CH70625163

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Introduction to the Nursing Department1. Nursing tenet and convictions

Tenet

To treat patients like family, innovate withprofessionalism and care for the community

Conviction ◎ To develop the potential of nursing personnel and

nurture their skills and ethics.◎To provide patient focused holistic nursing care

2. Organization Chart of the Nursing Department

Nursing chief of staff

Chang Shu-Fen

Nursing deputy chief Yeh Jing-Yi

Head nurseHuang Huei-Mei

Emergency outpatient services

Head nurse

Xu Mei-Jian

I.C.U., operating room, supply center, nursery room

Head nurse

Chen Xiu-Xia

The first ward of the medical and surgical gynecology department

Head nurse

1

急

門

診

第二

、九自費護理之家

內外科第五病房

內外

科第六病房

內外

科第七病房

精神

科第八病房

精神

科十一病房

精神

科十

病

房

精神

科十二病房

呼吸

加護病房

內外

科第三病房

加護

病房

開刀

房、供應中心、

嬰兒

室

護理長黃秀

書記

工友

照護服務員內

外

婦科第一病房

護理長吳霞

護理長施耀

護理長林素

護理長吳色

護理長李麗

護理長曾徵

護理長諶秀

護理長許美珍

護理長黃惠

各單位護理人員護理長游曼玲

市區門診

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Zeng Zheng-Shu

The 2nd and 9th private nursing home

Head nurseHuang Xiu-Lan

Respiration ICUThe 3rd ward of the medical and surgical department

Head nurseLee Li-Chu

The 5th ward of the medical and surgical department

Head nurseWu Se-Chu



Head nurseLin Su-Chu

The 8th ward of the psychiatry department

Head nurseShi Yao-Ping

The 11th ward of the psychiatry departmentThe 10th ward of the psychiatry department

Head nurseWu Xia-Ling

The 12th ward of the psychiatry department

Head nurseYou Man-Ling

Downtown outpatient services

Nursing attendants at each unit

Caretaker

Janitor

Associate clerk

(1) Current staff: 221 members including the chief, the

deputy chief,12 head nurses, 87 registered nurses, 25

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nurses, associate clerks, janitors and assistant

personnel.

（1）Working seniority As of 12/31, 2006

Seniority Number Percentage RemarksLess than 1 year 26 20.6﹪

1-5 years 42 33.3﹪5-10 years 27 21.4﹪10-15 years 19 15.1﹪15-20 years 3 2.4﹪

More than 20

years

9 7.2﹪

Total 126 100﹪

（3）Education

Graduate

school

University College Occupational

school

Total

Nursingadministrativ

e staff

3 3 10 0 16

Registered

nurse

1 3 30 1 35

Nurse 0 0 0 9 9Contracted

employee

0 6 43 7 56

Hour based

employee

0 2 6 2 10

Sub-total 4 14 89 19 126Percentage 3.2% 11.1% 70.6% 15.1% 100%

＊2 Budding Grade instructors

3.Management and Responsibilities of the

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Nursing department（1 ） Major responsibilitiesCat. Management and major responsibilities

Nursing

ad

min

istr

atio

n

Person

nel

ma

nag

em

ent

1.Employment of nursing personnel：

2.Nursing type:： Taking nursing workforce and

patient specific needs into account, the hospitaluses the participation nursing approach toattentively take care of patients according tonursing principles of persistence and continuity.

。 .

3.Nursing personnel promotion:

4.Shift arrangement： Shift arrangement is madeaccording to a decentralized or volunteermethod in order to ensure fairness.

5.Performance evaluation:： Based on personnel

management regulations, a system has beenestablished for objective and fair promotion,including working performance, seniority and

an advancement system.6.Tranfer and task allocation:7.Welfare activities:

To periodically hold various communal activitiesincluding local or overseas travel once or twice ayear, to relieve working pressure.

N u

r s i n g Q . C .

Four sections: “administrative training”, “qualityauditing”, “community nursing” and “nursingstandards”. Led by head nurses as section chiefs anddeputy chiefs, meetings are routinely called to proceedwith quality control. The organization structure andresponsibilities are stated in the attached chart 2.

Cli

nic

nur

1. Nursing clinic responsibilities: conduct ward clinicnursing activities

To engage in hospital discharge preparation:：

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sing Started at the general 1st ward in February, 2002 andextending to the whole hospital as of 2005.

Ed

uca

tion

Pre- job

training

Pre-job training: Depending on the number of newrecruits, new recruit training is held at least twice a

year.

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al

trai

nin

g

On- t h

e - j o b t r ai ni n g

Each nursing staff member shall accumulate at least30 class hours every year.

1.Academic studies： A. The hospital has laid down an annual

educational training plan, which includes casestudies and short term training classes.

B. Monthly study reports or case studies arescheduled by each ward.

C. Employees must attend related academicdiscourses and disquisitions outside the hospital.

D. To non-periodically view nursing operations

demonstrated by the related medical units2. Skill training： A. Regular conduct of CPR and firefighting tests on

nursing colleagues.B. Regular conduct of a variety of nursing skillsauditing.

3. Nursing personnel training held for each specificfield: including training of intensive care nurses,

hemodialysis technology, anesthetic nursingtechnology, respiration treatment technology,operating room nursing technology, psychiatrynursing, infection control nursing workshops andinformation workshop. According to the numberrequired by each unit, the nursing personnel are to

be sent for training in groups. 。

Nurseinter nshi p

Nursing Internship：

Reserac

h

To work on projects and conduct research training

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2.Home nursing taskforce

4. Welfare and Night Shift Allowance

1 Night shiftallowance

Midnightshift

Contracted employees: $500/day in the beginning, and$700/day after 15 working days

Regular employees: $300/day in the beginning, and

$500/day after 15 working days.

Night

shift

Contracted employees: $300/day in the beginning, and

$500/day after 15 working days

Regular employees: $200/day in the beginning, and

$300/day after 15 working days

2 Professionadvancement

allowance

A raise is to be given to contracted employees who pass thesecond year advancement： N1：$500/month

N2：$1000/month

N3：$1500/month

N4：$2000/month

3 Allowance

for special

units

$1000/month allowance for contracted employees stationed in

critical disease wards.

4 Allowance

for staff with

special

certification

$500/month allowance for each certificate is to be given to

contracted ward service employees who have ACLS and ETTC

certificates, but the allowance shall be no more than

$1,000/month in total for each employee.

5 Seniority

advancement

allowance

Contracted registered nurses or nurses, will be promoted one

grade each year according to their seniority at the medical center

with respect to salary at regional grade hospitals and regional

hospitals. In the medical center, the maximum seniority is five

years and three years at regional grade hospitals. The maximum

seniority at regional hospitals is two years, and four years for

personnel grouped in public posts.

6 Others 1. To provide accommodations to nursing employees working

away from home

2. Each unit provides a duty dormitory

3. A working outfit and a pair of shoes are provided each year for

each employee.

Nursing department recreation activities are held every year,which are subsidized from the nursing fund and by the hospital.

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4. Employees are encouraged to join the employee’s corporative

shop and bonuses are to be distributed with year end earnings.利

5. Table of Profession Advancements

27

10

2

88

0

7

2

0

12

6

1

9

7

1

8

20

7

0

2

4

6

8

10

12

14

16

18

20

人次

90 91 92 93 94 95

N1晉升

N2晉升

N3晉升

N4晉升

number of employees

promotions

6. Awarded Work

（1）The Q.C. circle

Earned awards in the first Medical Quality Circle Competition◎

sponsored by Yilan County Nurses Association in 2004.Unit Circle name Topic Key speaker Prize

Nursingdepartment

e- bliss babycircle

To lower the incompletion rate of nursingguidance for knee joint replacement

surgery.

Huang Xiu-Lanand one ward participating

member

Silver medal

Nursing

department

Sound-speed

circle

To lower the incompletion rate of the

nursing guidance for the patients

discharged from emergency treatment

Yang Wen-Hua,

Sun Jie-Fen and

emergency ward

participating

members

Bronze

medal

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◎ 2005

1. Earned a medial bronze medal in the 6 th Medical Quality CircleDemonstration and competitionUnit Circle name Topic Circle leader

and circlemembers

Prize

Nursingdepartment

E- bliss babycircle

To lower the incompletionrate of the nursingguidance for knee jointreplacement surgery

Huang Xiu-Lanand one ward participating

member

Medical bronzemedal

2. Earned awards in the second Medical Quality Circle Competitionsponsored by the Yilan County Nurses Association

Unit Circle Topic Key speaker Prize

Psychiatry

department

Q＆A circle To lower the medicine taking irregularity

rate of bipolar disorder patients after

discharge from hospital

Lieu Jing-Yi Gold medal

Nursing

department

Sound-speed

circle

To enhance emergency patient satisfaction

toward nursing staff

Shen Jia-Yi, Lin

Wei-Jin

Bronze

medal Nursing

department

Blue angel

circle

To lower the loss rate of articles taken

care of for patients in the chronic disease

wards of the psychiatry department

Xu Qiu-Yen,

Chang Zhao-Ci

Bronze

medal

Earned awards in the third Medical Quality Circle Competition◎ sponsored by the Yilan County Nurses Association in 2006

Circle name Topic Circleleader

Key speaker Prize

Integrated 3C

circle

To lower the turnover rate of

new nursing employees

Huang

Qian-Yi

Shi Yao-Ping, Jin

Shu-Ping

Gold star

medal

YY circle To lower a veteran hospital

pressure sore rate

Pan Jia-

Yun

Pan Jia-Yun, Lin

Jin-Yi

Silver star

medalFall

prevention

circle

To lower patient fall rate Chou

Jin-Hua

Lu Shu-Hua, Lin

Wan-Yi

Bronze

star medal

This year was a victory for the hospital as it won the top three prizes in the※

county!!

（2）Innovation of nursing supplies

○ The colonscopy inspection trousers developed at the downtownoutpatient clinic were selected as excellent work in the demonstration

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and competition of innovative nursing supplies sponsored by the

Yilan County Nurses Association in 2004, and it also won third place

in the demonstration and competition of innovative nursing supplies

sponsored by the National Union of nurses associations, R.O.C.

○ The downtown outpatient clinic won second place in thedemonstration and competition of innovative nursing supplies

sponsored by the Nurses Association in 2005.

Unit Works Invented by PrizeDowntownoutpatient

clinic

Thoughtful trousers with palpation inspection

Chen Ren-Wen,Lee Ching-Yen,

Mou Show-

Feng, Zeng Li-Yun

2nd place

○ Won second place in the demonstration and competition of innovative

nursing supplies sponsored by the Yilan County Nurses Association in2006

Unit Work Invented by Prize

1W Anzhi chair Tsai Li-Huei,Huang Wen-Yu

2nd place

6W F Hugged pillow Yi-Yuan, HuangQian-Yi

2nd place

（2）Administrative Projects and Case Reports

○ Approved Taiwan Nursing Association administrative projects in 2005

at an approval rate of 66.6% which was higher than the 34% achievedby the Association.

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項次主題作者（依排序）

1 降低膝關節置換術護理指導未完成率之專案黃秀蘭、金淑萍、葉靜宜

2 降低某地區醫院急診出院病人護理指導未完成率楊春蓮、游曼玲、張淑芬

3 降低醫囑執行遺漏之改善方案李麗珠、李雪紅、張淑芬

4 降低危險物品進入精神科急性病房之發生率林素珠、林菁菁

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○ Approved Taiwan Nursing Association N3 case reports in May, 2006

in which 4 reports out of the applied five reports were approved

representing an approval rate of 80%. The topics of the approved case reports

are as follows:

○ Approved Taiwan Nursing Association N3 case reports in November,

2006 in which 3 out of the applied 5 reports were approved representing

an approval rate of 60%. The following are the topics of the approved

case reports.

Item Topic Author

1 A home nursing experience in taking care of a patientwho suffered from cervical vertebra injury

Huang Pao-Su

2 A nursing experience in taking care of a patient whohad artificial hip joint replacement surgery

Huang Wen-Yu

3 A nursing experience in taking care of a medium

degree retarded patient

Wu Xia-Ling

Item Topic Author

1 A project to lower the incompletion rate of the nursingguidance for knee joint replacement surgery

Huang Xiu-Lan, Jin Shu-Ping,Yeh Jin-Yi

2 To lower the incompletion rate of the nursing guidancefor patients discharged from emergency treatment in aregional hospital.

Yang Chun-Lian, You Man-Ling,Chang Shu-Fen

3 A project to lower the loss rate of executing doctor advice

Lee Li-Chu, Lee Xue-Hong,Chang Shu-Fen

4 To improve the occurrence rate of having hazardous

articles enter the acute disease wards of psychiatrydepartment

Lin Su-Chu, Lin Jing-Jing

Item Topic Author

1A nursing experience in taking care of a patient who had

a complex urinary tract infection after artificial anal

surgery.

Huang Qian-Yi

2A full time nursing experience in taking care of a patient

who had spine repair surgery.

Chou Jing-Hua

3An intensive nursing experience in taking care of a

patient who had an acute myocardial infarction seizure

for the first time.

You Feng-Lan

4A home nursing experience in taking care of a stroke

patient infected with scabies

Wu Yi-Zhen

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○Approved Taiwan Nursing Association N4 administration project

reports in September, 2006 in which 2 out of the applied 5 reports were

approved representing an approval rate of 40%. The following are the

topics of the approved administration projects:Item Topic Author

1 To lower the total weight of over weight patients in the chronic disease wards of a psychiatry department

Shi Yao-Ping, Ma Wan-Zhen, Zhuang Shu-Jing

2 A project to enhance the pressure sore healingrate in the acute disease wards of a hospitaldepartment

Chen Xia-Xia, Wu Xia-Ling

（4）Research and DevelopmentTabulated on 11/8/2006

Item Name of research project

Author Released at Releaseddate

Released

method

Remarks

1 Investigation into thefactors influencingurinary tract infection of seriously paralyzed

patients in a regionalteaching hospital.

Head nurse YouMan-Ling, Headnurse Lee Li-Chuand Chief ChangShu-Fen

2004 CounselingCommission

research project publication

2/17/2004 In writing Grade B

2 Investigation into theliving quality of long termhospitalizationchronically psychiatric

patients and relatedfactors

Head nurse ChenMao-Chang andChief ChangShu-Fen

The concept andmeasurement

section in 2004Living Quality

Workshop

7/17/2004 Poster P.67

3 Investigation into theliving quality of long termhospitalizationchronically psychiatric

patients and relatedfactors

Head nurse ChenMao-Chang andChief ChangShu-Fen

Medical institutenursing researchand administration

project workshopsponsored by theCounselingCommission

9/16/20049/17/2004

Oral P.1-37Excellent

4 A study to evaluate the project for theimprovement of respiratory infection in aregional teaching hospital

Registered nurseLin Wan-Yi

Medical institutenursing researchand administration

project workshopsponsored by the

CounselingCommission

9/16/20049/17/2004

Oral P.38

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5 The effect of daily lifegroup training on self carecapacity of the patientswith chronic disease

Registered nurseLin Su-Chu

The 1st disquisitiondemonstration held

by PsychiatricMental Health

Nurses’Association

2/25/2005 Poster P

6 The project to lower theincompletion rate of nursing guidance for knee joint replacementsurgery

Head nurseHuang Xiu-Lan,Registered nurseJin Shu-Ping and

Deputy Chief Yeh Jing-Yi

The 17th

nursing projectdemonstration

11/26/2005 Poster P.53

7 To lower theincompletion rate of nursing guidance for

patients discharged fromthe emergency treatment

in a regional teachinghospital.

Head nurse YouMan-Ling, NurseYang Chun-Lien,Chief Chang

Shu-Fen

The 17th nursing projectdemonstration

11/26/2005 In writing

8 A project to lower the lossrate of executing doctor advice

Head nurse LeeLi-Chu,

Registered nurseLee Xue-Hong,

and Chief ChangShu-Fen

The 17th nursing projectdemonstration


9 A project to improve theoccurrence rate of havinghazardous articles enter

the acute disease wards of the psychiatry department

Registerednurses Lin Jing-Jing and Lin Su-

Chu

The 17th nursing project

demonstration

11/26/2005 Poster P.39

10 The ritual and behavior for the first month after giving a birth

Head nurse WuXia-Ling

Sheng-Mu Journal 07/2005 Periodical 62-66

11 Investigation into theeffect of partial pressurereduction conducted by aregional teaching hospitalon the healing of pressuresores

Registerednurses Chen Xiu-Xia, Lee Li-Chuand Chief ChangShu-Fen

2005 CounselingCommission

research projectdemonstration

95.05.02 In writing Grade A

12 To lower the total weightof over weight patientsin the chronic diseasewards of a psychiatrydepartment

Registerednurses Shi Yao-Ping, Ma Wan-Zhen and ZhuangShu-Jing

The 18

th

nursing project evaluation 9/15/2006 In writing

13 A project to enhance the pressure sore healing rateof the hospital’s acutedisease wards

Registered nurseChen Xiu-Xia,and Head nurseWu Xia-Ling

The 18th nursing project evaluation


14 A home nursingexperience in taking careof a stroke patientinfected with scabies

Registered nurseWu Yi-Zhenand DeputyChief Yeh Jing-Yi

The thirdrepresentative

conference held inthe 5th year of

Taiwan Long-Term

04/28/2007 Posters

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Care ProfessionalAssociation

Total 14 cases

7. Major Responsibilities and Telephone Numbers of Each Unit in Nursing Department

Table 3 Telephone numbers of the nursing department of Yuanshan

Veteran Hospital and its wardsRepresentative line (03)9222141-2

Nursing

department

and its special

units

extension Medical and

surgical wards

Extension

Chief office 301 Ward 1 320

Ward 2 314Deputy chief office

228 Ward 3 315

Ward 5 316

Operationroom

304 Ward 6 309

Emergencyoutpatient

services

305 Ward 9 221

Medical andsurgical ICU

335 Wards of psychiatrydepartment

Extension

Respirationtreatmentwards

331Ward 8 310

Ward 10 311

Home nursing 250 Ward 11 312

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Nursing home 321 Ward 12 313

◎ E.mail address of the chief of nursing department ：chang9369 @

mail.ysvh.gov.tw◎ E mail address of the deputy chief of nursing department ：

[email protected]

6. Activity Recap

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Documents

CH70625163