responsible for calling 15 40 days after delivery to find out about postpartum recovery and breastfeeding, and urge the parturient to come to the hospital for follow-up visit and family planning guidance 42 days after delivery.

Nine, offering lectures on maternal knowledge