Estudo descritivo da via verde sépsis num serviço de urgência de um Hospital do Norte de Portugal
Data
2021
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Enquadramento: Este relatório foi desenvolvido no âmbito da unidade curricular Estágio e Relatório Final do Mestrado de Enfermagem da Pessoa em Situação Crítica da Escola Superior de Saúde da Universidade de Trás-os-Montes e Alto Douro, em consórcio com a Escola Superior de Enfermagem da Universidade do Minho. Contempla um capítulo sobre a análise e reflexão sobre as aprendizagens e o desenvolvimento de competências de enfermeiro especialista em Enfermagem Médico-Cirúrgica na área de Enfermagem da Pessoa em Situação Crítica e o outro sobre um estudo de investigação com o tema “Via Verde Sépsis num Serviço de Urgência de um Hospital do Norte de Portugal”. Objetivos: Refletir sobre as aprendizagens e competências desenvolvidas no âmbito da prestação de cuidados ao doente em situação critica e família em contexto de urgência e descrever a realidade de um SU polivalente no que concerne à ativação da via verde sépsis e intervenção precoce para consciencialização dos profissionais para a importância da problemática e da atuação rápida e eficaz. Metodologia: Para dar cumprimento ao primeiro objetivo recorreu-se ao método descritivo-reflexivo. No que concerne ao segundo objetivo realizou-se um estudo quantitativo, descritivo e retrospetivo, com uma amostra acidental, não probabilística por conveniência com um total de 113 processos clínicos analisados. Resultados: Descreveram-se atividades realizadas no contexto da prática clínica relacionando-as com o desenvolvimento de competências. No estudo de investigação, dos 113 processos analisados, apenas três tiveram ativação de VVS na triagem; a primeira observação médica em menos de 10 minutos e a primeira administração de antibiótico em menos de 60 minutos. Da análise dos restantes, a primeira observação médica teve um tempo médio de 47 minutos, sendo o mínimo um minuto e o máximo 210 minutos. A primeira gasometria foi realizada com um tempo médio de 133 minutos, mínimo de 5 minutos e máximo de 720 minutos. A primeira administração de antibiótico foi realizada no tempo médio de 437 minutos, mínimo de 15 minutos. Conclusões: A realização do estágio permitiu-nos desenvolver aprendizagens e competências de Enfermeiro Especialista em Enfermagem Médico-cirúrgica na área da Enfermagem da Pessoa em Situação Crítica. Os resultados do estudo de investigação revelaram-nos que os profissionais devem estar capacitados para detetar precocemente
sinais e sintomas de sépsis no local de triagem, necessitando assim de mais formação e treino.
Background: This report was developed within the scope of the Internship and Final Report of the Master's Degree in Nursing of the Person in Critical Situation at the School of Health of the University of Trás-os-Montes e Alto Douro, in consortium with the School of Nursing of Minho's university. It includes a chapter on the analysis and reflection on the learning and development of skills of a nurse specialist in MedicalSurgical Nursing in the area of Nursing of the Person in Critical Situation and the other on a research study with the theme “Via Verde Sepsis in a Service Emergency Room of a Hospital in the North of Portugal.”. Objectives: Reflect on the learning and skills developed in the context of providing care to patients in critical situations and their families in an emergency context and describe the reality of a multipurpose emergency room with regard to the activation of the sepsis green way and early intervention to raise awareness of professionals to the importance of the problem and to act quickly and effectively. Methodology: To fulfill the first objective, the descriptive-reflective method was used. Regarding the second objective, a quantitative, descriptive and retrospective study was carried out with an accidental, non-probabilistic convenience sample with a total of 113 clinical processes analyzed. Results: Activities performed in the context of clinical practice were described, relating them to the development of competences. In the investigation study, of the 113 processes analyzed, only three had VVS activation in the screening; the first medical observation in less than 10 minutes and the first antibiotic administration in less than 60 minutes. From the analysis of the others, the first medical observation had an average time of 47 minutes, with a minimum of one minute and a maximum of 210 minutes. The first blood gas analysis was performed with an average time of 133 minutes, a minimum of 5 minutes and a maximum of 720 minutes. The first antibiotic administration was carried out in an average time of 437 minutes, minimum 15 minutes. Conclusions: The completion of the internship allowed us to develop the learning and skills of a Specialist Nurse in Medical-surgical in the area of Nursing of Persons in Critical Situation. The results of the research study revealed that professionals must be able to detect early signs and symptoms of sepsis at the screening site, thus requiring more training.
Background: This report was developed within the scope of the Internship and Final Report of the Master's Degree in Nursing of the Person in Critical Situation at the School of Health of the University of Trás-os-Montes e Alto Douro, in consortium with the School of Nursing of Minho's university. It includes a chapter on the analysis and reflection on the learning and development of skills of a nurse specialist in MedicalSurgical Nursing in the area of Nursing of the Person in Critical Situation and the other on a research study with the theme “Via Verde Sepsis in a Service Emergency Room of a Hospital in the North of Portugal.”. Objectives: Reflect on the learning and skills developed in the context of providing care to patients in critical situations and their families in an emergency context and describe the reality of a multipurpose emergency room with regard to the activation of the sepsis green way and early intervention to raise awareness of professionals to the importance of the problem and to act quickly and effectively. Methodology: To fulfill the first objective, the descriptive-reflective method was used. Regarding the second objective, a quantitative, descriptive and retrospective study was carried out with an accidental, non-probabilistic convenience sample with a total of 113 clinical processes analyzed. Results: Activities performed in the context of clinical practice were described, relating them to the development of competences. In the investigation study, of the 113 processes analyzed, only three had VVS activation in the screening; the first medical observation in less than 10 minutes and the first antibiotic administration in less than 60 minutes. From the analysis of the others, the first medical observation had an average time of 47 minutes, with a minimum of one minute and a maximum of 210 minutes. The first blood gas analysis was performed with an average time of 133 minutes, a minimum of 5 minutes and a maximum of 720 minutes. The first antibiotic administration was carried out in an average time of 437 minutes, minimum 15 minutes. Conclusions: The completion of the internship allowed us to develop the learning and skills of a Specialist Nurse in Medical-surgical in the area of Nursing of Persons in Critical Situation. The results of the research study revealed that professionals must be able to detect early signs and symptoms of sepsis at the screening site, thus requiring more training.
Descrição
Relatório de Estágio apresentado à Universidade de Trás-os-Montes e Alto Douro para cumprimento dos
requisitos necessários à obtenção do grau de Mestre em Enfermagem da Pessoa em Situação Crítica
Palavras-chave
Pessoa em situação critica , sépsis