医院病房护士长手册(定稿).doc

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4049岁3039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4049岁3039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123456789101112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. roosevelts 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 War II Revenue Act of 1945 reduced the individual maximum tax from 94 percent to 91 percent. The Revenue Act of 1950, during the korean war, reduced it to 84.4 percent, but it was raised the next year to 92 percent (Revenue Act of 1950, Sept. 23, 1950, ch. 994, Stat. 906). It remained at this level until 1964, when it was reduced to 70 percent. The Revenue Act of 1954 revised the Internal Revenue Code of 1939, making major changes that were beneficial to the taxpayer, including providing for child care deductions (later changed to credits), an increase in the charitable contribution limit, a tax credit against taxable retirement income, employee deductions for business expenses, and liberalized depreciation deductions. From 1954 to 1962, the Internal Revenue Code was amended by 183 separate acts. In 1974 the employee retirement income security act (ERISA) created protections for employees whose employers promised specified pensions or other retirement contributions (Pub. L. No. 93-406, Sept. 2, 1974, 88 Stat. 829). ERISA required that to be tax deductible, the employers plan contribution must meet certain minimum standards as to employee participation and vesting and employer funding. ERISA also approved the use of individual retirement accounts (IRAs) to encourage tax-deferred retirement savings by individuals. The Economic Recovery Tax Act of 1981 (ERTA) provided the largest tax cut up to that time, reducing the maximum individual rate from 70 percent to 50 percent (Pub. L. No. 97-34, Aug. 13, 1981, 95 Stat. 172). The most sweeping tax changes since world war ii were enacted in the Tax Reform Act of 1986. This bill was signed into law by President ronald reagan and was designed to equalize the tax treatment of various assets, eliminate tax shelters, and lower marginal rates. Conservatives wanted the act to provide a single, low tax rate that could be applied to everyone. Although this single, flat rate was not included in the final bill, tax rates were reduced to 15 percent on the first $17,850 of income for singles and $29,750 for married couples, and set at 28 to 33 percent on remaining income. Many deductions were repealed, such as a deduction available to two-income married couples that had been used to avoid the marriage penalty (a greater tax liability incurred when two persons filed their income tax return as a married couple rather than as individuals). Although the personal exemption exclusion was increased, an exemption for elderly and blind persons who itemize deductions was repealed. In addition, a special capital gains rate was repealed, as was an investment tax credit that had been introduced in 1962 by President john f. kennedy. The Omnibus Budget Reconciliation Act of 1993, the first budget and tax act enacted during the Clinton administration, was vigorously debated, and passed with only the minimum number of necessary votes. This law provided for income tax rates of 15, 28, 31, 36, and 39.6 percent on varying levels of income and for the taxation of social security income if the taxpayer receives other income over a certain level. In 2001 Congress enacted a major income tax cut at the urging of President george w. bush. Over the course of 11 years the law reduces marginal income tax rates across all levels of income. The 36 percent rate will be lowered to 33 percent, the 31 percent rate to 28 percent, the 28 percent rate to 25 percent. In addition, a new bottom 10 percent rate was created. Since the early 1980s, a flat-rate tax system rather than the graduated bracketed method has been proposed. (The graduated bracketed method is the one that has been used since graduated taxes were introduced: the percentage of tax differs based on the amount of taxable income.) The flat-rate system would impose one rate, such as 20 percent, on all income and would eliminate special deductions, credits, and exclusions. Despite firm support by some, the flat-rate tax has not been adopted in the United States. Regardless of the changes made by legislators since 1913, the basic formula for computing the amount of tax owed has remained basically the same. To determine the amount of income tax owed, certain deductions are taken from an individuals gross income to arrive at an adjusted gross income, from which additional deductions are taken to arrive at the taxable income. Once the amount of taxable income has been determined, tax rate charts determine the exact amount of tax owed. If the amount of tax owed is less than the amount already paid through tax prepayment or the withholding of taxes from paychecks, the taxpayer is entitled to a refund from the IRS. If the amount of tax owed is more than what has already been paid, the taxpayer must pay the difference to the IRS. Calculating the gross income of restaurant employees whose income is partially derived from gratuities left by customers has led to disputes with the IRS and employers over how much they should contribute in federal insurance contributi