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Implementação de um sistema de preparação de terapêutica anestésica num bloco pediátrico de Lisboa
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Advisor(s)
Abstract(s)
Este relatório foi realizado no âmbito do Mestrado em Enfermagem
Perioperatória da Escola Superior de Saúde do Instituto Politécnico de Setúbal.
No desenvolvimento deste está proposto a realização, no 3º Semestre, de um
estágio durante o qual devemos desenvolver um projeto de melhoria de
cuidados para aquele serviço. O referente Estágio tinha como objetivos:
Promover o desenvolvimento de competências em contexto clínico de
Enfermagem Perioperatória;
Promover o desenvolvimento de competências de decisão clínica e
decisão ética de enfermagem, e contexto específico da Enfermagem
Perioperatória;
Aplicar a metodologia de projeto na identificação, planeamento e
resolução de um problema de investigação em contexto da prática.
Durante o Estágio identificámos, iniciando o processo da Metodologia de
Projeto, que os enfermeiros de um Bloco Operatório Pediátrico de um Hospital
de Lisboa tinham a percepção de que poderiam ocorrer erros relacionados com
a terapêutica anestésica. Para confirmarmos a dimensão desta percepção,
aplicámos questionários que confirmaram a situação.
A preparação e administração de terapêutica anestésica são da
responsabilidade do Enfermeiro Perioperatório. Após a realização de uma
pesquisa bibliográfica identificámos que fatores como a inexperiência, utentes
pediátricos, desconhecimento da relação dose fármaco/ação/kg peso da
criança, podem ser indutivos para ocorrência de erros. Na tentativa de resolver
este problema, pensámos em implementar um Sistema informático auxiliar para
a preparação de fármacos anestésicos. Este já se encontra em utilização
desde meados dos anos 90 num outro Bloco Operatório, tendo sido construído
por enfermeiros para enfermeiros. O mesmo foi implementado no serviço e
foram avaliados os seus resultados. Os resultados foram o que tanto
expetávamos, os enfermeiros afirmam que o Pedrug – sistema em causa –
pode prevenir erros relacionados com a terapêutica anestésica e é uma maisvalia
para o Bloco Operatório em questão. Este relatório é resultado de um projeto implementado num Bloco
Operatório Pediátrico de um Hospital de Lisboa, o que permitiu o
desenvolvimento de competências específicas do Enfermeiro Mestre em
Enfermagem Perioperatória. A reflexão das competências comuns e
específicas do enfermeiro mestre em Enfermagem Perioperatória foi muito
construtiva e enriquecedora, ajudando para a consciencialização das
capacidades adquiridas ao longo do processo profissional e académico, e para
a percepção de outros domínios que no futuro podem ser desenvolvidos.
Abstract: This report was conducted under the Master in Perioperative Nursing, School of Health Sciences, Polytechnic Institute of Setúbal. In developing, it was proposed, on 3rd Semester, a stage during which we must develop a project to improve care for that service. The goals of the stage were: To promote the development of skills in the clinical context of Perioperative Nursing; To promote the development of skills of ethical decision making and clinical nursing, and the specific context of perioperative nursing; Apply the methodology for project identification, planning and problem solving research in the context of practice. During Stage was detected that nurses, an operating theater of a Paediatric Hospital in Lisbon, had the perception that errors related to the analgesic therapy could occur. To understand whether this perception was real, we applied questionnaires confirmed the situation. The preparation and administration of anesthetic therapy are the responsibility of the Perioperative Nurse. After conducting a literature search, we identify that factors such as inexperience, pediatric users, unaware of the dose drug / share / Kg weight of the child can be inductive for errors. To tackle this problem, we thought of implementing a computer system to assist the preparation of anesthetic drugs. This is already in use since the mid-90s in another operation theatre, having been built by nurses for nurses. The same was implemented in the service and the results were evaluated. The results corresponded to or expectations, nurses say the Pedrug - system in question - can prevent errors related to anesthesia therapy and is an asset to the operating theater in question. This report is the result of the project to implement of the system in the operating theater of a Paediatric Hospital in Lisbon, which allowed the development of specific skills Nurse Master in Perioperative Nursing. The reflection of the common and specific skills of the master in Perioperative Nursing nurse was very constructive and fruitful, helping to raise awareness of the skills acquired throughout the academic and professional process, and the perception of other areas that can be developed in the future.
Abstract: This report was conducted under the Master in Perioperative Nursing, School of Health Sciences, Polytechnic Institute of Setúbal. In developing, it was proposed, on 3rd Semester, a stage during which we must develop a project to improve care for that service. The goals of the stage were: To promote the development of skills in the clinical context of Perioperative Nursing; To promote the development of skills of ethical decision making and clinical nursing, and the specific context of perioperative nursing; Apply the methodology for project identification, planning and problem solving research in the context of practice. During Stage was detected that nurses, an operating theater of a Paediatric Hospital in Lisbon, had the perception that errors related to the analgesic therapy could occur. To understand whether this perception was real, we applied questionnaires confirmed the situation. The preparation and administration of anesthetic therapy are the responsibility of the Perioperative Nurse. After conducting a literature search, we identify that factors such as inexperience, pediatric users, unaware of the dose drug / share / Kg weight of the child can be inductive for errors. To tackle this problem, we thought of implementing a computer system to assist the preparation of anesthetic drugs. This is already in use since the mid-90s in another operation theatre, having been built by nurses for nurses. The same was implemented in the service and the results were evaluated. The results corresponded to or expectations, nurses say the Pedrug - system in question - can prevent errors related to anesthesia therapy and is an asset to the operating theater in question. This report is the result of the project to implement of the system in the operating theater of a Paediatric Hospital in Lisbon, which allowed the development of specific skills Nurse Master in Perioperative Nursing. The reflection of the common and specific skills of the master in Perioperative Nursing nurse was very constructive and fruitful, helping to raise awareness of the skills acquired throughout the academic and professional process, and the perception of other areas that can be developed in the future.
Description
Relatório de estágio de Mestrado em
Enfermagem Perioperatória
Keywords
Enfermagem Perioperatória Terapêutica anestésica Erro medicamentoso Metodologia de Projeto Prática Baseada na Evidência Perioperative Nursing Master in Perioperative Nursing Therapeutic anesthetic drug error Work Methodology Project Evidence Based Practice
Pedagogical Context
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde