護(hù)理部業(yè)務(wù)工作規(guī)范管理流程

1、病區(qū)早交接班管理流程開(kāi)始護(hù)理部制定早交班規(guī)范及質(zhì)控標(biāo)準(zhǔn)護(hù)士長(zhǎng)組織學(xué)習(xí)護(hù)士長(zhǎng)檢查夜班工作質(zhì)量其他護(hù)士貫徹執(zhí)行責(zé)任護(hù)士貫徹執(zhí)行夜班護(hù)士貫徹執(zhí)行夜班護(hù)士準(zhǔn)備交班責(zé)任護(hù)士了解患者情況其他護(hù)士清點(diǎn)物品及藥物責(zé)任護(hù)士參加護(hù)士長(zhǎng)參加責(zé)任護(hù)士參加值班醫(yī)生報(bào)告病情科主任主持早交班講評(píng)布置工作夜班護(hù)士報(bào)告病情護(hù)理部不定期參加其他護(hù)士參加其他護(hù)士參加夜班護(hù)士護(hù)士站交接護(hù)士長(zhǎng)檢查護(hù)士?jī)x表，布置工作其他護(hù)士參加責(zé)任護(hù)士參加護(hù)士長(zhǎng)床旁交接班質(zhì)量監(jiān)控夜班護(hù)士床旁交接護(hù)理部床旁交接班質(zhì)量監(jiān)控質(zhì)量達(dá)標(biāo)護(hù)士長(zhǎng)分析原因護(hù)士長(zhǎng)跟蹤自評(píng)護(hù)士長(zhǎng)制定改進(jìn)措施夜班護(hù)士執(zhí)行其他護(hù)士執(zhí)行接班護(hù)士執(zhí)行護(hù)理部檢查考評(píng)護(hù)理部跟蹤指導(dǎo)結(jié)束床頭交接班管理

2、流程開(kāi)始護(hù)理部制定床頭交接班管理規(guī)范和質(zhì)控標(biāo)準(zhǔn)接班護(hù)士接班交班護(hù)士交班交班護(hù)士與患者溝通交班準(zhǔn)備接班準(zhǔn)備交班護(hù)士貫徹執(zhí)行接班護(hù)士貫徹執(zhí)行護(hù)士長(zhǎng)組織學(xué)習(xí)護(hù)理部抽查交班護(hù)士介紹本班情況、下一班須注意的事項(xiàng)護(hù)士長(zhǎng)交接班質(zhì)量監(jiān)控接班護(hù)士查體，檢查皮膚、管道等接班護(hù)士自我介紹，詢問(wèn)患者主訴護(hù)理部抽查護(hù)士長(zhǎng)質(zhì)量講評(píng)質(zhì)量達(dá)標(biāo)護(hù)士長(zhǎng)分析原因護(hù)士長(zhǎng)制定改進(jìn)措施護(hù)士長(zhǎng)持續(xù)改進(jìn)結(jié) 束護(hù)理部跟蹤指導(dǎo)護(hù)理部檢查考評(píng)接班護(hù)士執(zhí)行其他護(hù)士 執(zhí)行護(hù)理部質(zhì)量管理流程開(kāi)始護(hù)理部/質(zhì)管會(huì)制定年度質(zhì)量管理計(jì)劃護(hù)理部/質(zhì)管會(huì)建立質(zhì)量指標(biāo)、標(biāo)準(zhǔn)及檢查細(xì)則護(hù)理部/質(zhì)管會(huì)下發(fā)護(hù)理質(zhì)量管理文件護(hù)理部/質(zhì)管會(huì)組織培訓(xùn)護(hù)理部/質(zhì)管會(huì)實(shí)施檢查護(hù)理部

3、/質(zhì)管會(huì)月護(hù)士長(zhǎng) 例會(huì)分析講評(píng)護(hù)理部/質(zhì)管會(huì)年度綜合質(zhì)量考評(píng)總結(jié)兌現(xiàn)獎(jiǎng)懲機(jī)制護(hù)理部/質(zhì)管會(huì)終末質(zhì)量檢查護(hù)理部/質(zhì)管會(huì)環(huán)節(jié)質(zhì)量檢查護(hù)理部/質(zhì)管會(huì)基礎(chǔ)質(zhì)量檢查科護(hù)士長(zhǎng)組織培訓(xùn)護(hù)士長(zhǎng)自查改進(jìn)科護(hù)士長(zhǎng)檢查、督導(dǎo)護(hù)士長(zhǎng)自查改進(jìn)科護(hù)士長(zhǎng)檢查、督導(dǎo)護(hù)士長(zhǎng)自查改進(jìn)科護(hù)士長(zhǎng)檢查、督導(dǎo)護(hù)士長(zhǎng)月度質(zhì)量分析自評(píng)科護(hù)士長(zhǎng)匯總、上報(bào)結(jié)果護(hù)士長(zhǎng)組織改進(jìn)護(hù)士長(zhǎng)反饋意見(jiàn)科護(hù)士長(zhǎng)參與計(jì)劃科護(hù)士長(zhǎng)組織改進(jìn)護(hù)理部主任選擇性參加護(hù)理部主任審核講評(píng)護(hù)理部主任修改、確定達(dá)標(biāo)結(jié)束護(hù)士長(zhǎng)組織培訓(xùn)圍手術(shù)期護(hù)理質(zhì)量管理流程開(kāi)始護(hù)理部制定質(zhì)控標(biāo)準(zhǔn)病房護(hù)士交接術(shù)后患者病房護(hù)士術(shù)后護(hù)理病房護(hù)士術(shù)后護(hù)理質(zhì)量自查病房護(hù)士貫徹執(zhí)行病房護(hù)士長(zhǎng)組織學(xué)習(xí)手術(shù)室護(hù)士

4、貫徹執(zhí)行病房護(hù)士備齊用物，床旁交接手術(shù)室護(hù)士長(zhǎng)組織學(xué)習(xí)病房護(hù)士術(shù)前準(zhǔn)備病房護(hù)士手術(shù)通知病房護(hù)士術(shù)前健康教育病房護(hù)士術(shù)前檢查病房護(hù)士實(shí)施改進(jìn)病房護(hù)士交接術(shù)后患者手術(shù)室護(hù)士長(zhǎng)安排手術(shù)護(hù)士.手術(shù)室護(hù)士長(zhǎng)術(shù)前質(zhì)量監(jiān)控護(hù)理部術(shù)前護(hù)理質(zhì)量監(jiān)控手術(shù)室護(hù)士器械物品準(zhǔn)備病房護(hù)士長(zhǎng)術(shù)前護(hù)理質(zhì)量監(jiān)控手術(shù)室護(hù)士術(shù)前訪視患者手術(shù)室護(hù)士接查對(duì)患者護(hù)理部質(zhì)量分析講評(píng)手術(shù)室護(hù)士術(shù)中配合手術(shù)室護(hù)士長(zhǎng)制定改進(jìn)措施自查病房護(hù)士長(zhǎng)術(shù)后護(hù)理質(zhì)量監(jiān)控手術(shù)室護(hù)士術(shù)后訪視手術(shù)室護(hù)士送患者回病房手術(shù)室護(hù)士長(zhǎng)術(shù)中質(zhì)量監(jiān)控病房護(hù)士術(shù)前護(hù)理質(zhì)量自查手術(shù)室護(hù)士術(shù)中護(hù)理質(zhì)量自查護(hù)理部術(shù)后護(hù)理質(zhì)量監(jiān)控達(dá)標(biāo)自查達(dá)標(biāo)手術(shù)室護(hù)士實(shí)施改進(jìn)護(hù)理部術(shù)后護(hù)理質(zhì)量監(jiān)控手術(shù)室護(hù)士長(zhǎng)制定改進(jìn)措施護(hù)理部質(zhì)控總結(jié)報(bào)告護(hù)理部跟蹤監(jiān)控結(jié)束護(hù)理服務(wù)滿意度調(diào)查流程開(kāi)始護(hù)理部/質(zhì)管會(huì)制定年度滿意度調(diào)查計(jì)劃、達(dá)標(biāo)要求護(hù)理部/質(zhì)管會(huì) 跟蹤改進(jìn)效果護(hù)理部/質(zhì)管會(huì) 落實(shí)績(jī)效管理規(guī)定護(hù)理部/質(zhì)管會(huì) 反饋調(diào)查結(jié)果護(hù)理部/質(zhì)管會(huì) 匯總、分析數(shù)據(jù)護(hù)理部/質(zhì)管會(huì) 發(fā)放、回收、整理問(wèn)卷護(hù)理部/質(zhì)管會(huì) 培訓(xùn)問(wèn)卷調(diào)查表護(hù)理部/質(zhì)管會(huì) 設(shè)計(jì)調(diào)查表護(hù)理部/質(zhì)管會(huì) 分解目標(biāo)護(hù)理部/質(zhì)管會(huì) 年度數(shù)據(jù)匯總，總結(jié)表彰護(hù)理部/質(zhì)管會(huì) 全院推廣護(hù)理部/質(zhì)管 會(huì)完善院內(nèi)管理制度是否達(dá)標(biāo)結(jié)束護(hù)士長(zhǎng)制定科