Authors
Advisor(s)
Abstract(s)
Pretende-se com este relatório, descrever todo o percurso efectuado e evidenciar as
competências desenvolvidas durante os estágios por mim realizados na Unidade Curricular
Estágio de Enfermagem, incluídos no plano de estudos do Curso de Mestrado em Enfermagem
de Natureza Profissional na área de Especialização em Enfermagem Médico-Cirúrgica, pela
Universidade Católica Portuguesa/Instituto de Ciências da Saúde (UCP/ICS), tendo sido a
assistência ao doente crítico e o apoio à família/pessoa significativa, a linha orientadora do meu
percurso.
Relativamente à vertente de Urgência, incidi a minha prestação de cuidados nos sectores do
Serviço de Urgência considerados áreas críticas, em que o índice de gravidade dos doentes e
consequente necessidade de acompanhamento da família são mais elevados, tendo prestado
cuidados a doentes críticos das mais diversas especialidades médico-cirúrgicas. Desenvolvi
competências no apoio ao doente de várias faixas etárias e respectiva família, com o incentivo
de práticas de humanização. Durante a prestação de cuidados e devido à minha experiência
profissional, desenvolvi competências na formação de pares através da prática de actividades
específicas não habituais no Serviço de Urgência. Em projectos desenvolvidos, saliento a
elaboração de uma folha de registos de enfermagem a utilizar em transportes inter-hospitalares
e a criação de sacos de transporte para doente crítico. Refiro ainda a importância da
identificação de situações problema, que motivaram o realizar de determinadas actividades
proporcionando a mudança de práticas dos profissionais, tendo contribuído para o controle da
infecção hospitalar, gestão do risco e gestão de recursos materiais.
No Bloco Operatório de Urgência, prestei cuidados nas três principais vertentes do período
perioperatório. Dei novamente ênfase à família/pessoa significativa, proporcionando-lhes algum
conforto com momentos em que privilegiei a comunicação e com a elaboração de um poster
informativo. Facilitei a integração dos meus pares com a elaboração de normas de actuação e
realização de posters sobre diluições de fármacos. Contribuí para a prevenção do controle da
infecção hospitalar, instituindo novos materiais para a realização de pensos operatórios e
cateteres vasculares, alertando para a importância da sua utilização através de momentos de
formação integrada na prática de cuidados, e com a criação de posters e tapetes de rato.
Saliento ainda a criação de uma mala que contem material de via aérea e todos os fármacos
habitualmente utilizados no período perioperatório, de forma a facilitar o início de uma cirurgia
de emergência
The main purpose of this report is to describe the whole process and enlighten the carried out skills through the internships held at Nursing Internship Curricular Unit. The mentioned internships are included in the Professional Nursing Master Graduation Curriculum regarding Medical Surgery Nursing expertise at Universidade Católica Portuguesa / Instituto de Ciências da Saúde (UCP / ICS) in Lisbon, Portugal. The main guideline and purpose of this investigation relied on the critical patient assistance and the support given to the family. In what concerns to the Emergency wise, I focused my healthcare contribution upon the Emergency Department, considered as a critical health services field, in which the patient injuries seriousness and family support needs indexes are the highest regarding the other Healthcare Services. In order to become this investigation and work wider and substantial, an extensive range of Medical Surgery Healthcare Services were given to the critic patients. During this process, I acquired different abilities applied to patient healthcare, from different age stages, as well as her/his family through the promotion of humanized procedures as, for instance, the number and schedule of family and friends visits. Due to my professional experience I developed colleagues’ formation expertise through unusual and precise activities in the Emergency Room. Regarding the carried on projects, I would like to emphasize two mains procedures that were developed: a Nursing Schedule Sheet to be used at the Ambulance or Helicopter between Hospitals and transportation bags for critical patients. The importance to identify problematic and critical situations is also a procedure to be highlighted once it created a diverse range of activities which allowed a change of professional practices. These adjustments give a tremendous contribute considering the infection control in a hospital, risk and material logistics managements. In the Emergency Operation Room, I delivered healthcares in the three main sides of the perioperatory period. Once again, in this stage, I focused on the assistance to the patient’s family, promoting them some comfort as the result of an effective communication as well as an informative poster. In order to become everyone in the team involved, I established procedures criterions and create graphic information (posters) regarding chemistry substances dilution. Furthermore, I contributed for the prevention of the control infection inside the hospital, introducing new materials to surgical dressing and vascular catheters processes. This contribution was achieved through very objective and easy graphic information in posters and in mouse pads. Finally, I enlighten the fact of had been created a handbag with all the material and medicines used in the perioperatory period in order to support the first emergency surgery measures.
The main purpose of this report is to describe the whole process and enlighten the carried out skills through the internships held at Nursing Internship Curricular Unit. The mentioned internships are included in the Professional Nursing Master Graduation Curriculum regarding Medical Surgery Nursing expertise at Universidade Católica Portuguesa / Instituto de Ciências da Saúde (UCP / ICS) in Lisbon, Portugal. The main guideline and purpose of this investigation relied on the critical patient assistance and the support given to the family. In what concerns to the Emergency wise, I focused my healthcare contribution upon the Emergency Department, considered as a critical health services field, in which the patient injuries seriousness and family support needs indexes are the highest regarding the other Healthcare Services. In order to become this investigation and work wider and substantial, an extensive range of Medical Surgery Healthcare Services were given to the critic patients. During this process, I acquired different abilities applied to patient healthcare, from different age stages, as well as her/his family through the promotion of humanized procedures as, for instance, the number and schedule of family and friends visits. Due to my professional experience I developed colleagues’ formation expertise through unusual and precise activities in the Emergency Room. Regarding the carried on projects, I would like to emphasize two mains procedures that were developed: a Nursing Schedule Sheet to be used at the Ambulance or Helicopter between Hospitals and transportation bags for critical patients. The importance to identify problematic and critical situations is also a procedure to be highlighted once it created a diverse range of activities which allowed a change of professional practices. These adjustments give a tremendous contribute considering the infection control in a hospital, risk and material logistics managements. In the Emergency Operation Room, I delivered healthcares in the three main sides of the perioperatory period. Once again, in this stage, I focused on the assistance to the patient’s family, promoting them some comfort as the result of an effective communication as well as an informative poster. In order to become everyone in the team involved, I established procedures criterions and create graphic information (posters) regarding chemistry substances dilution. Furthermore, I contributed for the prevention of the control infection inside the hospital, introducing new materials to surgical dressing and vascular catheters processes. This contribution was achieved through very objective and easy graphic information in posters and in mouse pads. Finally, I enlighten the fact of had been created a handbag with all the material and medicines used in the perioperatory period in order to support the first emergency surgery measures.