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Abstract(s)
O presente relatório surgiu no âmbito da Unidade Curricular de Estágio Final e Relatório, inserida no Curso do Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica da Escola de Enfermagem-Porto da Universidade Católica Portuguesa e pretende demonstrar de forma descritiva, crítica e reflexiva os objetivos, as atividades desenvolvidas e as competências adquiridas ao longo do estágio, na Unidade de Cuidados Intensivos Polivalente de 10 de setembro a 3 novembro de 2018 e no Serviço de Urgência Polivalente de 4 de novembro a 5 de janeiro de 2019. O relatório faz uma caracterização dos dois contextos de estágio, faz uma abordagem da atuação do enfermeiro na gestão dos cuidados ao doente critico, na gestão de medidas farmacológicas no combate à dor, na atuação do enfermeiro coordenador na gestão e na supervisão dos cuidados. Aborda a priorização da triagem, o despiste de sinais de alerta e emergentes, nos cuidados no transporte intra-hospitalar, na eficiência da equipa em situações complexas e emergentes e na capacidade de trabalho da equipa interdisciplinar e multidisciplinar. Faz uma abordagem das questões da prevenção, precaução e controlo da infeção através da prestação segura de cuidados de acordo com a cadeia epidemiológica, das medidas de precaução básicas e das barreiras nas vias de transmissão, tema importantíssimo na prática diária. Faz uma abordagem da estratégia multimodal das precauções básicas através da observação, monitorização da higienização das mãos e do uso de luvas nos cuidados de saúde realizado na Unidade de Cuidados Intensivos Polivalente e no procedimento de colocação de cateter venoso periférico como proposta de melhoria, realizado no Serviço de Urgência Polivalente. E aborda por fim as ações de sensibilização de risco e da cultura da notificação, que contribuíram para a melhoria dos cuidados de qualidade e segurança. A mobilização dos conhecimentos, as competências especializadas adquiridas e aprofundadas fortaleceram a atuação quer ao nível da gestão dos cuidados aos doentes e família, quer ao nível da supervisão e da gestão do serviço. A reflexão sobre a aquisição e desenvolvimento de competências especializadas foi construtiva, enriquecedora e produtiva, permitindo a consciencialização das capacidades adquiridas ao longo deste percurso quer a nível profissional quer a nível académico. Existem determinados domínios que carecem de maior investimento, nomeadamente no âmbito da prevenção e controlo de infeção e na segurança da gestão dos cuidados. Este relatório procurou refletir todo o percurso realizado, através da análise crítica e reflexiva da prática, da excelência dos cuidados de enfermagem e do desenvolvimento de competências fundamentais no desempenho das funções do enfermeiro especialista em enfermagem médico-cirúrgica na área de enfermagem à pessoa situação crítica.
This report was presented in the scope of the Final Stage and Report Curricular Unit, inserted in the Master's Course in Nursing with Specialization in Medical-Surgical Nursing of the School of Nursing-Porto of the Universidade Católica Portuguesa and aims to demonstrate in a descriptive, critical and reflexive manner the objectives, activities developed and the skills acquired during the internship, in the Multipurpose Intensive Care Unit from September 10 to November 3, 2018 and in the Multipurpose Emergency Service from November 4 to January 5, 2019. The report made a characterization of the two training contexts, made an approach of the nurses' performance in the management of critical patient care, in the management of pharmacological measures in the fight against pain, in the performance of the coordinating nurse in the management and in the supervision of care. It addressed the prioritization of screening, the detection of warning and emergent signs, the transport care between hospitals, the team's efficiency in complex and emerging situations, and the interdisciplinary and multidisciplinary team's work capacity. It addressed the issues of prevention, precaution and infection control through the safe provision of care according to the epidemiological chain, basic precautionary measures and barriers in the transmission routes, a very important issue in daily practice. It addressed the multimodal strategy of basic precautions by observing, monitoring the hygiene of the hands and glove use in the health care performed in the Intensive Care Unit, and in the procedure for the placement of a peripheral venous catheter as a proposal for improvement, performed at the Emergency Service. And it finally addressed the actions of risk awareness and the culture of the notification, which contributed to the improvement of quality and safety care. The mobilization of knowledge, specialized skills gained and deepened have strengthened both the management of care for patients and the family, and the supervision and management of the service. The reflection on the acquisition and development of specialized skills was constructive, enriching and productive, allowing awareness of the skills acquired along this path both at professional and academic level. There are a number of areas where there is a need for more investment, particularly in the area of infection prevention and control and the safety of care management. This report sought to reflect the entire path, through the critical and reflexive analysis of the practice, the excellence of nursing care and the development of fundamental competencies in the performance of the functions of the specialist nurse in medicalsurgical nursing in the nursing area to the situation of critical person.
This report was presented in the scope of the Final Stage and Report Curricular Unit, inserted in the Master's Course in Nursing with Specialization in Medical-Surgical Nursing of the School of Nursing-Porto of the Universidade Católica Portuguesa and aims to demonstrate in a descriptive, critical and reflexive manner the objectives, activities developed and the skills acquired during the internship, in the Multipurpose Intensive Care Unit from September 10 to November 3, 2018 and in the Multipurpose Emergency Service from November 4 to January 5, 2019. The report made a characterization of the two training contexts, made an approach of the nurses' performance in the management of critical patient care, in the management of pharmacological measures in the fight against pain, in the performance of the coordinating nurse in the management and in the supervision of care. It addressed the prioritization of screening, the detection of warning and emergent signs, the transport care between hospitals, the team's efficiency in complex and emerging situations, and the interdisciplinary and multidisciplinary team's work capacity. It addressed the issues of prevention, precaution and infection control through the safe provision of care according to the epidemiological chain, basic precautionary measures and barriers in the transmission routes, a very important issue in daily practice. It addressed the multimodal strategy of basic precautions by observing, monitoring the hygiene of the hands and glove use in the health care performed in the Intensive Care Unit, and in the procedure for the placement of a peripheral venous catheter as a proposal for improvement, performed at the Emergency Service. And it finally addressed the actions of risk awareness and the culture of the notification, which contributed to the improvement of quality and safety care. The mobilization of knowledge, specialized skills gained and deepened have strengthened both the management of care for patients and the family, and the supervision and management of the service. The reflection on the acquisition and development of specialized skills was constructive, enriching and productive, allowing awareness of the skills acquired along this path both at professional and academic level. There are a number of areas where there is a need for more investment, particularly in the area of infection prevention and control and the safety of care management. This report sought to reflect the entire path, through the critical and reflexive analysis of the practice, the excellence of nursing care and the development of fundamental competencies in the performance of the functions of the specialist nurse in medicalsurgical nursing in the nursing area to the situation of critical person.
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Keywords
Enfermagem Competências especializadas Infeção Segurança Nursing Specialized skills Infection Safety