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Enquadrado na unidade curricular “Relatório”, este documento teve como objetivo a
apreciação global do percurso efetuado no Serviço de Urgência e Serviço de Medicina
Intensiva do Hospital Pedro Hispano e nos diferentes meios da Delegação Regional do Norte
do Instituto Nacional de Emergência Médica.
A metodologia adotada foi descritiva e analítico-reflexiva. O projeto de estágio, os
portefólios dos módulos de estágio e a pesquisa bibliográfica foram os alicerces para a
construção deste documento.
Esta dissertação é constituída por quatro partes: introdução; fundamentação da
escolha dos locais de estágio; análise crítico-reflexiva dos objetivos de estágio; análise dos
indicadores de avaliação.
No Módulo I, Serviço de Urgência, foram várias as competências adquiridas e
aprofundadas. No domínio da gestão, demonstrei compreender a metodologia adotada na
gestão do serviço ao nível dos recursos materiais, humanos e cuidados de enfermagem. No
domínio da prestação de cuidados, realizei cuidados de enfermagem ao doente, tendo por
base o processo de enfermagem em todas as suas fases, numa perspetiva da área Médico-
Cirúrgica, tomando decisões fundamentadas, atendendo às evidências científicas e às minhas
responsabilidades sociais e éticas. No estabelecimento das relações terapêuticas, tentei
sempre entender e respeitar os outros, procurando sempre abster-me de juízos de valor
relativamente à pessoa que necessitava de cuidados de enfermagem.
No Módulo II, Cuidados Intensivos, consegui adquirir um nível de experiência
considerável e aumentei de forma notável os meus conhecimentos, tanto no que se refere a
doentes com múltiplas falências, como no que se refere a Unidades de Cuidados Intensivos.
Este tipo de serviços impõe uma exploração constante, não só em termos bibliográficos, mas
também na adaptação aos vastos conceitos abordados, exigindo de mim uma elevada
articulação entre conhecimentos, experiência e troca de saberes.
O Módulo III, Assistência Pré-Hospitalar tem uma dinâmica muito própria, uma vez que
presta cuidados diretos às vítimas, quer de doença súbita quer de trauma, num meio não
hospitalar, mas onde tudo tem de ser realizado com a melhor eficácia e rapidez possíveis.
Assim, demonstrei capacidade de reagir perante situações imprevistas e complexas, no âmbito
da área da Especialidade em Enfermagem Médico-Cirúrgica.
Durante este estágio, a constante adaptação a diferentes equipas permitiu-me
demonstrar capacidade de trabalhar, de forma adequada, na equipa multidisciplinar e
interdisciplinar. As situações de trauma que surgiram exigiram da minha parte grande
investimento em pesquisa bibliográfica. Com isto, demonstrei capacidade de manter, de forma
contínua e autónoma, o meu próprio processo de auto-desenvolvimento pessoal e profissional.
Na conclusão, irei referir quais os objetivos que foram concretizados, salientando a
importância do estágio e da elaboração desta dissertação na aquisição de competências que
me permitirão no futuro, como enfermeira especialista, desenvolver com autonomia uma prática
de enfermagem baseada nos padrões de qualidade e no conhecimento científico.
This document, which is part of the curricular unit “Report”, was intended to make an overall assessment of the journey made at the ER and Intensive Care Medicine Service of Hospital Pedro Hispano and in the different means of emergency medical service of the Northern Regional Delegation of the National Institute of Emergency Medicine. The methodology was descriptive and analytical-reflective. The internship project, the training modules portfolios and bibliography searches were the foundation for the preparation of this document. This dissertation is composed of four parts: introduction; reasons for the choice of the internship premises; a critical and reflective analysis of the internship goals; and an analysis of the assessment indicators. In Module I, Emergency Room, several skills were acquired and deepened. As far as management is concerned, I demonstrated that I have understood the methodology adopted in the service management concerning material and human resources as well as nursing care. In the field of care nursing, I provided nursing care to patients, based upon the nursing process in all its phases, in a perspective of Medical-Surgical area, making informed decisions, taking into consideration the scientific evidences and my social and ethical responsibilities. In the establishment of therapeutic relationships, I always tried to understand and respect the others, and to refrain from making value judgments on the person who needed nursing care. In Module II, Intensive Care, I was able to acquire a considerable level of experience and I increased dramatically my knowledge, both in respect of patients with multiple failures, and in Intensive Care Units. This type of services requires not only constant bibliographic research but also an adjustment to the discussed broad concepts, demanding from me a challenging coordination between knowledge, experience and knowledge exchange. Module III, Pre-hospital Care, has its own dynamic, since it provides direct care to the victims of either sudden illness and/or trauma, in a non-hospital environment, but in which everything must be done with the best possible efficiency and speed. This allowed me to demonstrate I was capable of demonstrating my ability to react in complex and unforeseen situations within the area of Medical-Surgical Nursing Specialty. During this internship, the constant adaptation to different teams made it possible for me to demonstrate ability to work properly in a multidisciplinary and interdisciplinary team. Trauma situations required from me major investment in research literature. Thus, I demonstrated my ability to maintain, continuously and autonomously, my own process of self-personal and professional development. I conclude by stating that the proposed goals were achieved, stressing the importance of both this internship and the preparation of this dissertation for the acquisition of skills that will enable me in the future as a nurse specialist to develop, with autonomy, a nursing practice based on standards of quality and scientific knowledge.
This document, which is part of the curricular unit “Report”, was intended to make an overall assessment of the journey made at the ER and Intensive Care Medicine Service of Hospital Pedro Hispano and in the different means of emergency medical service of the Northern Regional Delegation of the National Institute of Emergency Medicine. The methodology was descriptive and analytical-reflective. The internship project, the training modules portfolios and bibliography searches were the foundation for the preparation of this document. This dissertation is composed of four parts: introduction; reasons for the choice of the internship premises; a critical and reflective analysis of the internship goals; and an analysis of the assessment indicators. In Module I, Emergency Room, several skills were acquired and deepened. As far as management is concerned, I demonstrated that I have understood the methodology adopted in the service management concerning material and human resources as well as nursing care. In the field of care nursing, I provided nursing care to patients, based upon the nursing process in all its phases, in a perspective of Medical-Surgical area, making informed decisions, taking into consideration the scientific evidences and my social and ethical responsibilities. In the establishment of therapeutic relationships, I always tried to understand and respect the others, and to refrain from making value judgments on the person who needed nursing care. In Module II, Intensive Care, I was able to acquire a considerable level of experience and I increased dramatically my knowledge, both in respect of patients with multiple failures, and in Intensive Care Units. This type of services requires not only constant bibliographic research but also an adjustment to the discussed broad concepts, demanding from me a challenging coordination between knowledge, experience and knowledge exchange. Module III, Pre-hospital Care, has its own dynamic, since it provides direct care to the victims of either sudden illness and/or trauma, in a non-hospital environment, but in which everything must be done with the best possible efficiency and speed. This allowed me to demonstrate I was capable of demonstrating my ability to react in complex and unforeseen situations within the area of Medical-Surgical Nursing Specialty. During this internship, the constant adaptation to different teams made it possible for me to demonstrate ability to work properly in a multidisciplinary and interdisciplinary team. Trauma situations required from me major investment in research literature. Thus, I demonstrated my ability to maintain, continuously and autonomously, my own process of self-personal and professional development. I conclude by stating that the proposed goals were achieved, stressing the importance of both this internship and the preparation of this dissertation for the acquisition of skills that will enable me in the future as a nurse specialist to develop, with autonomy, a nursing practice based on standards of quality and scientific knowledge.