Three Work Plans for Rehabilitation Department of Traditional Chinese Medicine

article 1

nine modern rehabilitation treatment projects in p>21x 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 department of rehabilitation medicine, and the management of the department director was decisive and orderly, which coincided with the "dimethyl review" of our hospital, and put forward higher requirements for the hardware and equipment, staffing, management, teaching and medical quality and safety guarantee of the department of rehabilitation medicine. To this end, it urges us to make continuous development in department construction, diagnosis and treatment level, medical ethics, scientific research innovation, staffing and hardware facilities. Now the annual work plan of 2xx is formulated as follows:

1. Department construction and personnel echelon

In 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 criterion of clear rewards and punishments, and the goal of unity and harmony. Constantly expand the source of the disease, 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); Set up a ward of rehabilitation medicine. In order to gradually realize the expansion plan, it is necessary to 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. Rehabilitation doctors need to further study in domestic high-level rehabilitation centers because they are transferred from many departments and other majors, 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 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, do random checks and hold a quality management control meeting once a month. Set up quality control points, perform invasive operations such as acupuncture and local sealing, and strictly disinfect to avoid infection; Articles such as pads that are 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 inform the doctor in charge in time, and the normal consultation should be completed within 24 hours, and the emergency consultation should arrive in 1 minutes. There are many instruments in our department, which need to be repaired in time if they fail. Every week, a special person will be responsible for checking and eliminating hidden dangers, and a special person will keep the valuable instruments and set up a maintenance registration book. In order to ensure the continuous treatment of patients during holidays, it is necessary to arrange duty by turns and improve the sense of responsibility; We will continue to improve the construction of "harmonious doctor-patient relationship". Physiotherapy, occupational therapy and traditional rehabilitation in the department of rehabilitation medicine are mostly one-on-one treatment, which requires more contact with patients and a long time. In particular, we need to 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 business study of the staff in the department, the department organizes lectures and discussions once a week to learn about the new progress of treatment in the rehabilitation field, repeatedly study the "Rehabilitation Medicine and Physical Diagnosis and Treatment Standards", or improve the medical service level through case analysis and other forms; Before the new teacher gives a lecture, he will discuss the courseware making, teaching language and content. Give lectures to junior doctors and interns on a regular basis, strengthen management, standardize the language of explanation and be skilled in action; At the same time of teaching and treatment, we should observe the patient's reaction, evaluate it at any time, prevent special patients, such as paraplegia, shock caused by postural hypotension in long-term bedridden patients, epilepsy caused by emotional excitement and fatigue in patients' training, make emergency plans and be familiar with the emergency treatment process.

IV. Encourage the establishment of new technologies and new projects and the publication of papers

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

5. Problems that need to be solved by the hospital:

In order to cooperate with the development plan of key disciplines and increase the competitiveness of our hospital in the medical market, our department plans to apply for solving the following problems in 21x:

1. Rehabilitation medicine department urgently needs to set up wards: firstly, it can meet the requirements of "Dimethyl" for the discipline construction of rehabilitation medicine; Secondly, it is beneficial to reduce the bed pressure of neurological patients, speed up the turnover of other departments, enrich treatment methods, attract the source of disease and improve economic benefits; Third, patients discharged through neurological rehabilitation, because their quality of life has been greatly improved, will increase publicity to the hospital while being satisfied with the quality of hospital medical services, 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 application of this instrument has a good prospect and considerable economic and social benefits.

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

Part II

1. Medical safety and medical quality:

Implement the system of patient leave after leaving hospital and regular return visits, improve the case template of rehabilitation department (the contents of rounds are detailed and informative), educate patients and their families in place, and implement the responsibility system in wards.

Second, discipline construction (1. Development ideas 2. Specific measures 3. Number of beds 4. Talent echelon 5. New technology)

1. Development ideas: expanding the influence of traditional Chinese medicine rehabilitation treatment and modern rehabilitation treatment, and improving 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's key specialty standards, and carry out activities such as free clinic, rehabilitation knowledge lectures and TV publicity to improve the social visibility of rehabilitation department in our hospital. Continue to develop acupuncture treatment, cerebral apoplexy, cerebral palsy, children with mental retardation, limb joint fracture (postoperative) dysfunction, spinal cord injury and postoperative rehabilitation treatment, and formulate a systematic and standardized rehabilitation treatment process. Standardize the diagnosis, treatment and equipment of children's health.

3. Number of beds: 3 beds, with a utilization rate of 8-1%.

4. Talent echelon: Establish and improve rehabilitation treatment units, and initially form a rehabilitation treatment group with 1 rehabilitation doctor, 2 rehabilitation therapists and 1 rehabilitation physiotherapy nurse 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.

III. Equipment planning (demand and purchase)

Physiotherapy equipment: (Erkang): neuromuscular electrical stimulation therapeutic instrument (2 sets), muscle excitation therapeutic instrument (2 sets), spasmodic muscle therapeutic instrument (3 sets), transcranial magnetic therapeutic instrument, training slide, training wave bridge, ball bath, balance pedaling vehicle, drilling drum, etc. (Adult rehabilitation): 1 multi-spectral infrared therapeutic instrument, 1 neurological function reconstruction instrument, 4 brain intermediate frequency therapeutic instruments and 1 swallowing therapeutic instrument.

IV. Personnel training

Focus on training rehabilitation doctors and therapists in the department, strengthen exchanges and study with various rehabilitation medical institutions, and achieve well-known reputation in the city. Business lectures are arranged in the department every week, and case discussions are held every month. Experts are invited to guide the teaching in the department.

fifth, the goal: the rehabilitation construction is scientific and standardized, the medical group, the nursing group and the treatment group divide their work and cooperate, and gradually get rid of the scattered work and concentrate on the treatment of patients. The departments can undertake the work of treatment, rehabilitation, teaching and training.

Chapter III

The year of 2xx is a year to lay a solid foundation, and the year of 2xx is a crucial year for the comprehensive development of rehabilitation. In order to develop the rehabilitation department harmoniously and enhance its sustainable competitiveness, the main work plan for 2xx is formulated.

First, the focus and thinking of work

The focus of work in 2xx is to continue to do a good job in the construction of exercise therapy room in outpatient rehabilitation department; Do a good job in horizontal combination and expand the functional training of brain injury, nerve injury and other injuries; Stabilize the diagnosis and treatment of painful diseases and neck, shoulder, back and leg pain diseases; Focus on building 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, widely contact experts in various disciplines to disseminate rehabilitation information and popularize rehabilitation knowledge; Strengthen business study and strive to create department characteristics and brands.

Second, tasks and measures

1. Go to other departments to make rounds regularly to understand the patient's rehabilitation, guide doctors in relevant departments to open 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. There are plans to carry out comprehensive rehabilitation training for undergraduate doctors, so that rehabilitation theory and rehabilitation treatment technology can be trained 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 swallowing disorder treatment in an all-round way, expand functional rehabilitation after brain injury, cerebral palsy and fracture, and carry out rehabilitation intervention for internal diseases such as chronic obstructive pulmonary disease and cardiovascular and cerebrovascular diseases in a planned way.

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

5. Discuss the difficult patients in the department to improve the treatment effect and the technical level of rehabilitation.

6. Labor remuneration shall be distributed in 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 in the department are divided into ward management group, modern rehabilitation group, traditional rehabilitation group and rehabilitation nursing group.

The specific plan is as follows:

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

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 responsible for physical factor therapy.

Traditional rehabilitation group: Zhou Li is responsible for acupuncture, massage, cupping, small needle knife, medicine dressing, etc. 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 conveying patients to the ward. Outpatient doctors accept patients, prescribe treatment orders or contact hospitalization, which will be arranged by the department, and other departments will introduce patients to our department, which will arrange treatment in a unified way.

9. Strengthen the training of department staff, win the support of leaders, coordinate the staff in the department to rotate to the related departments of rehabilitation medicine, such as neurology, neurosurgery and orthopedics, learn relevant processing knowledge, and strengthen the contact between departments. Send 1 ~ 2 doctors to the higher hospital for further study every year.

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

11. create a scientific research atmosphere and strive to publish more than one paper every time.