| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.36 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
No âmbito da unidade curricular Estágio do Curso de Mestrado em Enfermagem, na área de Especialização em Enfermagem Médico-Cirúrgica 2013/2014 da Universidade Católica Portuguesa, foi desenvolvido um documento onde são descritas as atividades desenvolvidas e aquisição de competências. Esta unidade curricular é composta por três módulos de estágio: o de Cuidados Intensivos/Intermédios - Módulo II, creditado ao abrigo do Decreto - Lei nº 74/2006, o de Serviço de Urgência Geral (SUG) - Módulo I e o módulo de estágio de opção, que decorreu no Grupo Coordenador Local do Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos (GCL-PPCIRA) - Módulo III.
Como fio condutor da aquisição de competências, foi feita uma revisão integrativa da literatura com o tema “As necessidades de educação do doente submetido a cirurgia abdominal na preparação do regresso a casa”. Tendo em conta o meu percurso profissional na área cirúrgica, foram mobilizadas competências de forma a contribuir para a melhoria dos cuidados prestados. Em cada módulo de estágio foi construído um instrumento de ensino, em seguimento da fundamentação teórica, baseando a prática na evidência científica.
Relativamente ao Módulo II, cuidados intensivos/intermédios, foi atribuída creditação do mesmo, uma vez que, durante seis anos, foram adquiridas competências na prestação de cuidados ao doente crítico. Evidencia-se o trabalho desenvolvido no âmbito da formação a profissionais do Centro Hospitalar de Lisboa Ocidental (CHLO) na área de prevenção de úlceras por pressão, no contributo na elaboração de protocolos e, ainda no desenvolvimento de um estudo de investigação acerca do uso de equipamento de proteção individual, na prestação de cuidados ao doente submetido a transplante renal.
No estágio referente ao Módulo III, estágio opcional, selecionei o estágio no GCL-PPCIRA. Foi construído um instrumento de auditoria às práticas no Bloco Operatório, focalizando a intervenção na prevenção da infeção da ferida cirúrgica. Concomitante às auditorias, foi realizado um instrumento de ensino para entregar aos doentes e cuidadores, acerca dos cuidados a ter no domicílio com a ferida cirúrgica, no doente submetido a cirurgia abdominal. No estágio do Módulo I, que decorreu no SUG, foram formulados instrumentos de ensino para o doente com ferida cirúrgica, com drenos e com penso de vácuo. Foi também feita a análise das diretrizes divulgadas pela Direção Geral de Saúde e guidelines internacionais na abordagem ao vírus ébola e, através da colaboração com GCL-PPCIRA, foi dado um contributo na reformulação e análise dos procedimentos instituídos. Foi também feita uma participação num simulacro em tempo real em caso de catástrofe. No âmbito da abordagem ao doente crítico, para além da prestação de cuidados no serviço de urgência, foram realizados alguns turnos na Viatura Médica de Emergência e Reanimação (VMER).
As a part of the internship within the Master in Nursing in specialization area of Medical-Surgical Nursing 2013/2014 at the Portuguese Catholic University, was developed a document where the activities developed and aquired skills are described.. This course consists of 3 internship modules: The Intensive Care Unit, credited under the Act – Law 74/2006, the Accident & Emergency department and, as an optional internship, the local Group of prevention and infection control and antimicrobial resistance. As a guidance for the skills acquisition, an integrative review of the literature on the theme “The patient’s education needs undergone abdominal surgery when returning home” was made. Considering my career in the surgical area, I searched for acquired skills over the years to enhance the level of care. At each internship module was built a tool for teaching, following a theoretical validation and evidence based practice. For the Module II (Intensive/Intermediate Care), it was given this placement based on the 6 years of acquired competences when providing care to critically ill patients. It is of notice all the work developed at Western Lisbon Hospital (Centro Hospitalar de Lisboa Ocidental – CHLO) for those six years like training other professionals, prevention of pressure ulcers, contribution to the development of protocols for pressure ulcers treatment at CHLO and in the development of a research study about personal protective equipment used when caring patients undergoing kidney transplantation. As an optional internship Module III, the chosen placement was the local group of prevention and infection control and antimicrobial resistance. For this internship an audit tool was built for the Operating Room, focusing on intervention in the prevention of infection of the surgical wound, and it’s implementation. At the same time, a teaching instrument was performed to give to patients who underwent to abdominal surgery and caregivers about the care with the surgical wound when at home. In order to validate the understanding of the teaching adopted during hospitalization by nurses, a second validation tool for teaching was built, which will be given to patient/caregiver when discharge. For the internship Module I, held at Accident & Emergency department, teaching tools were created for the patients with surgical wounds, drains and vacuum dressings. It was also made the analysis of guidelines published by the National Health Department and international guidelines for Ebola Virus, and through collaboration with local group of prevention and infection control and antimicrobial resistance was given a contribution in reshaping and analysis of established procedures. A participation in a simulation in real-time disaster which took place at was also made. Under the approach to critically ill patients, apart from the time spent at Accident & Emergency department, some shifts were performed at the Emergency Medical Car of Resussitation (VMER).
As a part of the internship within the Master in Nursing in specialization area of Medical-Surgical Nursing 2013/2014 at the Portuguese Catholic University, was developed a document where the activities developed and aquired skills are described.. This course consists of 3 internship modules: The Intensive Care Unit, credited under the Act – Law 74/2006, the Accident & Emergency department and, as an optional internship, the local Group of prevention and infection control and antimicrobial resistance. As a guidance for the skills acquisition, an integrative review of the literature on the theme “The patient’s education needs undergone abdominal surgery when returning home” was made. Considering my career in the surgical area, I searched for acquired skills over the years to enhance the level of care. At each internship module was built a tool for teaching, following a theoretical validation and evidence based practice. For the Module II (Intensive/Intermediate Care), it was given this placement based on the 6 years of acquired competences when providing care to critically ill patients. It is of notice all the work developed at Western Lisbon Hospital (Centro Hospitalar de Lisboa Ocidental – CHLO) for those six years like training other professionals, prevention of pressure ulcers, contribution to the development of protocols for pressure ulcers treatment at CHLO and in the development of a research study about personal protective equipment used when caring patients undergoing kidney transplantation. As an optional internship Module III, the chosen placement was the local group of prevention and infection control and antimicrobial resistance. For this internship an audit tool was built for the Operating Room, focusing on intervention in the prevention of infection of the surgical wound, and it’s implementation. At the same time, a teaching instrument was performed to give to patients who underwent to abdominal surgery and caregivers about the care with the surgical wound when at home. In order to validate the understanding of the teaching adopted during hospitalization by nurses, a second validation tool for teaching was built, which will be given to patient/caregiver when discharge. For the internship Module I, held at Accident & Emergency department, teaching tools were created for the patients with surgical wounds, drains and vacuum dressings. It was also made the analysis of guidelines published by the National Health Department and international guidelines for Ebola Virus, and through collaboration with local group of prevention and infection control and antimicrobial resistance was given a contribution in reshaping and analysis of established procedures. A participation in a simulation in real-time disaster which took place at was also made. Under the approach to critically ill patients, apart from the time spent at Accident & Emergency department, some shifts were performed at the Emergency Medical Car of Resussitation (VMER).
Description
Keywords
Enfermeiro especialista Ferida cirúrgica Regresso a casa Necessidades Ébola Infeção Specialist nurse Surgical wound Discharge Needs Ebola virus Infection