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Este relatório descreve o percurso realizado e as competências adquiridas no Estágio inserido na Unidade Curricular – Estágio Final e Relatório realizada no âmbito do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico–Cirúrgica do Instituto de Ciências da Saúde-Porto, da
Universidade Católica Portuguesa. O período de estágio decorreu de 4 de fevereiro a 29 de março de 2019, e de 3 de abril a 6 de junho de 2019, num centro hospitalar, no grupo de coordenação local do programa de prevenção e controlo de infeções e de resistência aos antimicrobianos (GCLPPCIRA), e na unidade de cuidados intensivos polivalente (UCIP), respetivamente. A metodologia utilizada é descritiva e analítica, através da reflexão acerca das atividades desenvolvidas e das competências adquiridas. Relativamente ao estágio desenvolvido no GCLPPCIRA, as principais atividades passaram por participar na análise e revisão dos processos clínicos dos doentes e da vigilância epidemiológica e, ainda, a participação em vários procedimentos relacionados com o controlo de infeção, com aprofundamento no âmbito da prevenção da infeção do local cirúrgico (ILC), através da análise de conhecimentos dos profissionais num serviço cirúrgico
e posterior intervenção como melhoria dos cuidados prestados. No que diz respeito ao estágio realizado na UCIP as principais atividades consistiram na prestação de cuidados de enfermagem especializados ao doente em situação crítica, participando em vários procedimentos desde a monitorização invasiva, a hemodiafiltração, a colocação do cateter venoso central, a alimentação entérica e parentérica, entre outros. Para além disso, a elaboração de um estudo de caso, com o aprofundamento da temática sobre a ventilação mecânica, em concreto, no processo de desmame ventilatório. A realização deste percurso permitiu o desenvolvimento pessoal e profissional na prestação de cuidados de enfermagem especializados na abordagem ao doente em situação crítica, mantendo sempre como foco a minimização das infeções
associadas aos cuidados de saúde. Cabe ao enfermeiro especialista, por um lado, a atuação na prática clínica com base na diminuição das taxas das infeções associadas aos cuidados de saúde e, por outro lado, a excelência do exercício na prestação de cuidados ao doente crítico, adotando por uma abordagem holística, envolvendo a família e/ou pessoas significativas no processo de doença.
This report will describe the path taken and the skills acquired in the Internship inserted in the Curricular Unit - Final Internship and Report conducted within the Masters Course in Nursing with a specialization in Medical-Surgical Nursing taught in the “Instituto de Ciências da Saúde-Porto”, part of “ Universidade Católica Portuguesa”. The internship went from February 4th to March 29th, 2019, and from April 3rd to June 6th 2019, in a hospital center, in the local coordination group of control and prevention of infections and antimicrobial resistance (GCLPPCIRA), and in the multipurpose intensive care unit (UCIP), respectively. The methodology used is descriptive and analytical, through reflection on the developed activities and acquired skills. About the internship practiced at GCLPPCIRA, the main activities were the analysis and review of clinical files of some patients and also their epidemiological surveillance. There was also participation in various procedures related to infection control, with a close up in the preventing the infection of the surgical site, that being made through the analysis of the knowledge of some professionals in a surgical service and subsequent intervention as improvement of care provided. In regard to the internship performed at the UCIP, the main activities consisted of providing specialized nursing care to critically ill patients, participating in various procedures from invasive monitoring, hemodialysis, placing the central venous catheter, enteral and parenteral feeding, among others. Besides that, there was also a case study, with a close up on the theme of mechanical ventilation, more specific, the process of ventilatory weaning. All these phases led to the personal and professional development allowing better providing of nursing specialized care when approaching the critically ill patient, always keeping the focus on the minimization of infections associated with health care. It is up to the specialist nurse, on one hand, to act having his focus on the reduction of the rates of healthcare associated infections (IACS) and, on the other hand, to provide excellence in the care of critically ill patients, adopting a holistic approach, always involving family and / or other significant people in the disease process.
This report will describe the path taken and the skills acquired in the Internship inserted in the Curricular Unit - Final Internship and Report conducted within the Masters Course in Nursing with a specialization in Medical-Surgical Nursing taught in the “Instituto de Ciências da Saúde-Porto”, part of “ Universidade Católica Portuguesa”. The internship went from February 4th to March 29th, 2019, and from April 3rd to June 6th 2019, in a hospital center, in the local coordination group of control and prevention of infections and antimicrobial resistance (GCLPPCIRA), and in the multipurpose intensive care unit (UCIP), respectively. The methodology used is descriptive and analytical, through reflection on the developed activities and acquired skills. About the internship practiced at GCLPPCIRA, the main activities were the analysis and review of clinical files of some patients and also their epidemiological surveillance. There was also participation in various procedures related to infection control, with a close up in the preventing the infection of the surgical site, that being made through the analysis of the knowledge of some professionals in a surgical service and subsequent intervention as improvement of care provided. In regard to the internship performed at the UCIP, the main activities consisted of providing specialized nursing care to critically ill patients, participating in various procedures from invasive monitoring, hemodialysis, placing the central venous catheter, enteral and parenteral feeding, among others. Besides that, there was also a case study, with a close up on the theme of mechanical ventilation, more specific, the process of ventilatory weaning. All these phases led to the personal and professional development allowing better providing of nursing specialized care when approaching the critically ill patient, always keeping the focus on the minimization of infections associated with health care. It is up to the specialist nurse, on one hand, to act having his focus on the reduction of the rates of healthcare associated infections (IACS) and, on the other hand, to provide excellence in the care of critically ill patients, adopting a holistic approach, always involving family and / or other significant people in the disease process.
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Palavras-chave
Enfermeiro Especialista Enfermagem médico-cirúrgica Controle de infeção Specialist nurse Medical-surgical nursing Infection control