scholarly journals Construction of an Operational Protocol for Multiple Victims and Disasters in Southern Brazil

2019 ◽  
Vol 34 (s1) ◽  
pp. s111-s111
Author(s):  
Sandra Mara Marin ◽  
Jean Bender ◽  
Danielle Bezerra Cabral

Introduction:Unpredictable events, such as disasters, can change the organizational configuration of health facilities. In a situation of multiple victims, this scenario modifies the flow of care to adapt to the reality that is there. In addition, emergency and emergency units provide immediate care to maintain and preserve the lives of these victims, making it a challenge for all health professionals.Aim:To construct an Operational Protocol for nursing care with multiple victims and disasters in a Hospital Emergency and Emergency Service.Methods:We used a descriptive study with a qualitative approach using the Focal Group technique (GF). The participants included nursing staff and residents who work in the emergency and emergency unit in a hospital in the south of Brazil. The topics from the GF discussion were analyzed by the scientific content of Minayo (2013).Results:The operational assistance protocol for multiple victims and disasters was planned with a redistribution of materials, equipment, human resources of the service, and physical restructuring of the service and other units with the construction of a flow chart to meet the proposed demand.Discussion:In the study, we observed the importance of discussing and planning proposals for care with multiple victims. In addition, the interest of the participants was fundamental to the success of this protocol. This protocol serves as an incentive for nursing professionals and academics for future research that evaluates the effectiveness of using nursing competencies to assist multiple victims in emergency and disaster situations.

1970 ◽  
Vol 5 (1) ◽  
pp. 45-51
Author(s):  
Maricely da Silva Pires ◽  
Rahissa Vilela Avinco

 ABSTRACTObjective: identify the meaning of humanization for health professionals and examine how the humanized service is done in an emergency room. Materials and Methods: This is a descriptive bibliographic study with a qualitative, exploratory and cross-cutting approach. The sample consisted of 20 participants: five nurses and fifteen emergency room nursing technicians, placed in institutions in the city of Itajubá. Results: indicated that the emergency unit nursing team is aware of the importance of human care and how it is performed. Conclusion: because of the reality and stress experienced by nursing professionals, a reflection on the humanization of nursing care is needed. Keywords: Humanization. Emergency Care. Nursing.Objetivo: identificar o significado da humanização para os profissionais de saúde da enfermagem e verificar a existência de como é feito o serviço humanizado em uma unidade de urgência e emergência. Materiais e Métodos: estudo bibliográfico descritivo, com abordagem qualitativa, exploratória e transversal. A amostra foi constituída por 20 participantes, cinco enfermeiros e quinze técnicos de enfermagem de unidade de emergência, inseridos nas instituições da cidade de Itajubá. Resultados: os resultados indicaram que a equipe de enfermagem de unidade de emergência está ciente da importância do atendimento humanizado e de como ele é realizado. Conclusão: os profissionais de saúde veem o acolhimento como um gesto de carinho, respeito, bondade, afim de tornar o ambiente mais agradável ao paciente. Palavras-chave:.


Author(s):  
Heitor Silva Biondi ◽  
Edison Luiz Devos Barlem ◽  
Eliana Cardia de Pinho ◽  
Diogo Henrique Tavares ◽  
Nalú Pereira da Costa Kerber ◽  
...  

ABSTRACT Objective: to know the situations found in the work of nurses working in maternity hospitals and obstetric centers that can lead to moral suffering. Method: qualitative, exploratory and descriptive study, developed with 14 nurses working in bstetric centers and maternities of two hospitals in southern Brazil. Data were collected from October 2015 to January 2016, through a semi-structured interview, analyzed based on Content Analysis. Results: there was an occurrence of moral distress related to the activities that supplanted nurses’ execution capacity, leading them to prioritize administrative and managerial activities, for which they are charged by the institutions, failing to participate directly in the care, an aspect enhanced by the quantitative nursing professionals. Asymmetric relations of power and conflicting interactions compose an atmosphere of toleration for the autonomy of the nurses, preventing them from acting in harmony with their knowledge and moral values. The fruitless attempts to change the dehumanizing context through advocacy and the visualization of disrespectful, interventionist and violent behaviors against women, generate moral suffering. Conclusion: the plurality of nurse actions, reduced autonomy, disrespect for their practice and the visualization of dehumanizing behaviors generate moral suffering. It is important to seek alternatives so that nurses may act and advocate in line with their moral knowledge and values, in an autonomous and empowered way, aiming to provide a dignified and safe childbirth assistance, and an environment that respects the woman and her autonomy.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Michelini Fátima da Silva ◽  
Jane Cristina Anders ◽  
Patrícia Kuerten Rocha ◽  
Ana Izabel Jatobá de Souza ◽  
Verônica Berumén Burciaga

ABSTRACT Qualitative, exploratory-descriptive study. The aim of this study was to discover how nursing professionals perceive the communication during shift handover and its repercussion in pediatric patient safety. This study was performed at a Pediatric Inpatient Unit of a University Hospital in the South of Brazil. Data was collected by a semi-structured interview, involving 32 nursing professionals. To analyze the data, thematic analysis was used. Data was grouped in categories: shift handover and its interface with communication. The results evidenced the importance of shift handover, in which effective communication is essential for safe care. However, greater objectivity is needed in the information transmission, the time used needs to be reduced and the shift handover records need to be systemized.


2011 ◽  
Vol 1 (1) ◽  
pp. 9 ◽  
Author(s):  
Emina Ogawa ◽  
Ryuji Sakakibara ◽  
Kei Endo ◽  
Fuyuki Tateno ◽  
Yasuo Matsuzawa ◽  
...  

Systemic dehydration and diffuse central nervous system signs without any other illness is referred to as dehydration encephalopathy (DE). However, the incidence of DE at emergency units remains uncertain. We investigated the incidence of DE among persons with disturbed consciousness who visited the emergency unit. We reviewed the medical case records of the emergency unit at our university hospital during a 6-month period. Among them, 132 patients presented with disturbed consciousness as the sole initial manifestation on arrival. They were 75 men, 47 women; mean age 68 years (16-95 years). After carefully excluding other etiologies, the incidence of DE was 2% among all persons in the emergency unit and 4% among persons older than 68 years.In conclusion, the incidence of DE in our emergency unit was not common. Nevertheless, recognition of DE is extremely important in order to avoid unnecessary medication in elderly subjects.


2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Giancarlo Zuccone

Our country was one of many hit by the new coronavirus pandemic, of which its clinical manifestation, mortality rate, laboratory and imaging findings are not still fully understood and in research. This document pretends to elaborate a presentation profile-which includes clinical manifestation, radiologic and laboratory findings-of 164 SARS-CoV2 (+) patients that concurred to the Emergency Service in Barros Luco-Trudeau Hospital. This retrospective-descriptive research paper shows that the most common SARS-CoV2 (+) patient consulting on this ER was predominantly young, not necessarily having a known contact for SARS-CoV2 nor risk factors for complications related to COVID-19. Clinically, dry coughing, cephalalgy and myalgia were more often referred. 74% of patients required house-care only, without any further complications during the disease. Nonetheless, 6% of patients regarding this sample required treatment in the ICU in some point after from onset of the symptoms. In the group of the ICU patients, the most remarkable laboratory differences when compared to the house-care group were show on D-dimer and ferritin blood levels.


2009 ◽  
Vol 4 (1) ◽  
pp. 430
Author(s):  
Hércules Rigoni Bossato ◽  
Eliane Ramos Pereira ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Silvia Helena Oliveira da Cunha

ABSTRACTObjectives: to characterize the embracement of relatives of clients in attendance in the Trauma Room in the Emergency Department from report of experience, and make contributions to the family embracement in this sector in line with the National Policy of Humanization. Methods: a descriptive study of the type of experience reporting on the family embracement with relatives in attendance at the Trauma Room in the Emergency Department of a university hospital. Results: important aspects of family embracement in the emergency department were appointed, allowing a building of proposals for: the family embracement from the reception, the friendly relationship through listening, inclusive perspective of the visit opened and the transdisciplinarity of embracement and the priorities for the family embracement routine of clients in Trauma Room as contribution of the study. Conclusion: the embracement as a comprehensive approach to family is paramount to the humanization in this context. As a strategy for enabling family access participatory in client attendance, the embracement becomes essential in the production of relationships which are bonds that reinforce support in the hospital environment and minimize anxiety. Descriptors: hospital emergency service; user embracement; humanization of assistance. RESUMOObjetivos: caracterizar aspectos do acolhimento dos familiares de clientes em atendimento na Sala de Trauma do Serviço de Emergência a partir do relato de experiência; e, apresentar contribuições para o acolhimento familiar nesse setor em consonância com a Política Nacional de Humanização. Métodos: estudo descritivo tipo relato de experiência acerca do acolhimento de familiares com parentes em atendimento na Sala de Trauma no Serviço de Emergência de um hospital universitário. Resultados: importantes aspectos do acolhimento familiar no Serviço de Emergência foram destacados, possibilitando uma construção de propostas referentes: ao acolhimento da família desde a recepção, a relação acolhedora por meio da escuta interativa, a perspectiva inclusiva da visita aberta, a transdisciplinaridade do acolhimento e enfim, prioridades para rotina de acolhimento familiar de clientes em Sala de Trauma como contribuição do estudo. Conclusão: o acolhimento como abordagem compreensiva aos familiares é primordial para a humanização nesse âmbito. Como estratégia para a viabilização de acesso participativo do familiar no atendimento do cliente, o acolhimento torna-se fundamental na produção de relações que constituem vínculos de apoio que se reforçam no ambiente hospitalar e minimizam ansiedades. Descritores: serviço hospitalar de emergência; acolhimento; humanização da assistência. RESUMENObjetivos: caracterizar aspectos de lo acogimiento de los familiares de clientes en tratamiento en la sala de trauma en el Servicio de Emergencia sobre la base de relato de experiencia, y presentar contribuciones a lo acogimiento de la familia en este sector en consonancia con la Política Nacional de Humanización. Métodos: estudio descriptivo, del tipo relato de experiencia sobre el acogimiento de familiares de clientes en la asistencia en sala de trauma del servicio de emergencia de un hospital universitario. Resultados: los aspectos importantes del acogimiento de los familiares en el servicio de emergencia fueron descritos, lo que permitió una construcción sobre: lo acogimiento de la familia desde la recepción, la relación de amistad a través de la escucha, la perspectiva de la inclusión de la visita libre, la transdisciplinariedad del acogimiento, y las prioridades para la rutina del acogimiento de la familia de los clientes en la sala de trauma como una contribución del estudio. Conclusión: el acogimiento como un enfoque de comprensión a la familia es primordial para la humanización en este servicio. Como una estrategia para permitir la inclusión de la familia en el contexto de la asistencia del cliente, lo acogimiento es esencial en la producción de relaciones que son enlaces de apoyo que se refuerzan en el ambiente hospitalario y minimizan la ansiedad. Descriptores: servicio de urgencia en hospital; acogimiento; humanización de la atención. 


2015 ◽  
Vol 19 (2) ◽  
Author(s):  
Eliane Regina Pereira do Nascimento ◽  
Sabrina Guterres da Silva ◽  
Bruna Caroline de Souza ◽  
Djeisa Débora de Souza ◽  
Arno Germer Netto

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Aline Costa Vieira ◽  
Kátia Cilene Godinho Bertoncello ◽  
Juliana Balbinot Reis Girondi ◽  
Eliane Regina Pereira do Nascimento ◽  
Karina Silveira de Almeida Hammerschmidt ◽  
...  

A qualitative and descriptive study aimed at identifying the perception of nurses at the emergency service of a hospital in Southern Brazil on the use of a nursing protocol for classifying chest pain, implemented at a private hospital in the Brazilian Southeast. The protocol considers, among others, the characteristics of the chest pain, risk factors and flowcharts that lead to the nursing action of classifying the risk. Seven nurses participated in the study through semi-structured interview, between January and February 2014. For the data analysis, Content Analysis was used. The results reveal a consensus among nurses that the protocol prioritizes care; identifies risk factors for acute myocardial infarction more easily and identifies the type of pain. The lengthiness and time consumption were revealed as negative considerations. For the nurses, the protocol is applicable to the service as it supported their conduct.


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