Medical health statistics. Nurse certification report Infectious safety of healthcare workers

To assign or confirm your qualification category. To complete this procedure, you need the last year of practical activity at the main place of work. For specialists with higher education, the report should reflect the activities for the last 3 years.

The report of a specialist applying for the assignment or confirmation of a qualification category is a work reflecting a comparative analysis of the labor activity of a medical worker for the last year.

You should not approach the writing of the attestation report formally and expect that the attestation commission will not go into a detailed study of it. Recently, there has been a growing number of nurses whose reports are being returned for revision. The absence of uniform requirements for the report, approved at the federal level, is not a reason for frivolity in this work. Especially seriously, you should approach the preparation of a report for nurses who claim to be awarded the first, and even more so - the highest qualification category.

Consider nurse certification report by sections. Usually, when drawing up a report, medical professionals are guided by the recommendations developed and proposed by specialists in a particular region. However, roughly nurse certification report meets the same compilation and design rules.

1. Introduction

  • milestones of the work path;
  • information about the improvement;
  • information about previous certifications (if a nurse is not being certified for the first time).

1.2 Brief description of the medical institution:

  • material and technical base;
  • number of divisions;
  • the total number of hospital beds;
  • staffing table;
  • personnel and other information.

1.3 Unit characteristics:

  • the number of hospital beds;
  • material and technical equipment;
  • staffing table;
  • staffing;
  • features of the unit.

2. The main body of the report

2.1 Patient population:

  • gender, age, nosological forms of diseases;
  • features of patient care in the unit;
  • a description of the creation of a safe hospital environment and a favorable social and psychological atmosphere for the patients of the unit;
  • description of examples of difficult situations with patients from their own nursing practice.

2.2 Scope of work performed:

  • description of the workplace and job responsibilities;
  • a description of the preparation for operation of medical equipment, medical instruments available and used in the unit;
  • a description of the preparation of patients for diagnostic and therapeutic procedures and manipulations;
  • a description of the rules for sampling biomaterial for laboratory research;
  • a description of the patient care process, as well as care items, including new ones;
  • description of the rules of accounting, storage and issuance drugs in the unit indicating the benefits of using new drugs;
  • a description of the maintenance of medical records in the unit;
  • description of assistance in emergency conditions, give examples from practice.

2.3 Qualitative and quantitative indicators of a nurse's work for the reporting period:

  • name and number of performed nursing manipulations in the form of tables.

2.4 Mastering and implementation of new modern nursing technologies, rationalization work:

  • description of the benefits of using new nursing technologies in care, treatment, prevention and rehabilitation;
  • description of the achievement of the therapeutic and diagnostic effect from the use of innovative nursing technologies and techniques.

2.5 Compliance with measures for the prevention of occupational diseases:

  • use of personal protective equipment by employees of the unit at the workplace;
  • timely passage of medical examinations;
  • immunization of personnel through vaccination (mandatory vaccinations).

3. Infection control

3.1 Infection control system:

  • compliance with the rules of asepsis and antiseptics, the use of modern and sterilization in the unit;
  • main quality indicators for the reporting period:
  • the number of sanitary and bacteriological complications when performing manipulations and using medical equipment;
  • infection of patients after procedures;
  • infectious safety of the unit's medical personnel;
  • cases of nosocomial infection, the timeliness of their analysis.

All indicators should be stated in comparison with indicators for the entire medical institution, and also (preferably) for the district, region (region). An analysis of the specialist's indicators for the reporting period should be carried out, the causes of complications should be determined and ways to prevent their occurrence should be shown. An analytical explanation of digital data will demonstrate the ability of the certified specialist to evaluate his own activities, as well as the activities of the unit in which he works and the medical institution as a whole.

4. Participation in the activities of professional associations, pedagogical and sanitary-educational work, professional development

4.1 Social activities:

  • participation in the work of professional associations.

4.2 Pedagogical activities:

  • control and guidance when working with junior medical personnel (for senior nurses - and with mid-level personnel);
  • teaching the skills of carrying out nursing manipulations, methods of providing emergency care for students of medical colleges and schools;
  • conducting technical sessions with young nursing professionals;
  • exchange of experience with colleagues from other departments and medical organizations.

4.3 Sanitary educational work:

  • participation in the work of schools for patients on various nosological forms of diseases;
  • conducting nursing patronage of patients;
  • thematic conversations with patients, their relatives and visitors;
  • issue of health bulletins;
  • participation in the organization and work of schools to promote a healthy lifestyle.

4.4 Medical ethics issues and:

  • knowledge of the Code of Ethics for Nurses in Russia;
  • knowledge of the Charter of Nurses of Russia;
  • the importance of adhering to the principles of medical ethics and deontology through an example from practice.

5. Conclusions, tasks for the future, proposals

5.1 Conclusions:

  • summing up the results of work for the reporting year;
  • identifying problems and ways to solve them;
  • generalization of the results and the formation of conclusions based on the given data.

5.2 Challenges for the future:

  • planning activities for further professional growth and improvement.

5.3 Suggestions:

  • on the basis of the analytical studies, recommendations are offered to improve the work process.

6. Literature

6.1 Specialist's own publications:

  • list of publications or photocopies of articles;
  • titles of reports, presentations with which the specialist spoke at conferences, symposia and other forums.

6.2 Literature used to compile the report:

  • list of bibliographic descriptions: official documents, books, periodicals, dissertations, abstracts, standards and electronic publications.

7. Applications

  • Tables, diagrams, graphs, photographic documents, pictures.

We hope that composed in the manner described nurse certification report will allow you to pass an important professional test with dignity.

I, Ivanova Anna Ivanovna, a medical statistician of the St. Petersburg State Budgetary Healthcare Institution "City Polyclinic No. 00" of the Ivanovsky District. In 2004 she graduated from GOU SPO "St. Petersburg Medical School No. 0" and received a diploma in the specialty "Nursing" with the qualification "Nurse".
Since October 2010 and now I have been working in the office of medical statistics of St. Petersburg GBUZ "City polyclinic №00" of the Ivanovsky district. From October 2010 to May 2013 she worked as a computer operator. In May 2013, she received a certificate of a specialist with the qualification “Medical statistician” and since June 2013 she has been assigned the position of “Medical statistician”. General medical experience 6 years.

Brief description of the institution.
SPbGBUZ "City polyclinic №00" is located in the Ivanovsky district at .... Typical four-storey building from 1953.
SPb GBUZ "City polyclinic №00" serves the adult population of the Ivanovsky district of the city of St. Petersburg. At the end of 2015, 39,370 people were attached to the polyclinic, of which 27,360 people were of working age, 12,010 people were older than working age. The polyclinic is designed for 940 visits per shift (750 - polyclinic, 190 - women's consultation). The polyclinic includes the following departments and specialist rooms:
2 therapeutic departments;
cardiology department;
surgery department;
department of radiation diagnostics, which includes 2 rooms for X-ray diagnostics, an office for ultrasound diagnostics.
physiotherapy department, including UHF therapy rooms, electric light therapy, massage rooms;
prevention department with vaccination room;
clinical diagnostic laboratory;
day hospital;
central sterilization department;
urologist;
endocrinologist;
neurologist;
otolaryngologist;
ophthalmologist;
infectious disease specialist;
fluorographic office;
endoscopy room;
functional diagnostics room;
office of medical statistics. The polyclinic includes several structural divisions:
Emergency department medical care serves 140.842 adult population of the Ivanovo district.
Women's consultation number 6 serves 20,900 women.
The department of general practitioners serves 7,840 adults.
The main principle of organizing the work of the St. Petersburg City Polyclinic No. 00 is to carry out a whole range of treatment and prophylactic measures in the service area: control over preventive examinations, examination, treatment and dispensary observation of the population, participation in the program of medical examination of certain groups of the adult population.
The polyclinic carries out its activities to provide medical care in accordance with the Territorial Program of Compulsory Medical Insurance. Contracts have been concluded with medical insurance organizations that finance the institution.
The polyclinic is actively working to introduce new forms of work organization. All doctors' workplaces are equipped with computers, there is a local network. The polyclinic receives modern medical equipment under the Health program. The rooms and halls of the polyclinic are being renovated, modern equipment is being purchased for the emergency department.
The software is provided by ZAO MEDIKA. The group of companies "MEDIKA" has developed and continues to improve the systems, the users of which are both medical workers and patients. We have available such projects as:
- “Appointment to a doctor” provides the patient with the opportunity to make an appointment with a doctor via the Internet, an information terminal, a public access call center, a reception, from the doctor's office.
- "Electronic registry" - personalized registration of the population, to draw up work schedules for doctors, to print various documents in the registry, including statistical coupons for an appointment with a doctor.
- "Workplace of a doctor" ...

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  • GENERAL REQUIREMENTS

    to the preparation of a certification report for assigning a qualification category in diagnostic specialties

    (roentgenology, ultrasound diagnostics, endoscopy, functional diagnostics, clinical laboratory diagnostics, bacteriology,

    laboratory genetics, pathological anatomy, forensic medical examination)

    The attestation report of the doctor on the work done is a scientific and practical work in which the doctor analyzes the results of his professional practice and service activity over the past three years on all issues of his specialty.

    1. Registration of the attestation report

    1.1. General requirements (in accordance with GOST 7.32–91 and international standard ISO 5966–82): The attestation report should reflect as much as possible the author's own contribution to the activities of a medical organization. The report should be printed on one side of a standard A4 sheet of white paper, Times New Roman font, font size 12, line spacing - 1.5. The pages of the attestation report must have the following margins: left - at least 30 mm, right - at least 10 mm, top - at least 15 mm, bottom - at least 20 mm; paragraph indentation - 1-1.5 cm. The main text of the work should be aligned “in width”. The volume of the attestation report for the highest qualification category should be on average 30-35 sheets, for the first and second categories - 20-25 sheets, including printed text, tables, figures. Found errors and misprints should be corrected by shading with white paint (corrector) and then entering the corrections in black ink.


    1.2. Title page of the doctor's attestation report: Above right - a statement signed by the head of the medical institution, certified by the round seal of the medical institution in which the doctor works (or worked). In the center - the heading: “Report on work for such and such years (indicate the reporting period for doctors - 3 years), full name. doctor (write in full), position, in accordance with the entry in the work book, full name of the institution in accordance with the registered Charter, the requested category, specialty (in accordance with the current nomenclature of specialties). At the bottom of the sheet - the name of the settlement, the year of work.

    1.3. The second page of the doctor's attestation report: The second page of the attestation report should contain a table of contents indicating the page numbers of the main sections of the attestation work. The strict style of the table of contents should be observed, and the number “1” is never put on the title page, but it is taken into account that the next page has the number “2”. The absence of a table of contents will indicate a careless and formal design of the work.

    1.4. Headers: Headings in the report are highlighted in a richer and larger font, never underline or end with a period. Headings are not subject to hyphenation. There should be at least 6-12 points between the heading and the text. Higher-level headings are centered, lower-level headings are left aligned. It is possible to highlight high-level headings in capital letters or special effects (shadow, bulge). It is advisable to number the headings and start the chapter on a new page. Headings are numbered in Arabic numerals, nested subheadings - separated by a period ("1", "1.1", "2.3.1", etc.).

    1.5. Registration of tables, figures, graphs: The doctor's attestation report must include such elements of non-textual information as pictures, graphs, tables. For all these types of additional information, continuous numbering is applied throughout the work. For example, if there are two charts in the first chapter, then the first chart in the next chapter will have a third number, not the first one. All these elements of non-textual information are numbered if the corresponding element occurs more than once in the work. For example, if there is only one table in the work, then it is not numbered and the designation "Table 1" is not written above it. Do not overload your work with unnecessary tables and diagrams. Existing tables and diagrams should be accompanied by comments and analytical explanations of the author, revealing the essence of the dynamics of various numbers.

    1.5.1. Table decoration. The table is denoted by the word "Table" and a number written in Arabic numerals in the upper right corner (the "No." sign is not indicated). This should be followed by a centered table heading. Tables, depending on their size, are placed after the text in which they are mentioned, or on the next page. The reference to the table in the text is made as follows: see table. 1. If there is only one table in the work, then the word "table" is not abbreviated: see the table. Usually, at the first link, the word "see" not written: “From table. 1 shows that .... ". For further references, mark in brackets: (see Table 1). When using the tables, take into account the following recommendations: If possible, do not use the column "number in order" ("p / p"), \u200b\u200bsince in most cases it is not needed. Numbers are right-justified (for easier comparison), text is left-aligned, and headings text is left-aligned or centered. All table cells are vertically aligned in the middle. Duplicate items, for example, the percentage symbol ("%"), are placed in the column or row header. One repeated word in the table is abbreviated with quotation marks, two or more - with the phrase “the same”. The table should not contain empty cells. If you do not have the necessary data at your disposal, then it is written like this - "no information." If the table does not fit on one page and it has to be moved to the next, then on the new page they write the words "table continuation" and indicate its serial number, then repeat the cells containing the column headings and then the table continuation follows. Footnotes to the text or numbers in the table are made out only with asterisks (so that there is no confusion with the exponent) and are printed immediately below the table.


    1.5.2. Registration of drawings and photographs: The name is written under the picture, preceded by the abbreviation "fig." and a sequential number in a number written in Arabic numerals (the “No.” sign is not indicated). All of this designation is centered below the figure. Photographs of macro or micropreparations, prints of X-ray images and ultrasound images, copies of ECG and other materials must be of sufficient quality.

    1.5.3. Application design: Applications, unlike other types of additional information, are located outside the text of the attestation report. Applications can include text, tables, pictures, photographs, drawings. All types of additional information in the appendices are numbered in the same way as in the main part of the work. Each application must start on a new page. Applications are identified by the word "APPENDIX", dialed in capital letters and a sequential number (in Arabic numerals) in the upper right corner (without the "No." sign). This is followed by the centered title of the application.

    2. Introduction. general characteristics a medical organization in which the author directly works. General characteristics of the department in which the author works directly.

    c) Human resources: indicate the staffing level according to the staffing table, certification and categorization of both medical and nursing staff, the author's proposals for strengthening and developing human resources.

    d) Practical activities... One of the main sections of the work. Statistical data must be presented in accordance with the forms of the Federal Statistical Observation. More detailed statistics are allowed, but within reason. A comparative report of the department for the last three calendar years according to the Federal Statistical Survey must be submitted. Separately, specific indicators of the department's work should be reflected in comparison with republican, Russian and, if possible, world data. You need to indicate the average annual workload for personnel and the average annual workload for a specific type of equipment. Personal assessment by the author of the effectiveness of the department is encouraged.

    2.3. Analysis of the author's own activities over the past three years... The key point of the certification work. In this section, the author must isolate his personal contribution from the total work of the department. The author must specifically indicate the amount of work performed with detailing by type of research for the last three years, list in as detailed a way as possible what specific research methods he owns. The author must support his skills and abilities with a specific volume of research on various organs and systems. It is necessary to indicate which basic techniques you do not know, but would like to master in the near future and how.

    2.4. Analysis of verification of own research: Comparison of diagnoses and conclusions over the past three years with the data of pathological examination of biopsy, surgical material or autopsy, analysis of the identified inconsistencies and discrepancies, the reasons for their occurrence If pathomorphological verification is impossible, clinical data in dynamics, data from other research methods should be provided.

    2.5. The most complex, rare clinical examples and observations: It is necessary to cite 2-3 of the most significant clinical observations in which the author, as a specialist, played a key role in establishing the correct final clinical diagnosis. Each clinical example must be supported in a short form by clinical, laboratory data, the results of pathomorphological and other research methods. Imprints of objective instrumental research methods (radiographs, ultrasound, ECG and other materials, macro - micrographs) should be of sufficient quality. Clinical examples should not be cluttered with prints of all types of research.

    2.6. Abstract part of the work... This section should not exceed 5 typewritten pages. The desirable context for this section is to pose a specific problem. For example: Possibilities of X-ray computed tomography in the differential diagnosis of diseases of the laryngopharynx at the present stage: accumulated experience, problems and development prospects. In this section, we can restrict ourselves to some very narrow issues of diagnosing a particular disease, which have not yet been properly resolved at the present stage. In this section, you can cite one of the published works of the author himself, including in co-authorship. The abstract part of the work should not be devoted to the description of any well-known, generally accepted research methods or the description of the technical parameters of any medical device.

    2.7. Conclusion... In a short, arbitrary form, the author gives reasoning about the practical activities of the department, about his own personal contribution to the work of the department, about the reasons that led to diagnostic defects and measures to eliminate them in the future.

    2.8. conclusions... Conclusions should logically follow from the material presented. The clear formulation and clear context of the conclusions are indicative of the analytical ability of the author of the work.

    2.9. Practical advice and suggestions... The author's recommendations and his suggestions will be analyzed by the main freelance specialists of the Ministry of Health of the Republic of Sakha (Yakutia). The most relevant practical recommendations and proposals will be taken into account for further implementation at a higher level.

    2.10. Bibliographic index... The list of references should not exceed 15-20 sources. It is advisable to indicate the most significant sources of the last 5 years, including the original articles used in writing the report.

    2.11. List of published works... If the author has publications, it is necessary to attach a list of his own scientific works indicating the output data (the title of the thesis of the report or article, the name of the collection or medical scientific journal, the year of issue, place of publication, page numbers, etc.), the titles of the reports with which the author spoke at symposia, meetings of scientific societies and conferences over the past 3 years. If there are patents, inventions or rationalization proposals, copies must be submitted.

    You will need

    • - reporting documentation of an enterprise or organization for the required period;
    • - methodological and scientific developments;
    • - statistical data of other organizations of a similar profile for the reporting period;
    • - photocopies of publications.

    Instructions

    A style grading report is not particularly different from any other scientific or methodological work. The sections are about the same. Some representatives may have additional requirements. Find out about this before you start preparing for certification. As a rule, the head of the enterprise has appropriate methodological developments.

    Start working on your report with a brief introduction to yourself. This part should not repeat yours, it only concerns professional activities. Tell us about which university you graduated from, where and when you improved your qualifications. Don't be shy and celebrate your professional achievements. Don't forget about scientific publications. Try to keep it very short. By itself, a report, and information about you should not take more than an A4 page, printed in 14 point size at one and a half intervals.

    In the second part of the introduction, tell us about your organization. What is she, what tasks she sets, in what ways she achieves their solution. Describe the premises, equipment, personnel qualifications. Tell us what scientific, industrial, educational or cultural programs your organization participates in. Do not forget to mention the victories in competitions and the various diplomas she received.

    In the introduction, you also need to talk about your structural unit. Clarify what specific tasks of the production or scientific process it is working on. Describe the facilities in your department and the appliances you and your colleagues use. Indicate the staffing structure and your place in it. Write about the unit's achievements.

    The main part is analytical. It requires numbers and facts. They are best taken from the reporting data of the entire organization for the required period. Based on the factual material, compare the activities of the organization now with how it performed in the previous reporting period. Describe what exactly you did to make your firm work better. Support your findings with numbers.

    In the main part, it is also necessary to compare the work of your organization with similar ones. The necessary statistics can be taken from the official websites of these organizations. Indicate what the latest scientific or methodological developments you use and what result they have given for the work of the entire company.

    Tell us about your clients, students or patients. Describe them by age, gender, educational level. Tell in detail how you work with them, what services, assistance, knowledge or skills they receive from you. If you have their feedback on your work, do not forget to mention it.

    Describe any lectures or consultations you provided during the reporting period. For a teacher, this can be consultations for parents and the public, for a doctor - lectures on prevention in educational institutions or at enterprises. For an engineer, this can be vocational guidance classes with schoolchildren, as well as for an office worker. Tell us how you work with trainees and what knowledge they receive in your classes. Answer the question, how do you work with novice colleagues and employees with more modest qualifications, what experience do you pass on to them and by what methods.

    The head of the structural unit must also indicate what organizational and methodological work he carries out with the team, how he takes care of the qualifications of his employees. Tell us about the organizational structure of your department, what methodological classes you conducted and what courses you sent employees to.

    In the final part, summarize the work done. Tell us what goals you have not achieved so far. Submit your suggestions for improving the performance of the entire organization. Determine the prospects for your work and its improvement. For representatives of different professions, certification is carried out at different intervals and this must be taken into account. Only talk about the reporting period. You will have to submit a few more documents, and all other information may be indicated in them. On the last page, enter your last name, first name and patronymic. Sign and date. They should be in the lower right corner, like your signature.

    The report requires attachments. These can be photocopies of your published work. If there are a lot of articles or they are too long, attach extracts or even just a list with the imprint. Draw up a bibliography. It is compiled in the same way as for any other scientific work.