手册-医院病房护士长手册-(定稿).doc

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病房护士长职责 1、在护理部、科护士长的领导和科主任的业务指导下，根据护理部及科内工作计划，制订本病房具体计划，并组织实施，定期总结汇报。 2、负责本病房护理人员及环境、物品、药品的管理。 3、负责对本病区护理人员的执业指导，教育护理人员加强责任心、改善服务态度，遵守劳动纪律，密切医护配合。 4、根据病人的需要和护理人员的情况合理安排护士的工作。组织、指导并参与危重病人的抢救及护理工作。 5、督促、检查护理人员严格执行各项规章制度和技术操作规程，确保护理安全和护理质量。 6、参加科主任查房、科内会诊、大手术或新开展手术、疑难病例、死亡病例的讨论。 7、检查、指导护士正确运用护理程序和开展健康教育。 8、组织本病房护理查房和护理会诊、业务学习及技术训练，定期对护士进行考试、考核，完成护理人员培训计划。 9、加强护理质量管理，按照护理质量标准督促、检查和评估护理工作，重点评价对病人的护理效果。 10、对护理人员发生的差错、事故及时上报，并组织本病房护理人员对差错、事故进行分析和总结，制定并落实预防措施。 11、根据教学计划，管理和指导带教人员及实习、进修护理人员，完成临床教学任务。 12、组织拟定本病房护理科研计划，积极开展新业务、新技术及护理科研工作。 13、创造良好休养环境，督促做好卫生和消毒隔离工作，定期召开工休座谈会，征求意见，改进护理服务。 14、密切与各科室、各部门的联系，加强沟通、协调和配合。病区副护士长协助护士长负责相应的工作。 1、护理人员花名册姓名出生年月参加工作时间进入本科时间何时何校毕业学历职称晋升时间注册情况联系电话备注 2、护理人员花名册姓名出生年月参加工作时间进入本科时间何时何校毕业学历职称晋升时间注册情况联系电话备注 3、病区护理人员结构（上半年）年龄学历职称 50岁以上 40～49岁 30～39岁 29岁以下硕士本科大专中专副高中级初级未注册人数比例病区护理人员结构（下半年）年龄学历职称 50岁以上 40～49岁 30～39岁 29岁以下硕士本科大专中专副高中级初级未注册人数比例 4、病区床位与护理人员比例（上半年）病区固定床位数（张）病区实际床位数（张）病区护士人数（人）实际病床数：护士人数按国家规范(1：0.4) 尚缺护士人数病区床位与护理人员比例（下半年）病区固定床位数（张）病区实际床位数（张）病区护士人数（人）实际病床数：护士人数按国家规范(1：0.4) 尚缺护士人数 5、护士考勤记录（休假天数）月姓名 1 2 3 4 5 6 7 8 9 10 11 12 备注（病假、事假等说明）： 6、年工作计划要点　　　　　　内容含护理质控、培训、科研、教学等 7、科室护理人员“西学中”培训计划要点内容含中医理论、中医操作、疾病护理常规、辩证施护等内容。 8、第一季度科室工作计划和重点重点内容调整计划 9、每月工作计划和重点月份重点内容完成情况一月二月三月月份重点内容完成情况四月五月六月月份重点内容完成情况七月八月九月月份重点内容完成情况十月十一月十二月 10、参加业务或行政查房记录(一月) 日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 11、一月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 12、护理部会议记录（一月） 13、参加业务或行政查房记录 (二月) 日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 14、二月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 15、护理部会议记录（二月） 16、参加业务或行政查房记录（三月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 17、三月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 18、护理部会议记录(三月） 19、第二季度工作计划和重点重点内容调整计划 20、参加业务或行政查房记录 (（四月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 21、四月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 22、护理部会议记录（四月） 23、参加业务或行政查房记录（五月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 24、五月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 25、护理部会议记录（五月） 26、参加业务或行政查房记录（六月）日期查房主任姓名内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 30、六月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 31、护理部会议记录（六月） +32、年上半年护理工作总结 1.数据统计：在职培训：外出参加学术会议：省级人次，接收进修生人次，实习生人次。专科学习：护理业务学习次(小讲课次、专题研讨次)、护理查房次、开展新业务新技术项。一般差错起，严重差错起。 2.文字总结： 33、第三季度工作计划和重点重点内容调整计划 34、参加主任业务或行政查房记录（七月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 35、七月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 36、护理部会议记录（七月） 37、参加主任业务或行政查房记录（八月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 38、八月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 39、护理部会议记录（八月） 40、参加主任业务或行政查房记录（九月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 41、九月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 42、护理部会议记录（九月） 43、第四季度工作计划目标和重点重点内容调整计划 44、参加主任业务或行政查房记录（十月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 45、十月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 46、护理部会议记录（十月） 47、参加主任业务或行政查房记录（十一月）日期项目内容 + 指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 48、十一月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 49、护理部会议记录（十一月） 50、参加主任业务或行政查房记录（十二月）日期项目内容指标要求：护士长每周或每月参加科主任业务查房、护理质量检查记录。 51、十二月工作小结内容：月计划、临时性工作完成情况，存在问题及整改设想，未完成计划及原因 52、护理部会议记录（十二月） 54、临时性工作任务调配记录（护理人员动态记录）起止时间下达任务部门任务内容参加人数参加人员姓名临时调配完成情况备注何病区借入借去何病区 55、好人好事登记日期事件内容姓名备注 56、科室护理人员考核成绩登记（理论考试）日期姓名考核项目成绩备注 57、科室护理人员考核成绩登记（操作考核）日期姓名考核项目成绩备注 58、满意度调查统计表（科室：）月份发放份数满意份数满意度（%）反馈问题合计 59、每周晨会提问记录日期提问内容回答人得分备注日期提问内容回答人得分备注 60、年度工作总结 1.数据统计：在职培训：外出参加学术会议：省级人次，接收进修生人次，实习生人次。专科学习：护理业务学习次(小讲课次、专题研讨次)、护理查房次、开展新业务新技术项。一般差错起，严重差错起。 2.文字总结：请删除以下内容，O(∩_∩)O谢谢！！！The origin of taxation in the United States can be traced to the time when the colonists were heavily taxed by Great Britain on everything from tea to legal and business documents that were required by the Stamp Tax. The colonists' disdain for this taxation without representation (so-called because the colonies had no voice in the establishment of the taxes) gave rise to revolts such as the Boston Tea Party. However, even after the Revolutionary War and the adoption of the U.S. Constitution, the main source of revenue for the newly created states was money received from customs and excise taxes on items such as carriages, sugar, whiskey, and snuff. Income tax first appeared in the United States in 1862, during the Civil War. At that time only about one percent of the population was required to pay the tax. A flat-rate income tax was imposed in 1867. The income tax was repealed in its entirety in 1872. Income tax was a rallying point for the Populist party in 1892, and had enough support two years later that Congress passed the Income Tax Act of 1894. The tax at that time was two percent on individual incomes in excess of $4,000, which meant that it reached only the wealthiest members of the population. The Supreme Court struck down the tax, holding that it violated the constitutional requirement that direct taxes be apportioned among the states by population (pollock v. farmers' loan & trust, 158 U.S. 601, 15 S. Ct. 912, 39 L. Ed. 1108 [1895]). After many years of debate and compromise, the sixteenth amendment to the Constitution was ratified in 1913, providing Congress with the power to lay and collect taxes on income without apportionment among the states. The objectives of the income tax were the equitable distribution of the tax burden and the raising of revenue. Since 1913 the U.S. income tax system has become very complex. In 1913 the income tax laws were contained in eighteen pages of legislation; the explanation of the tax reform act of 1986 was more than thirteen hundred pages long (Pub. L. 99-514, Oct. 22, 1986, 100 Stat. 2085). Commerce Clearing House, a publisher of tax information, released a version of the Internal Revenue Code in the early 1990s that was four times thicker than its version in 1953. Changes to the tax laws often reflect the times. The flat tax of 1913 was later replaced with a graduated tax. After the United States entered world war i, the War Revenue Act of 1917 imposed a maximum tax rate for individuals of 67 percent, compared with a rate of 13 percent in 1916. In 1924 Secretary of the Treasury Andrew W. Mellon, speaking to Congress about the high level of taxation, stated, The present system is a failure. It was an emergency measure, adopted under the pressure of war necessity and not to be counted upon as a permanent part of our revenue structure…. The high rates put pressure on taxpayers to reduce their taxable income, tend to destroy individual initiative and enterprise, and seriously impede the development of productive business…. Ways will always be found to avoid taxes so destructive in their nature, and the only way to save the situation is to put the taxes on a reasonable basis that will permit business to go on and industry to develop. Consequently, the Revenue Act of 1924 reduced the maximum individual tax rate to 43 percent (Revenue Acts, June 2, 1924, ch. 234, 43 Stat. 253). In 1926 the rate was further reduced to 25 percent. The Revenue Act of 1932 was the first tax law passed during the Great Depression (Revenue Acts, June 6, 1932, ch. 209, 47 Stat. 169). It increased the individual maximum rate from 25 to 63 percent, and reduced personal exemptions from $1,500 to $1,000 for single persons, and from $3,500 to $2,500 for married couples. The national industrial recovery act of 1933 (NIRA), part of President franklin d. roosevelt's new deal, imposed a five percent excise tax on dividend receipts, imposed a capital stock tax and an excess profits tax, and suspended all deductions for losses (June 16, 1933, ch. 90, 48 Stat. 195). The repeal in 1933 of the eighteenth amendment, which had prohibited the manufacture and sale of alcohol, brought in an estimated $90 million in new liquor taxes in 1934. The social security act of 1935 provided for a wage tax, half to be paid by the employee and half by the employer, to establish a federal retirement fund (Old Age Pension Act, Aug. 14, 1935, ch. 531, 49 Stat. 620). The Wealth Tax Act, also known as the Revenue Act of 1935, increased the maximum tax rate to 79 percent, the Revenue Acts of 1940 and 1941 increased it to 81 percent, the Revenue Act of 1942 raised it to 88 percent, and the Individual Income Tax Act of 1944 raised the individual maximum rate to 94 percent. The post-World W

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