With further promote quality care, nurse job management has become a long-term mechanism to establish high-quality critical care services [1]. To further implement the management of nursing positions required improve the performance appraisal system so that nurses pay more attention to performance appraisal job performance, technical capacity and public satisfaction tasks, our hospital in March 2012 to implement a separate health care management, compensation independent accounting Nursing vertical management system, a full analysis of each nursing care unit positions the nature of work, combined with the number of patients nurses care, quality, technical difficulty and patient satisfaction and other factors, the establishment of a nursing unit performance pay distribution system to ensure that the performance pay to workload large, high technical difficulty of clinical nursing positions tilted, forming a motivating, constrained internal competition, after six months of study and practice, and achieved good results, are as follows: