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Competências especializadas no cuidar do doente crítico: Do transporte terrestre às evacuações aéreas
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Abstract(s)
O presente relatório insere-se no plano de estudos do 5.º Mestrado em Enfermagem Médico-Cirúrgica no ano letivo 2021/2022. Este tem como objetivo demonstrar o desenvolvimento das competências comuns e específicas no âmbito dos cuidados de Enfermagem especializados na área Médico-cirúrgica na Pessoa em Situação Crítica, evidenciar uma análise crítico-reflexiva das situações decorrentes da prática profissional e suas implicações para a essência do cuidado. Como objetivo final, pretendo evidenciar o desenvolvimento de competências de Mestre, através da apresentação e discussão do relatório de estágio.
Os ensinos clínicos decorreram nos seguintes locais: Estágio I – Serviço de Urgência do Hospital Dr. Nélio Mendonça, Estágio II – Unidade de Cuidados Intensivos do Hospital Curry Cabral e Estágio com Relatório, Módulo I – Unidade de Cuidados Intensivos do Hospital Curry Cabral, Módulo II- Unidade de Evacuações Aéreas do Hospital Santo Espírito da Ilha Terceira e no Serviço de Emergência Médica Regional da Região Autónoma da Madeira.
Durante este processo, direcionei a minha atenção para o transporte do doente crítico, aprofundando este tema, com mais enfoque, no contexto do estágio de opção. O cuidado ao doente crítico por vezes implica a sua transferência, pela necessidade de oferecer um nível assistencial superior. Este é um tema que tem vindo a receber atenção internacional e nacional, no sentido de promover um conjunto de boas práticas/guidelines que permitam fazer face à exigência deste tipo de transporte. Contudo, estas nem sempre são aplicadas na prática, sendo necessário explorar esta área e aprofundar competências no transporte do doente crítico. Esta é uma necessidade que tenho vindo a sentir no âmbito das minhas funções na Unidade de Cuidados Intensivos, justificando também a escolha desta temática.
A metodologia utilizada é descritiva, analítica e crítico-reflexiva das situações vivenciadas nos diferentes estágios. Como resultado de aprendizagem, os diversos contextos onde desenvolvi a prática clínica especializada permitiram evidenciar a minha intervenção como futuro Enfermeiro Especialista em Enfermagem Médico Cirúrgica no que concerne ao cuidar da pessoa a vivenciar processos complexos de doença crítica, no dinamizar a resposta a situações de catástrofe e no maximizar a intervenção na prevenção e controlo da infeção.
his report is part of the study plan of the 5th Master’s Degree in Medical-Surgical Nursing, in the academic year 2021/2022. This report aims to demonstrate the development of common and specific competences in the scope of specialized Medical-Surgical Nursing area for the Person in Critical Situation, evidencing a critical-reflective analysis of the situations that arise from the professional practice and its implications for the essence of care. As a final objective, I intend to highlight the development of Master’s skills, through the presentation and discussion of this report. The clinical practices took place in the following locations: Internship I – Multipurpose Emergency Service of the Hospital Dr. Nélio Mendonça, Internship II – Multipurpose Intensive Care Unit of the Hospital Curry Cabral and Internship III Module I – Multipurpose Intensive Care Unit of the Hospital Curry Cabral, Module II- Air Evacuation Unit of the Hospital Santo Espírito da Ilha Terceira and in the Regional Emergency Medical Service of Madeira Autonomous Region. During this process, I focused my attention on the transport of the critically ill patient, expanding this area, in much more detail, during the optional internship. Care for the critically ill patients sometimes implies their transference, due to the need to offer a higher level of care. This is a topic that has received international and national attention, in order to promote a set of goof practices/guidelines and meet the demands for this type of transport. However, these are not always applied in practice, therefore being necessary to explore this area and deepen skills in the transport of critically ill patients. This is a necessity that I have encountered during my practice in the Intensive Care Unit, which also justifies the choice of this topic. The used methodology is descriptive, analytical, critical and reflexive of the situations experienced in the different internships. As a result of learning, the different contexts where I developed the specialized clinical practice made it possible to manifest my intervention as a future Specialist Nurse in Medical-surgical nursing in terms of caring for the person experiencing complex processes of critical illness, in dynamizing the response to catastrophe situations and in maximizing intervention in infection prevention and control.
his report is part of the study plan of the 5th Master’s Degree in Medical-Surgical Nursing, in the academic year 2021/2022. This report aims to demonstrate the development of common and specific competences in the scope of specialized Medical-Surgical Nursing area for the Person in Critical Situation, evidencing a critical-reflective analysis of the situations that arise from the professional practice and its implications for the essence of care. As a final objective, I intend to highlight the development of Master’s skills, through the presentation and discussion of this report. The clinical practices took place in the following locations: Internship I – Multipurpose Emergency Service of the Hospital Dr. Nélio Mendonça, Internship II – Multipurpose Intensive Care Unit of the Hospital Curry Cabral and Internship III Module I – Multipurpose Intensive Care Unit of the Hospital Curry Cabral, Module II- Air Evacuation Unit of the Hospital Santo Espírito da Ilha Terceira and in the Regional Emergency Medical Service of Madeira Autonomous Region. During this process, I focused my attention on the transport of the critically ill patient, expanding this area, in much more detail, during the optional internship. Care for the critically ill patients sometimes implies their transference, due to the need to offer a higher level of care. This is a topic that has received international and national attention, in order to promote a set of goof practices/guidelines and meet the demands for this type of transport. However, these are not always applied in practice, therefore being necessary to explore this area and deepen skills in the transport of critically ill patients. This is a necessity that I have encountered during my practice in the Intensive Care Unit, which also justifies the choice of this topic. The used methodology is descriptive, analytical, critical and reflexive of the situations experienced in the different internships. As a result of learning, the different contexts where I developed the specialized clinical practice made it possible to manifest my intervention as a future Specialist Nurse in Medical-surgical nursing in terms of caring for the person experiencing complex processes of critical illness, in dynamizing the response to catastrophe situations and in maximizing intervention in infection prevention and control.
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Keywords
Enfermeiro Especialista competência, Enfermagem Médico-cirúrgica pessoa em situação crítica transporte do doente crítico