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O cuidado especializado no transporte do doente crítico em contexto extra-hospitalar nas regiões autónomas
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| 2.13 MB | Adobe PDF |
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Abstract(s)
O presente relatório integra-se no curso de Mestrado em Enfermagem Médico Cirúrgica à Pessoa em Situação Crítica, da Escola Superior de Saúde de São José de Cluny,
em parceria com a Escola Superior de Saúde de Santa Maria do Porto, para a aquisição do
título de Enfermeiro Especialista em Enfermagem Médico-Cirúrgica nos cuidados à Pessoa
em Situação Crítica e grau de Mestre.
O documento tem como objetivos: Evidenciar a aquisição e desenvolvimento das
competências comuns do Enfermeiro Especialista e específicas de Enfermeiro Especialista
em Enfermagem Médico Cirúrgica nos cuidados à Pessoa em Situação Critica; e apresentar
os resultados da revisão da literatura realizada, atividade crucial para a obtenção das
competências de mestre.
O desenvolvimento e aquisição das respetivas competências, ocorreu em contexto
académico e através da prática clínica especializada, nomeadamente num serviço de
Medicina Intensiva Polivalente, numa Urgência Polivalente, e por fim o estágio de opção,
realizado nas Regiões Autónomas Autónoma dos Açores e Madeira, respetivamente na
Equipa Medicalizada de Intervenção Rápida e o serviço de Triagem e Aconselhamento
Telefónico do Centro Integrado de Comunicações, na equipa de Suporte Imediato de Vida,
na Linha de Emergência Médica e na Unidade de Evacuações Aéreas. Os diversos contextos
da prática clínica especializada em contexto pré-hospitalar, demonstram uma ampla atuação
do Enfermeiro Especialista, tendo em vista os melhores resultados aquando do transporte da
Pessoa em Situação Crítica. Assim é fundamental compreender o transporte da Pessoa em
Situação Crítica, os seus riscos, variáveis e componentes.
Através de uma metodologia descritiva, analítica e reflexiva, aludindo aos contextos
letivo e da prática, pretende-se demonstrar o resultado do percurso realizado, nomeadamente
no cuidar da pessoa em situação crítica, família e/ou cuidadores a vivenciar processos de
doença crítica e/ou falência orgânica; no dinamizar a resposta em situações de emergência,
exceção e catástrofe; no maximizar a intervenção na prevenção e controlo da infeção e de
resistência a antimicrobianos; e no adquirir e desenvolver as competências de mestre.
This report is part of the Master's degree in Medical-Surgical Nursing for People in Critical Situations, from the Escola Superior de Saúde de São José de Cluny, in partnership with the Escola Superior de Saúde de Santa Maria do Porto, to acquire the title of Specialist Nurse in Medical-Surgical Nursing in the care of People in Critical Situations and a Master's degree. The document aims to: Highlight the acquisition and development of common skills of the Specialist Nurse and specific skills of the Specialist Nurse in Medical-Surgical Nursing in the care of People in Critical Situations; Present the results of the literature review carried out, a crucial activity for obtaining master's skills. The development and acquisition of the respective skills took place in an academic context and through specialized clinical practice, namely in a Multipurpose Intensive Medicine service, in a Multipurpose Emergency Department, and finally the optional internship, carried out in the Autonomous Regions of the Azores and Madeira, respectively in the Rapid Intervention Medical Team and on the Telephone Triage and Counseling service of the Integrated Communications Center, and on the Immediate Life Support team, and Medical Emergency Line and on Air Evacuation Unit. The different contexts of specialized clinical practice in the pre-hospital context demonstrate the broad scope of action of the Specialist Nurse, with a view to achieving the best results when transporting a Person in a Critical Situation. Therefore, it is essential to understand the transportation of Persons in Critical Situations, their risks, variables and components. Through a descriptive, analytical and reflective methodology, alluding to the teaching and practical contexts, the aim is to demonstrate the result of the journey undertaken, namely in caring for people in critical situations, families and/or caregivers experiencing processes of critical illness and/or organic failure; in streamlining the response in emergency, exceptional and catastrophic situations; in maximizing intervention in the prevention and control of infection and antimicrobial resistance; and in acquiring and developing master skills.
This report is part of the Master's degree in Medical-Surgical Nursing for People in Critical Situations, from the Escola Superior de Saúde de São José de Cluny, in partnership with the Escola Superior de Saúde de Santa Maria do Porto, to acquire the title of Specialist Nurse in Medical-Surgical Nursing in the care of People in Critical Situations and a Master's degree. The document aims to: Highlight the acquisition and development of common skills of the Specialist Nurse and specific skills of the Specialist Nurse in Medical-Surgical Nursing in the care of People in Critical Situations; Present the results of the literature review carried out, a crucial activity for obtaining master's skills. The development and acquisition of the respective skills took place in an academic context and through specialized clinical practice, namely in a Multipurpose Intensive Medicine service, in a Multipurpose Emergency Department, and finally the optional internship, carried out in the Autonomous Regions of the Azores and Madeira, respectively in the Rapid Intervention Medical Team and on the Telephone Triage and Counseling service of the Integrated Communications Center, and on the Immediate Life Support team, and Medical Emergency Line and on Air Evacuation Unit. The different contexts of specialized clinical practice in the pre-hospital context demonstrate the broad scope of action of the Specialist Nurse, with a view to achieving the best results when transporting a Person in a Critical Situation. Therefore, it is essential to understand the transportation of Persons in Critical Situations, their risks, variables and components. Through a descriptive, analytical and reflective methodology, alluding to the teaching and practical contexts, the aim is to demonstrate the result of the journey undertaken, namely in caring for people in critical situations, families and/or caregivers experiencing processes of critical illness and/or organic failure; in streamlining the response in emergency, exceptional and catastrophic situations; in maximizing intervention in the prevention and control of infection and antimicrobial resistance; and in acquiring and developing master skills.
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Keywords
Enfermeiro Especialista Enfermagem Médico-Cirúrgica Transferência de pacientes Pessoa em Situação Crítica Cuidado Especializado Pré hospitalar
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