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Especialização em Enfermagem Médico-Cirúrgica da Escola de Enfermagem da Universidade Católica Portuguesa e evidencia os principais contributos dos módulos de estágio, para o desenvolvimento de competências especializadas em Enfermagem Médico- Cirúrgica. O estágio foi realizado no Serviço de Urgência (SU) e na Unidade de Cuidados Intermédios (UCI) de um Hospital da área metropolitana do Porto, no período de 5 de setembro de 2018 a 5 de janeiro de 2019. Este relatório tem como objetivos: demonstrar o aprofundamento de conhecimentos e competências na área da infeção associada aos cuidados de saúde (IACS); descrever e refletir o percurso da evolução e aprendizagem ao longo do estágio para dar resposta aos objetivos definidos no projeto de estágio; demonstrar a aquisição de competências através das atividades desenvolvidas durante o estágio e fundamentar as opções e as atividades desenvolvidas na evidência resultantes da revisão da literatura realizada, nos critérios éticos aplicáveis e na gestão eficiente dos recursos disponíveis. As IACS, segundo a literatura consultada, são a primeira causa de significativa morbilidade e mortalidade e em Portugal, que além de dificultarem o tratamento adequado ao doente, também acarretam custos acrescidos de recursos hospitalares. O recurso a procedimentos invasivos, a terapêutica antibiótica, entre outros fatores, aumenta a vulnerabilidade dos doentes à infeção, pelo que neste relatório é abordada a problemática relacionada com o controle de infeção associada a procedimentos invasivos como o cateter vesical e o cateter venoso periférico, no que respeita à inserção, manutenção e remoção dos mesmos. Este documento apresenta ainda uma descrição das atividades realizadas durante o estágio e o desenvolvimento de competências comuns estabelecidas pela Ordem dos Enfermeiros nos quatro domínios: domínio de responsabilidade profissional, ética e legal onde são abordados e analisadas situações relacionadas com o dever de sigilo profissional, o dever de informar e o consentimento presumido; domínio de melhoria contínua da qualidade, onde são valorizadas as atividades que visam a melhoria e a segurança dos cuidados, são identificadas oportunidades de melhoria, apresentadas estratégias de resolução no âmbito da formação em serviço; domínio de gestão de cuidados onde se descrevem as atividades realizadas na gestão dos cuidados e dos serviços e por último o domínio do desenvolvimento das aprendizagens onde são descritas as atividades de aprendizagem relacionadas com a especificidade de cada serviço e a promoção do processo de autodesenvolvimento pessoal e profissional. Depois de identificadas as oportunidades de melhoria, os contributos para o contexto da prática no SU consistiram na realização de uma ação de formação intitulada “Prevenção da infeção associada ao cateter vesical” e a elaboração de um poster relacionado com esta temática. Na UCI prenderam-se com a realização de sessões de sensibilização intitulada “Prevenção da infeção associada ao cateter venoso periférico” assim como a elaboração de um poster. Na conclusão são abordados os aspetos fulcrais do estágio e os seus contributos para o crescimento profissional, bem como, os ganhos em saúde que ele proporcionou para a população.
This document comes as part of the 11st Master Course in Nursing with Specialization in Medical-Surgical Nursing and it highlights the main contributions of the internship modules for the development of specialized competences in Medical-Surgical Nursing. The internship was performed at the Emergency Service and the Intermediate Care Unit of a Hospital in the metropolitan area of Porto, from September 5th, 2018 to January 5th, 2019. This report aims to: demonstrate the deepening of knowledge and skills in the area of Healthcare associated infection; describe and reflect the course of evolution and learning throughout the internship to meet the goals defined in the internship project; demonstrate the acquisition of competencies through the activities developed during the internship and to base the options and activities developed in the evidence resulting from the review of the literature, the applicable ethical criteria and the efficient management of available resources. The Healthcare associated Infections, according to the literature consulted, are the first cause of significant morbidity and mortality and in Portugal, which in addition to hindering the adequate treatment of the patient also entails increased costs of the hospital resources. The use of invasive procedures, antibiotic therapy, among other factors increases the vulnerability of patients to infection, so in this report is addressed the issue of infection control associated with invasive procedures such as the bladder catheter and the peripheral venous catheter insertion, maintenance and removal. This document also presents a description of the activities carried out during the internship and the development of common competences established by the Order of Nurses in the four domains: the domain of professional, ethical and legal responsibility where situations related to the duty of professional secrecy are addressed and analyzed, the duty to inform and presumed consent; the domain in the area of continuous quality improvement, where activities aimed at improving and safety of the heathcare are valued, opportunities for improvement are identified, resolution strategies are presented in the context of in-service training, the domain of care management that describes the activities carried out in the management of care and services and finally the domain of learning development where the learning activities related to the specificity of each service are described and the promotion of the process of personal and professional self-development. After identifying the opportunities for improvement, the contributions to the context of the practice in the Emergency Service consisted of a training action entitled "Prevention of infection associated with the bladder catheter" and the elaboration of a poster related to this theme. At the ICU, there were held awareness sessions entitled "Prevention of infection associated with the peripheral venous catheter" as well as the preparation of a poster. The conclusion addresses the key aspects of the internship and its contributions to professional growth, as well as the health gains it provided to the population.
This document comes as part of the 11st Master Course in Nursing with Specialization in Medical-Surgical Nursing and it highlights the main contributions of the internship modules for the development of specialized competences in Medical-Surgical Nursing. The internship was performed at the Emergency Service and the Intermediate Care Unit of a Hospital in the metropolitan area of Porto, from September 5th, 2018 to January 5th, 2019. This report aims to: demonstrate the deepening of knowledge and skills in the area of Healthcare associated infection; describe and reflect the course of evolution and learning throughout the internship to meet the goals defined in the internship project; demonstrate the acquisition of competencies through the activities developed during the internship and to base the options and activities developed in the evidence resulting from the review of the literature, the applicable ethical criteria and the efficient management of available resources. The Healthcare associated Infections, according to the literature consulted, are the first cause of significant morbidity and mortality and in Portugal, which in addition to hindering the adequate treatment of the patient also entails increased costs of the hospital resources. The use of invasive procedures, antibiotic therapy, among other factors increases the vulnerability of patients to infection, so in this report is addressed the issue of infection control associated with invasive procedures such as the bladder catheter and the peripheral venous catheter insertion, maintenance and removal. This document also presents a description of the activities carried out during the internship and the development of common competences established by the Order of Nurses in the four domains: the domain of professional, ethical and legal responsibility where situations related to the duty of professional secrecy are addressed and analyzed, the duty to inform and presumed consent; the domain in the area of continuous quality improvement, where activities aimed at improving and safety of the heathcare are valued, opportunities for improvement are identified, resolution strategies are presented in the context of in-service training, the domain of care management that describes the activities carried out in the management of care and services and finally the domain of learning development where the learning activities related to the specificity of each service are described and the promotion of the process of personal and professional self-development. After identifying the opportunities for improvement, the contributions to the context of the practice in the Emergency Service consisted of a training action entitled "Prevention of infection associated with the bladder catheter" and the elaboration of a poster related to this theme. At the ICU, there were held awareness sessions entitled "Prevention of infection associated with the peripheral venous catheter" as well as the preparation of a poster. The conclusion addresses the key aspects of the internship and its contributions to professional growth, as well as the health gains it provided to the population.
Description
Keywords
Enfermeiro especialista Enfermagem médico-cirúrgica Controle de infeção Nurse specialist Medical-surgical nursing Control of infection