Ana Paula Boaventura

Programa de capacitação em ressuscitação cardiorrespiratória com uso do desfibrilador externo automático em uma universidade

Early defibrillation in cardiopulmonary resuscitation (CPR) receives increasing emphasis on its priority and rapidity. This is an experience report about the implementation of a training program in CPR using a defibrillator in a private university. The training program in basic CPR maneuvers was based on global guidelines, including a theorical course with practical demonstration of CPR maneuvers with the defibrillator, individual practical training and theoretical and practical assessments. About the performance of students in the practical assessment the mean scores obtained by students in the first stage of the course was 26.4 points, while in the second stage the mean was 252.8 points, in the theoretical assessment the mean in the first stage was 3.06 points and in the second 9.0 points. The implementation of programs like this contribute to the effective acquisition of knowledge (theory) and skill (pratice) for the care of CPR victims.

Perfil de pacientes em uma unidade de emergência referenciada: possíveis marcadores de superlotação.

Resumo Essa pesquisa teve como objetivo caracterizar o perfil de pacientes atendidos em uma Unidade de Emergência Referenciada (UER) de um hospital universitário, e analisar as variáveis quantitativas indicadoras de superlotação. Estudo quantitativo, de corte transversal. Foram incluídos todos os pacientes que permaneceram internados por 6 horas ou mais, entre os anos de 2014 e 2016. O total de admissões avaliados foram de 62971 pacientes. Houve predomínio do sexo masculino, com média de idade de 46,9 a 49,6 anos, sendo a maioria do atendimentos de baixa gravidade. A taxa média de ocupação foi maior que 100%, houve um aumento na taxa de permanência e da taxa de mortalidade. Concluímos por fim, que houve uma mudança no perfil de pacientes atendidos, sendo essencial para o enfermeiro conhecer essas mudanças a fim de organizar o fluxo de atendimentos.

Avaliação da utilização de instrumentais cirúrgicos em um centro cirúrgico ambulatorial

Objective: To evaluate the number of surgical instruments that are used and go unused during surgeries performed at an outpatient surgery center of a university hospital. Method: This is a cross-sectional, quantitative, and descriptive study, carried out using a survey of data of observations related to the use or non-use of surgical instruments present in surgical boxes. Results: A total of 176 surgeries were observed among the specialties: ophthalmology 132 (75%), otorhinolaryngology 16 (9.09%), plastic surgery 12 (6.81%), and other specialties 16 (9.09%). It was confirmed that 49.10% of the instruments were wasted, as they were not used in the outpatient surgeries. Conclusion: This study brings a new perspective about the role of nursing in Outpatient Surgery Centers and responsibility of nurses with regard to the management and control of costs at health institutions.

Avaliação e controle de instrumentais utilizados em sala operatória durante cirurgias torácicas

Objective: To assess the number of unused surgical instruments during thoracic surgeries performed at a university hospital. Methods: An exploratory, descriptive, cross-sectional study with a quantitative approach, conducted by gathering data on the use or lack of use of surgical instruments present in the surgical box. Results: A total of thirty thoracic surgeries were observed, with a mean of 84.53% of instruments utilized for surgery and a mean of 15.48% of instruments left unused. Conclusion: A reconfiguration of the surgical boxes for this specialty is needed in order to optimize the utilization and the process of these instruments.

Instrumentais nas caixas cirúrgicas: avaliação de custo

Objective: To evaluate the number of instruments in surgical boxes, which are not used during a surgery in a hospital in the state of Sao Paulo. Method: Data collection resulted from the direct observation of the instruments used in surgery, recording the actual number of instruments in the box, the number of instruments used in surgery, and the number of unused ones. Results: On an average, about 52% of existing materials in surgical boxes are not used, generating high costs for the institution. Calculating the losses, we obtained an average worth US

PERFIL DOS PACIENTES ONCOLÓGICOS ATENDIDOS EM UMA UNIDADE DE EMERGÊNCIA

2.90 (R

PROFILE OF THE ONCOLOGIC PATIENTS TREATED AT THE EMERGENCY UNIT

8.00) per surgical box used, mounting up to the value of U

PERFIL DE LOS PACIENTES ONCOLÓGICOS TRATADOS EN UNA UNIDAD DE EMERGENCIA

566 (R

Training program on cardiopulmonary resuscitation with the use of automated external defibrillator in a university

1,584.17) per month. Conclusions: We conclude that there is a waste of materials, which are sterilized and not used in surgical procedures, directly reflecting the quality and the cost management of the sterilized material center. Keywords: Surgical instruments. Costs and cost analysis. Surgical procedures, operative

Programa de formación en reanimación cardiopulmonar con el uso del desfibrilador externo automático en una universidad

Objective: To analyze the profile of oncology patients treated at the Emergency Unit of a public hospital in the State of Sao Paulo - Brazil. Method: This is an exploratory, retrospective study. Medical records were used from patients seen in the emergency unit in the year 2012. Results: 172 cancer patients were treated at one year, 62.2% (107) were male with a mean age of 62 years, 69.8% (120) patients in the initial or intermediate stage of the disease, 97.6% (168) of the patients received chemotherapy and 39.5% (68) radiation and 86% (148) of these patients did not have cancer metastasis and 57.5% (99) were discharged from the emergency unit. The signs and symptoms that led these patients to seek emergency services are pain 83.1% (143), nausea and vomiting to 67.4% (116), fever 26.1% (45) and weakness presented by 11.6% (20) cases. Tumors were gastrointestinal disturbances to 27.3% (47), lungs 18.6% (32) and breast 16.9% (29), analgesics being used 94.7% (163) and antiemetics 79,6% (137), peripheral intravenous 45% (77). Conclusion: It was concluded that there is little prevalence of cancer patients in this emergency unit, and the treatment of symptoms in cancer patients is a complex multidisciplinary concern and emergency services should have physical infrastructure and qualified human resources to serve patients.