Gestión de un servicio ambulatorio universitario: enfermería en la coping de la pandemia de COVID-19

Santos, Raíla de Souza; Barreto, Carla Tatiana Garcia; Lemos, Patrícia Ferraccioli Siqueira; Duarte, Cíntia Araujo; Moreira, Diego da Silva; Reis, Adriana Teixeira; Silva, Fernanda Henriques da; Nunes, Alessandra Sant’Anna

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (Suppl 1) • 2021 • https://doi.org/10.1590/0034-7167-2020-0834 copiar

Gestión de un servicio ambulatorio universitario: enfermería en la coping de la pandemia de COVID-19

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

describir la aplicación y la gestión de un servicio de enfermería reestructurado para el afrontamiento de la pandemia de COVID-19.

Métodos:

se trata de un estudio descriptivo desarrollado en la Policlínica Piquet Carneiro, unidad ambulatoria universitaria de la ciudad de Río de Janeiro, que se convirtió en referencia para el testeo del coronavirus, síndrome respiratorio agudo severo 2 (SARS-CoV-2).

Resultados:

se dimensionaron los recursos humanos de enfermería, los flujos para atender a los usuarios de la unidad y para testear el SARS-COV-2 y la capacitación profesional en prácticas de prevención. Del 18 de marzo al 3 de julio, el equipo de enfermería prestó 31.214 servicios, de los cuales 25.424 fueron testeos y se impartió formación profesional a 453 profesionales de la salud.

Consideraciones finales:

la enfermería representa una importante fuerza de trabajo, planificación y gestión para la reestructuración de los servicios de salud en una emergencia, dada su amplia visión gerencial, educativa y de asistencia directa a la población.

Descriptores:
Enfermería; Administración de los Servicios de Salud; Capacitación en Servicio; Pandemias; Infecciones por Coronavirus

TRAINING FOR HEALTH PROFESSIONALS IN CARE OF CORONAVIRUS (COVID-19) SUSPECTED/CONFIRMED CASES IN THE AMBULATORY ENVIRONMENT
DURATION: 50 min TARGET PUBLIC: Health professionals and students SETTING: Piquet Carneiro Polyclinic OBJECTIVE: promote the development of the safety capacity of health professionals during care, through the correct, safe and rational use of PPE in health services with care for COVID-19
OBJECTIVE	PROGRAM CONTENT	ACTIVITY	MATERIAL RESOURCES
To know the origin and category of participating health professionals	Brief presentation of the work origin and the category of each participant	-Presentation	-A4 clipboard. - Attendance list
To discuss the characteristics of the SARS COV-2 virus and the COVID-19 disease	Coronavirus, Covid-19 (definition, characteristics, types of virus transmission)	-Dialogue exhibition	-
To review the hand hygiene technique with 70% alcoholic solution and surface disinfection methods	Hand hygiene, antisepsis with 70% alcohol and disinfection of materials and surfaces	-Dialogue exhibition -Practical demonstration of the antiseptic hand-wicking technique with 70% alcohol preparation	-Sprayer with 70% alcohol preparation
To sensitize health professionals about the need for the correct, safe and rational use of PPEs, in different scenarios in the prevention of exposure to COVID-19	Care in the professional environment (clothing, ornaments, nail care)	-Dialogue exhibition	-
	PPE (adequate information, cost, expiration date, durability, conservation, manufacturer's information, importance of rationalizing the use of PPE, proper room for dressing/undressing)	-Dialogue exhibition	-
	Reflection on the use of PPE in different environments according to precautionary needs (pattern, contact, droplet or aerosol)		-
	Constant updating of rules, ordinances, legislation from safe sources, in addition to combating fake news		-
To discuss appropriate care in the home environment	How to prevent the spread of Covid-19 in the home environment	-Dialogue exhibition	-
To present the service flow of PPC, in the context of COVID-19	Current Context of the PPC (specialized unit, essential services, reference center, service, flow, screening and classification of users and health professionals)	-Dialogue exhibition	-
To simulate the stages of the dressing process and the safe, adequate and rational positioning of PPE for environments with aerosol precautions	Demonstration of the stages of the dressing process and proper use of PPEs	-Dialogue exhibition -Simulation with practical demonstration of the dressing technique -Observation and clarification of doubts	- Waterproof coveralls; -Mask N95; -Cap; -Glasses; -Face Shields; -Procedure gloves; -70% alcoholic solution; -Paper towel; -Infective waste bin; -Waste bin for common waste.
To simulate the steps for the removal process and the appropriate technique to avoid contamination	Demonstration of the stages of the undressing process and proper use of PPE	-Dialogue exhibition -Simulation with practical demonstration of the unbundling technique -Observation and clarification of doubts
To evaluate training using a remote questionnaire (QR Code)	Evaluation through online questionnaire (QR Code)	-Remote evaluation	-Mobile device (cell phone) with internet access

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Raíla de Souza Santos E-mail: railappc@gmail.com