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Implementação da consulta de enfermagem pré-operatória: cuidar no pré preparando o pós operatório
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Advisor(s)
Abstract(s)
Este relatório surge no âmbito da unidade curricular de Estágio com
Relatório para a obtenção do grau de Mestre em Enfermagem Perioperatória, na
Escola Superior de Saúde (ESS), do Instituto Politécnico de Setúbal (IPS).
A enfermagem perioperatória centra-se na proteção da integridade da
pessoa em situação de vulnerabilidade; identificação das principais necessidades
em cuidados de enfermagem, efetividade diagnóstica do risco e prevenção de
complicações; demonstração em ganhos em saúde sensíveis aos cuidados de
enfermagem; promoção e operacionalização da continuidade dos cuidados de
enfermagem; responsabilidade profissional e no compromisso na garantia da
qualidade dos cuidados de saúde. O processo cirúrgico provoca no cliente receios e
dúvidas que devem ser esclarecidas antes do internamento, assim como
informação relativa ao perioperatório. A consulta de enfermagem pré-operatória
(CEPO), proporciona um primeiro contato com o cliente bem como um momento
privilegiado de interação entre enfermeiro perioperatório e cliente. A sua
implementação teve como objetivo contribuir para a melhoria da experiência
cirúrgica do cliente.
Seguindo a metodologia de trabalho de projeto, a implementação e
operacionalização da CEPO, foi realizada através da revisão da literatura
relacionada com a enfermagem perioperatória, visita pré-operatória, consulta de
enfermagem, conteúdos necessários a fornecer aos clientes e como promover a
evidência das atividades. Foi executada pesquisa bibliográfica em plataformas,
repositórios e bases de dados, tendo sido fundamentais para a construção de um
guião de consulta, de um folheto informativo a fornecer ao cliente e o
desenvolvimento de fotos / documentos de apoio com imagens das intervenções
cirúrgicas a serem submetidos.Através da articulação com a Direção de Organização, Qualidade e
Segurança do Grupo, foi criada a Plataforma de Medicina Perioperatória, onde se
insere a CEPO, em que foi possível determinar os itens a constar nos ensinos pré e
pós-operatórios, e colher dados referentes à avaliação inicial do cliente para
permitir uma posterior avaliação através de follow up telefónico a realizar pelos
anestesistas e enfermeiros do serviço de internamento.
A interação e a empatia estabelecida entre os clientes e os enfermeiros
perioperatórios, no pré-operatório, permite que o cliente identifique o enfermeiro
como uma referência na segurança e no cuidar no bloco operatório.
A operacionalização da CEPO permite aos enfermeiros a elaboração de um
plano de cuidados personalizado, antever necessidades e organizar cuidados
anestésico-cirúrgicos e dar visibilidade e evidência ao seu trabalho. Para a
instituição de saúde trás vantagens nomeadamente na diminuição do tempo de
consulta de anestesia permitindo aumentar a quantidade de consultas efetivas, na
rentabilização dos tempos operatórios e tempo de admissão no serviço de
internamento, e na promoção da diminuição das ILC e complicações pósoperatórias
diminuindo o tempo de internamento. Os clientes serão os beneficiários
major dos ensinos e informações fornecidos na CEPO, o que permite, não só, uma
diminuição da ansiedade perante o seu processo cirúrgico, como uma melhor
preparação para o pós-operatório. A CEPO permite cuidar no pré, preparando o pós-operatório.
This report comes within the scope of the curricular unit of Internship with Report to obtain the Master's Degree in Perioperative Nursing, at the Higher School of Health (ESS) of the Polytechnic Institute of Setúbal (IPS). Perioperative nursing focuses on protecting the integrity of the vulnerable person; identification of the main needs in nursing care, diagnostic effectiveness of the risk and prevention of complications; demonstration on health gains sensitive to nursing care; promotion and operationalization of the continuity of nursing care; professional responsibility and commitment to guarantee the quality of health care. The surgical process causes in the client fears and doubts that must be clarified prior to hospitalization, as well as perioperative information. The pre-operative nursing consultation (PONC) provides a first contact with the client as well as a privileged moment of interaction between perioperative nurse and client. Its implementation aimed to contribute to the improvement of the surgical experience of the client. Following the methodology of the project work, the implementation and operationalization of the PONC was carried out by reviewing the literature related to perioperative nursing, preoperative visit, nursing consultation, contents necessary to provide clients and how to promote evidence of activities . Bibliographic research was carried out on platforms, repositories and databases, and were fundamental for the construction of a reference guide, a leaflet to be provided to the client and the development of photos / supporting documents with images of the surgical interventions to be submitted . Through the articulation with the Organization's Direction of Organization, Quality and Safety of the Group, the Perioperative Medicine Platform was created, where PONC is inserted, in which it was possible to determine the items to be included in the pre and post-operative teaching, to the initial evaluation of the client to allow a posterior evaluation through telephone follow up to be performed by the anesthesiologists and nurses of the inpatient service. The interaction and empathy established between the clients and the preoperative perioperative nurses allows the client to identify the nurse as a reference in the safety and care in the operating room. The operation of the PONC allows nurses to prepare a personalized care plan, anticipate needs and organize anesthetic-surgical care and give visibility and evidence to their work. For the health institution there are advantages such as the reduction of the time of consultation of anesthesia, increasing the number of effective consultations, the profitability of the operative times and the time of admission to the inpatient service, and the promotion of the reduction of surgical site infection (SSI) and postoperative complications, reducing hospitalization time. Clients will be the major beneficiaries of the teaching and information provided at the PONC, which allows not only a decrease in anxiety before their surgical process, but also a better preparation for the postoperative.The PONC allows to take care in the pre, preparing the postoperative.
This report comes within the scope of the curricular unit of Internship with Report to obtain the Master's Degree in Perioperative Nursing, at the Higher School of Health (ESS) of the Polytechnic Institute of Setúbal (IPS). Perioperative nursing focuses on protecting the integrity of the vulnerable person; identification of the main needs in nursing care, diagnostic effectiveness of the risk and prevention of complications; demonstration on health gains sensitive to nursing care; promotion and operationalization of the continuity of nursing care; professional responsibility and commitment to guarantee the quality of health care. The surgical process causes in the client fears and doubts that must be clarified prior to hospitalization, as well as perioperative information. The pre-operative nursing consultation (PONC) provides a first contact with the client as well as a privileged moment of interaction between perioperative nurse and client. Its implementation aimed to contribute to the improvement of the surgical experience of the client. Following the methodology of the project work, the implementation and operationalization of the PONC was carried out by reviewing the literature related to perioperative nursing, preoperative visit, nursing consultation, contents necessary to provide clients and how to promote evidence of activities . Bibliographic research was carried out on platforms, repositories and databases, and were fundamental for the construction of a reference guide, a leaflet to be provided to the client and the development of photos / supporting documents with images of the surgical interventions to be submitted . Through the articulation with the Organization's Direction of Organization, Quality and Safety of the Group, the Perioperative Medicine Platform was created, where PONC is inserted, in which it was possible to determine the items to be included in the pre and post-operative teaching, to the initial evaluation of the client to allow a posterior evaluation through telephone follow up to be performed by the anesthesiologists and nurses of the inpatient service. The interaction and empathy established between the clients and the preoperative perioperative nurses allows the client to identify the nurse as a reference in the safety and care in the operating room. The operation of the PONC allows nurses to prepare a personalized care plan, anticipate needs and organize anesthetic-surgical care and give visibility and evidence to their work. For the health institution there are advantages such as the reduction of the time of consultation of anesthesia, increasing the number of effective consultations, the profitability of the operative times and the time of admission to the inpatient service, and the promotion of the reduction of surgical site infection (SSI) and postoperative complications, reducing hospitalization time. Clients will be the major beneficiaries of the teaching and information provided at the PONC, which allows not only a decrease in anxiety before their surgical process, but also a better preparation for the postoperative.The PONC allows to take care in the pre, preparing the postoperative.
Description
Relatório de Projeto/Estágio do Mestrado em
Enfermagem Perioperatória
Keywords
Consulta de Enfermagem Enfermagem Perioperatória Nursing Consultation Perioperative Nursing
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde