scholarly journals Gestão da Enfermagem em Hospital Geral Público Acreditado no Enfrentamento da Pandemia por COVID-19

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Paula Maria Corrêa de Gouveia Araujo ◽  
Elena Bohomol ◽  
Tereza Aparecida Benjamim Teixeira
Keyword(s):  
General Hospital ◽  
State Government ◽  
Tertiary Care ◽  
Sao Paulo ◽  
Direct Care ◽  
Care Hospital ◽  
São Paulo ◽  
Nursing Management ◽  
Hospital Unit ◽  
Hospital General

Objetivo: Relatar a experiência vivenciada pela gestão de enfermagem de um hospital geral público acreditado e apresentar as principais mudanças na estrutura institucional para o enfrentamento da pandemia. Método: Relato de experiência em uma Organização Social de Saúde de parceria com governo estadual. Trata-se de um hospital geral de nível terciário com 247 leitos. Resultados: As principais mudanças estruturais e de processos de trabalho ocorridas durante o período de 13 de março a 23 de abril de 2020 foram: Implantação de um Comitê de Crise; programação de treinamentos institucionais; medidas administrativas voltadas ao cancelamento de cirurgias eletivas; disponibilização de equipamentos de proteção individual; mudanças no fluxo de entrada do paciente com suspeita de COVID-19; mudanças nas características das unidades; incremento no número de leitos; contratação de pessoal; e apoio para equipe. Conclusão: Destaca-se a importância da equipe de enfermagem e seu preparo para gerenciar novos espaços, alocar recursos e treinar a equipe no atendimento direto ao paciente.Descritores: pandemia; COVID-19; enfermagem; infecções por coronavírus. NURSING MANAGEMENT IN AN ACCREDITED PUBLIC GENERAL HOSPITAL IN THE RESPONSE TO THE COVID-19 PANDEMICObjective: Reporting the experiences of the nursing management team of an accredited Brazilian public general hospital and the main institutional changes made to face the COVID-19 pandemic. Method: An experience report about a Social Healthcare Organization that has a partnership with the São Paulo state government. This is a 247-bed tertiary care hospital. Results: During the period between March 13 and April 23 2020, the main changes made to the institution and its work practices were: Implementing a Crisis Committee; scheduling institutional trainings; managerial measures concerning the cancellation of elective surgeries; providing personal protective equipment; changes in the admission of patients with suspected COVID-19; changes in the characteristics of the hospital unit; an increase in the number of beds; hiring new personnel; and supporting the current staff. Conclusion: This highlights the importance of the nursing team and how prepared it is to manage new rooms, allocate resources, and get the staff ready for the direct care of patients.Descriptors: pandemic, COVID-19; nursing; coronavirus infections. GESTIÓN DE ENFERMERÍA EN UN HOSPITAL GENERAL PÚBLICO ACREDITADO EN EL ENFRENTAMIENTO DE LA PANDEMIA DE COVID-19Resumen Objetivo: Reportar la experiencia de la gestión de enfermería de un hospital general público acreditado brasileño y presentar los principales cambios en la estructura institucional para enfrentar la pandemia de COVID-19. Metodo: Registro de experiencia en una Organización Social de Salud en colaboración con el gobierno del Estado de São Paulo. Se trata de un hospital general de nivel tercer nivel con 247 camas. Resultados: Los principales cambios estructurales y en los procesos de trabajo ocurridos en el periodo entre el 13 de marzo y el 23 de abril fueron: La implantación de un Comité de Crisis; programación de prácticas institucionales; medidas administrativas dirigidas a la cancelación de cirugías electivas;  disponibilidad de  equipos de protección individual;  cambios en el flujo de ingreso de pacientes con sospecha de COVID-19; cambios en las características de la unidad hospitalaria; incremento en el número de camas; contratación de personal; y apoyo al equipo. Conclusión: Se destaca la importancia del equipo de enfermería y su preparación para gestionar nuevos espacios, alocar recursos e instruir el equipo para la atención directa al paciente.Descriptores: pandemia; COVID-19; enfermaría; infecciones por coronavirus.

scholarly journals Hospital Preparedness for a Community Measles Outbreak in Ribeirao Preto, Brazil

2020 ◽  
Vol 41 (S1) ◽  
pp. s253-s253
Author(s):  
Silvia Fonseca ◽  
Ivana Lucca ◽  
Franceliana Sgobi ◽  
Andre Fioravante ◽  
Alexandre Celia ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Maculopapular Rash ◽  
Sao Paulo ◽  
Suspected Case ◽  
Care Hospital ◽  
São Paulo ◽  
Measles Outbreak ◽  
Hospital Infection Control ◽  
Hospital Preparedness ◽  
Measles Vaccination

Background: Measles was considered eradicated in Brazil in 2016, but the virus reemerged in the country in 2018, causing large outbreaks. Ribeirao Preto has been measles free since 1997, but the outbreak in Sao Paulo City, 180 miles away in June 2019, alerted us to the possibility of measles patients coming to our emergency room (ER). The preparedness challenge was considerable: most healthcare workers (HCWs) had never seen a measles case before, and confirmatory measles laboratory tests were not readily available to us. Objective: To describe the hospital preparedness for the coming community measles outbreak. Methods: Hospital So Francisco is a 170-bed, general, tertiary-care hospital with 10,000 ER visits monthly. Measles preparedness consisted of measles training classes for HCWs, and flow charts with pictures and measles information in every ER office, also sent to HCW cell phones. We also designated areas for suspected measles patients for prompt medical evaluation; and we implemented mass measles vaccination for all hospital HCWs regardless of vaccination status, excluding pregnant or immunosuppressed HCWs. We considered a measles suspected case any person with fever, 1 of 3 symptoms (cough, coryza or conjunctivitis), and a generalized maculopapular rash with head-to-toe distribution. All contacts for suspected cases were recommended to obtain a measles vaccination. Detection of viral RNA in a biological sample and or a positive IgM result in serum was used to confirm a clinically suspected case. The study period spanned July 2019 to September 2019. Results: Measles training occurred for 3 weeks in July–August and reached 200 HCWs. The measles vaccination was offered July 23 to August 15; 1,362 HCWs were already vaccinated (93% of target population). In total, 35 clinical suspected measles cases were seen in the ER, and 3 of these were HCWs who had received the measles vaccine in their incubation period. Also, 3 patients were admitted to the hospital and 1 to the intensive care unit; there were no deaths. Overall, 8 patients had laboratory-confirmed measles, and 1,343 community contacts of these patients were vaccinated. We did not detect measles transmission to inpatients or to other HCWs after mass vaccination began. In the same period, Sao Paulo state had >7,000 laboratory-confirmed measles cases and 12 deaths. Conclusions: Community measles outbreaks are a challenge for the hospital infection control team, and they can potentially disrupt the daily activities in the hospital. We were able to adequately prepare for the largest state outbreak in 20 years without secondary cases or deaths.Funding: NoneDisclosures: None

scholarly journals Genetic relatedness among clinical strains of Stenotrophomonas maltophilia in tertiary care hospital settings in São Paulo State, Brazil

2007 ◽  
Vol 38 (2) ◽  
pp. 278-284 ◽  
Author(s):  
Margarete Teresa Gottardo Almeida ◽  
Fernando Gôngora Rubio ◽  
Doroti Oliveira Garcia ◽  
Érika Cristina Pavarino-Bertelli ◽  
Andrea Regina Baptista Rossit ◽  
...  
Keyword(s):  
Stenotrophomonas Maltophilia ◽  
Genetic Relatedness ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sao Paulo ◽  
Care Hospital ◽  
São Paulo ◽  
Clinical Strains ◽  
Paulo State ◽  
São Paulo State

scholarly journals Assessing screening practices among health care workers at a tertiary-care hospital in Sao Paulo, Brazil

Clinics ◽  
2010 ◽  
Vol 65 (2) ◽  
pp. 151-155 ◽  
Author(s):  
Ana Claudia Gonçalves-Silva ◽  
Cristiane Murta-Nascimento ◽  
José Eluf-Neto
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sao Paulo ◽  
Care Hospital ◽  
São Paulo ◽  
Screening Practices ◽  
Care Workers

scholarly journals HIV-infected youths transitioning from pediatric to adult outpatient care in a teaching tertiary care hospital in São Paulo city, Brazil

2019 ◽  
Vol 23 (5) ◽  
pp. 291-297
Author(s):  
Angela Carvalho Freitas ◽  
Vivian Iida Avelino-Silva ◽  
Eliana Battaggia Gutierrez ◽  
Heloisa Helena de Souza Marques ◽  
Giuliana Stravinskas Durigon ◽  
...  
Keyword(s):  
Outpatient Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sao Paulo ◽  
Care Hospital ◽  
São Paulo ◽  
Adult Outpatient

scholarly journals Pattern of psychiatric morbidity among referred inpatients in a tertiary care hospital of Bangladesh

2020 ◽  
Vol 31 (2) ◽  
pp. 38-42
Author(s):  
Nasim Jahan ◽  
Mohammad Muntasir Maruf ◽  
Sharmin Kauser ◽  
Mekhala Sarkar ◽  
Md Masud Rana Sarker ◽  
...  
Keyword(s):  
General Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Care Hospital ◽  
Psychiatric Consultation ◽  
Liaison Psychiatry ◽  
Major Depressive ◽  
Consultation Liaison Psychiatry ◽  
The Mean ◽  
Inpatient Units

There is a dearth of studies related to consultation-liaison psychiatry in Bangladesh. The psychiatric referral rates in this country are very low, considering the higher rates of psychiatric morbidity in patients who attend various departments of a general hospital. This was a descriptive study consisting of all the cases referred for psychiatric consultation from inpatient units of various departments of BIRDEM General Hospital, Dhaka from July 2017 to June 2018. Patients of any age and of either gender were included. A total of 673 patients (1.97% of total admission) were referred from different departments of the hospital for psychiatric consultation within the study period. Majority of the respondents were female. The mean age of the respondents was 59.47 (±1.98) years. Among the referred, Generalized anxiety disorder (GAD) was the diagnosis in 24.96%, followed by Major depressive disorder (MDD) in 9.95% cases. Referral from the department of Medicine and allied was 92.86 %, followed by department of Surgery and allied (6.38%) & department of Obstetrics and Gynaecology (0.74%). Frequency of referral was the lowest in the months of November to January. There is a need to encourage multi-disciplinary interaction in the management of patients who attend general hospitals, so as to better identify the psychiatric morbidity. Bang J Psychiatry December 2017; 31(2): 38-42

scholarly journals Aplicabilidade da classificação das intervenções e atividades de nutrição clínica em unidade hospitalar: estudo piloto/ Applicability of the clinical nutrition interventions classification and activities in a hospital unit: pilot study

2017 ◽  
Vol 16 (4) ◽  
Author(s):  
Clotilde Oliveira ◽  
Raquel Gaidzinski
Keyword(s):  
Pilot Study ◽  
Sao Paulo ◽  
Clinical Nutrition ◽  
São Paulo ◽  
Nutrition Interventions ◽  
Hospital Unit

Este estudo teve como objetivo avaliar a viabilidade do uso de uma classificação de intervenções/atividades executadas por nutricionistas no ambiente hospitalar e descrever o processo de trabalho destes profissionais. Pesquisa transversal, descritiva, observacional, realizada em um hospital público, no município de São Paulo. Participaram duas nutricionistas da unidade de internação cirúrgica. O instrumento aplicado contemplava o elenco de intervenções/atividades desenvolvidas pelos nutricionistas no Brasil. O tempo despendido pelos nutricionistas foi obtido pela observação direta e contínua das intervenções/atividades realizadas durante jornada de trabalho, por meio da técnica de tempo e movimento. Para análise dos dados, aplicou-se a estatística descritiva. O instrumento testado permitiu identificar todas as intervenções/atividades realizadas pelos nutricionistas, sem necessidade de alteração. Foram observadas 68,8% (22) intervenções/atividades.  O tempo total observado correspondeu 1920 minutos. As nutricionistas despenderam a maior parte do tempo de trabalho em intervenções de cuidados diretos e indiretos (1406 minutos; 55,9%), espera (358 minutos; 18,6%), atividades pessoais (206,4 minutos; 10,8%) e deslocamento (205,4 minutos; 10,7%). O uso desse instrumento mostrou potencial para ser aplicado em unidades hospitalares brasileiras e forneceu dados preliminares sobre a prática profissional dos nutricionistas observados.

scholarly journals 0618 What are the Benefits of Remote Monitoring Polysomnography

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A236-A237
Author(s):  
T Yagi ◽  
S Chiba ◽  
H Ito
Keyword(s):  
General Hospital ◽  
Remote Monitoring ◽  
Measurement Accuracy ◽  
Safety Management ◽  
Abnormal Behavior ◽  
Type I ◽  
Type Ii ◽  
Nursing Management ◽  
Hospital Unit ◽  
Information And Communication

Abstract Introduction The use of information and communication technology (ICT) for sleep testing is mainly aimed at improving the accuracy of out-of-center sleep testing (OCST) by remote monitoring. In this study, as the first achievement in Japan, we report the results of our sleep medical clinic and hospital unit. For the diagnosis of sleep disorders, monitoring polysomnography (PSG) attending sleep technologist is the gold standard and is positioned as Type I. On the other hand, diagnosis using OCST has become acceptable because many patients can be diagnosed quickly and cost can be reduced.When using Type II devices that measure electroencephalogram at home, the measurement accuracy is inevitable, including poor recording, because it is performed in a non-monitoring situation. As an attempt to improve this situation, our clinic and hospital unit have established a remote monitoring PSG system that can be upgraded from Type II to Type I level by remote monitoring by a sleep technologist to ensure recording accuracy. Methods During the period from April 2004 to December 2017, a total of 286 remote monitoring PSGs were performed by dedicated sleep technologists at the Ota Memorial Sleep Center for patients admitted to a private room at Ota General Hospital. Results The breakdown of the reasons for requesting remote monitoring tests is about 30% of patients scheduled to undergo surgerysuch as palatine tonsillectomy or soft palate plastic surgery the next day, and 24% of hospitalized patients with risky complications %, 17% of patients expected to have a high probability of nighttime seizures and abnormal behavior, and 15% were physically disabled or paralyzed. Conclusion Our remote monitoring PSG system is effectively used in the clinic for the general hospital for patients who need nighttime safety management and nursing management. Support non

Overview of obesity and breast cancer in Brazil: 24 year of follow up.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e13580-e13580
Author(s):  
Andrea Z Pereira ◽  
Bianca de Almeida Pitito ◽  
Rogério Ruscitto do Prado ◽  
Andre Mattar ◽  
Roberto Hegg ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
State Government ◽  
Sao Paulo ◽  
São Paulo ◽  
Obese Women ◽  
Obesity Prevalence ◽  
Breast Cancer Patients ◽  
Significant Difference ◽  
Prevalence Of Obesity

e13580 Background: Obesity is one of the major public health challenges of the 21st century. The prevalence of obesity is growing exponentially across all age groups and on all continents and it is associated with morbidities such as cardiovascular disease, diabetes mellitus type 2, dyslipidemia, hypertension and cancer. There is a higher risk of developing breast cancer in postmenopausal obese women, and with worse outcome for women of all ages. Objectives: To evaluate obesity prevalence in breast cancer patients and its association with recovering, survival, death, age, Human Epidermal Growth Factor Receptor 2 (HER2) and anti-human KI67 antibody(KI67). Methods: A retrospective cohort study was performed between 1994 and 2018 at the Breast Cancer Department, São Paulo State Government Women's Health Reference Center (Perola Byington Hospital), São Paulo, Brazil with 8824 breast cancer patients. From those, 2899 patients were excluded because they did not have description of weight and/or Body Mass Index (BMI). Survival analysis was performed according to BMI groups. Results: The participants had mean (SD) age of 54 (12.0) years and weight of 70 (15.0) kg. There were 769 (13%) deaths and the mean survival was 20 (2.0) years. 1787 (30%) participants were stratified in obese (BMI≥30Kg/m2) and 4138 (70%) non-obese Obese were older (p < 0,001) and had a higher frequency of HER2 negative (p < 0,04) than non-obese women. There were not a significant difference in frequencies of KI67, recovering and survival between groups. The prevalence of obesity was not different over 24 years. Conclusions: There was a relevant prevalence of obesity in breast cancer patients, which was associated with HER2 negative and age, but not with recovering or survival.

scholarly journals Guideline adherence and control of diabetes mellitus with or without co-morbidities in various wards of a tertiary hospital in Malaysia

2014 ◽  
Vol 3 (8) ◽  
pp. 309-312 ◽  
Author(s):  
Muhammad Zahid Iqbal ◽  
Muhammad Shahid Iqbal ◽  
Dayana Nicholas ◽  
Jamaluddin Awang ◽  
Amer Hayat Khan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
General Hospital ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Negative Association ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescription Pattern ◽  
Co Morbidity

To assess the adherence of physicians involved in the management of diabetes mellitus with or without co-morbidities with reference to Clinical Practice Guideline 2009 given by Ministry of Health Malaysia in the tertiary care hospital, Pinang General Hospital Malaysia. Cross-sectional study was done at tertiary care hospital, Penang, Malaysia. The total 51 physicians and 1020 patient’s prescriptions written by same physicians were taken from the record of the Penang General Hospital (20 prescriptions for each enrolled physician). All 1020 patients were suffering from diabetes mellitus with or without co-morbidities. These patients were recruited from the different wards of the Penang General Hospital. Depending on the recommendations of CPG 2009 the prescriptions of patients were divided into adherent and non-adherent prescriptions. The overall good level of physician adherence was seen with respect to the recommendations of CPG 2009 in all prescriptions. A statistically significant negative association (?= 0.094, p-value=0.003) was observed between diabetes mellitus control and co-morbidities. CPG adherent had statistically weak negative association (?= -0.081, p-value=0.010) with patients having co-morbidities. No statistically significant association was observed between CPG adherence and any other co-morbidity. The study explored the several features of prescription pattern of physicians involved in the management of diabetes mellitus with or without co-morbidities and recognized the need for improvement in their prescription pattern for treating the diabetes mellitus.DOI: http://dx.doi.org/10.3329/icpj.v3i8.19405 International Current Pharmaceutical Journal, July 2014, 3(8): 309-312

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