Dulcelene de Sousa Melo

O monitoramento de processos físicos de esterilização em hospitais do interior do estado de Goiás

The objective of this descriptive study was to identify the physical, chemical and biological controls of the sterilization process by saturated steam in Pasteur autoclaves at Material and Sterilization Centers (MSC). The data was obtained by interviewing the worker responsible for the MSC of the largest hospital in every city in the interior of Goiás that had population of at least 20,000, in the period from August 2005 to June 2006. A total 44 municipalities participated. The analysis was performed using SPSS software. In 31 (94.0%) hospitals there were no nurses exclusive to the MSC, the workers responsible for the center were nursing aides and technicians. Most did not perform any physical, chemical and biological control of the sterilization process, and, in one case only these controls were performed simultaneously. Failing to monitor the sterilization cycles, and thus not ensuring the quality of the processes, is a risk to the population being assisted.Estudo descritivo com o objetivo de identificar a realizacao de controles fisicos, quimicos e biologicos dos processos de esterilizacao pelo vapor saturado sob pressao e em estufas de Pasteur em Centros de Material e Esterilizacao - CME. Os dados foram obtidos por meio de entrevista ao responsavel pelo CME do maior hospital de todas as cidades do interior do Estado de Goias, com numero de habitantes igual ou superior a 20.000, no periodo de agosto de 2005 a junho de 2006. Participaram 44 municipios. Foi utilizado o programa SPSS, para analise. Em 31 (94,0%) hospitais nao havia enfermeiros exclusivos no CME, os responsaveis eram tecnicos e auxiliares de enfermagem. A maioria nao realizava os controles fisicos, quimicos e biologicos dos processos de esterilizacao e, em apenas um, esses eram realizados simultaneamente. O descumprimento da monitorizacao dos ciclos de esterilizacao, impedindo a garantia da qualidade dos processos, representa risco a populacao assistida.

Acidente com material biológico no atendimento pré-hospitalar móvel: realidade para trabalhadores da saúde e não saúde

Analytical transversal study that was conducted with the objectives of identifying the prevalence and characterizing the accidents with biological material among professionals in pre-hospital service (PHS) and comparing the risk behaviors adopted by healthcare and non-healthcare groups that can affect the occurrence and seriousness of such accidents. Data were obtained by questionnaire applied to all PHS workers in Goiânia-GO. The study revealed a high prevalence of accidents involving biological material which, although higher for the healthcare group, also affected the non-healthcare group. There were significant (p < 0.05) risk behaviors for these accidents in both groups: not using gloves, masks or eye protectors; inappropriate disposal of sharps; inadequate dress; re-capping of needles; and a lack of immunization against hepatitis B. The results underscore the importance of both groups in adhering to preventive measures, and further point to the need to structure and implement vigilance and control system for this type of accident.Analytical transversal study that was conducted with the objectives of identifying the prevalence and characterizing the accidents with biological material among professionals in pre-hospital service (PHS) and comparing the risk behaviors adopted by healthcare and non-healthcare groups that can affect the occurrence and seriousness of such accidents. Data were obtained by questionnaire applied to all PHS workers in Goiânia-GO. The study revealed a high prevalence of accidents involving biological material which, although higher for the healthcare group, also affected the non-healthcare group. There were signifi cant (p < 0.05) risk behaviors for these accidents in both groups: not using gloves, masks or eye protectors; inappropriate disposal of sharps; inadequate dress; re-capping of needles; and a lack of immunization against hepatitis B. The results underscore the importance of both groups in adhering to preventive measures, and further point to the need to structure and implement

Accident with biological material at the prehospital mobile care: reality for health and non-healthcare workers

Analytical transversal study that was conducted with the objectives of identifying the prevalence and characterizing the accidents with biological material among professionals in pre-hospital service (PHS) and comparing the risk behaviors adopted by healthcare and non-healthcare groups that can affect the occurrence and seriousness of such accidents. Data were obtained by questionnaire applied to all PHS workers in Goiânia-GO. The study revealed a high prevalence of accidents involving biological material which, although higher for the healthcare group, also affected the non-healthcare group. There were significant (p < 0.05) risk behaviors for these accidents in both groups: not using gloves, masks or eye protectors; inappropriate disposal of sharps; inadequate dress; re-capping of needles; and a lack of immunization against hepatitis B. The results underscore the importance of both groups in adhering to preventive measures, and further point to the need to structure and implement vigilance and control system for this type of accident.Analytical transversal study that was conducted with the objectives of identifying the prevalence and characterizing the accidents with biological material among professionals in pre-hospital service (PHS) and comparing the risk behaviors adopted by healthcare and non-healthcare groups that can affect the occurrence and seriousness of such accidents. Data were obtained by questionnaire applied to all PHS workers in Goiânia-GO. The study revealed a high prevalence of accidents involving biological material which, although higher for the healthcare group, also affected the non-healthcare group. There were signifi cant (p < 0.05) risk behaviors for these accidents in both groups: not using gloves, masks or eye protectors; inappropriate disposal of sharps; inadequate dress; re-capping of needles; and a lack of immunization against hepatitis B. The results underscore the importance of both groups in adhering to preventive measures, and further point to the need to structure and implement

Monitoring the physical processes of sterilization in hospitals in the state of Goiás

The objective of this descriptive study was to identify the physical, chemical and biological controls of the sterilization process by saturated steam in Pasteur autoclaves at Material and Sterilization Centers (MSC). The data was obtained by interviewing the worker responsible for the MSC of the largest hospital in every city in the interior of Goiás that had population of at least 20,000, in the period from August 2005 to June 2006. A total 44 municipalities participated. The analysis was performed using SPSS software. In 31 (94.0%) hospitals there were no nurses exclusive to the MSC, the workers responsible for the center were nursing aides and technicians. Most did not perform any physical, chemical and biological control of the sterilization process, and, in one case only these controls were performed simultaneously. Failing to monitor the sterilization cycles, and thus not ensuring the quality of the processes, is a risk to the population being assisted.Estudo descritivo com o objetivo de identificar a realizacao de controles fisicos, quimicos e biologicos dos processos de esterilizacao pelo vapor saturado sob pressao e em estufas de Pasteur em Centros de Material e Esterilizacao - CME. Os dados foram obtidos por meio de entrevista ao responsavel pelo CME do maior hospital de todas as cidades do interior do Estado de Goias, com numero de habitantes igual ou superior a 20.000, no periodo de agosto de 2005 a junho de 2006. Participaram 44 municipios. Foi utilizado o programa SPSS, para analise. Em 31 (94,0%) hospitais nao havia enfermeiros exclusivos no CME, os responsaveis eram tecnicos e auxiliares de enfermagem. A maioria nao realizava os controles fisicos, quimicos e biologicos dos processos de esterilizacao e, em apenas um, esses eram realizados simultaneamente. O descumprimento da monitorizacao dos ciclos de esterilizacao, impedindo a garantia da qualidade dos processos, representa risco a populacao assistida.

Lack of) care for sterilized healthcare products during transport to and storage in inpatient units

Cross-sectional descriptive study with a quantitative approach, whose objectives were to identify those responsible for the care of sterilized healthcare products after their distribution to inpatient units, structural and material resources available for transportation and storage, and to describe the care given to transport and storage of sterilized healthcare products in inpatient units, and the occurrence of events related to these products. Data were collected by checklist in a large teaching hospital from July to September 2012, completed by direct observation and interviews with nursing managers. After descriptive analysis, none of the 11 units met all recommendations concerning the structure, material resources or work processes for the transport and storage of sterilized healthcare products. Events related revealed lack of care of the healthcare teams in the units, and consequent risk to maintaining product sterility and patient safety.Estudo transversal, descritivo com abordagem quantitativa, cujos objetivos foram identificar os responsaveis pelos cuidados com os produtos para saude, apos a sua distribuicao nas unidades de internacao, e os aspectos estruturais e recursos materiais disponiveis para o seu transporte e armazenamento; descrever os cuidados dispensados com o transporte e armazenamento de produtos para saude, nas unidades de internacao e a ocorrencia de eventos relacionados com esses produtos. Os dados foram coletados em um hospital de ensino de grande porte, de julho a setembro de 2012, por um checklist, preenchido por observacao direta e uma entrevista com os gerentes de enfermagem. Apos analise descritiva, nenhuma das 11 unidades atendia a todas as recomendacoes referentes a estrutura, recursos materiais e processos de trabalho para o transporte e armazenamento dos produtos. Os eventos relacionados observados revelaram descuidado da equipe de saude nas unidades e consequente risco para a manutencao da esterilidade dos produtos e seguranca do usuario.

DES)CUIDADO COM PRODUTOS PARA SAÚDE PROCESSADOS NO TRANSPORTE E ARMAZENAMENTO EM UNIDADES DE INTERNAÇÃO

Cross-sectional descriptive study with a quantitative approach, whose objectives were to identify those responsible for the care of sterilized healthcare products after their distribution to inpatient units, structural and material resources available for transportation and storage, and to describe the care given to transport and storage of sterilized healthcare products in inpatient units, and the occurrence of events related to these products. Data were collected by checklist in a large teaching hospital from July to September 2012, completed by direct observation and interviews with nursing managers. After descriptive analysis, none of the 11 units met all recommendations concerning the structure, material resources or work processes for the transport and storage of sterilized healthcare products. Events related revealed lack of care of the healthcare teams in the units, and consequent risk to maintaining product sterility and patient safety.Estudo transversal, descritivo com abordagem quantitativa, cujos objetivos foram identificar os responsaveis pelos cuidados com os produtos para saude, apos a sua distribuicao nas unidades de internacao, e os aspectos estruturais e recursos materiais disponiveis para o seu transporte e armazenamento; descrever os cuidados dispensados com o transporte e armazenamento de produtos para saude, nas unidades de internacao e a ocorrencia de eventos relacionados com esses produtos. Os dados foram coletados em um hospital de ensino de grande porte, de julho a setembro de 2012, por um checklist, preenchido por observacao direta e uma entrevista com os gerentes de enfermagem. Apos analise descritiva, nenhuma das 11 unidades atendia a todas as recomendacoes referentes a estrutura, recursos materiais e processos de trabalho para o transporte e armazenamento dos produtos. Os eventos relacionados observados revelaram descuidado da equipe de saude nas unidades e consequente risco para a manutencao da esterilidade dos produtos e seguranca do usuario.

Des)cuidado con productos sanitarios en el transporte y almacenamiento en unidades de hospitalización

Cross-sectional descriptive study with a quantitative approach, whose objectives were to identify those responsible for the care of sterilized healthcare products after their distribution to inpatient units, structural and material resources available for transportation and storage, and to describe the care given to transport and storage of sterilized healthcare products in inpatient units, and the occurrence of events related to these products. Data were collected by checklist in a large teaching hospital from July to September 2012, completed by direct observation and interviews with nursing managers. After descriptive analysis, none of the 11 units met all recommendations concerning the structure, material resources or work processes for the transport and storage of sterilized healthcare products. Events related revealed lack of care of the healthcare teams in the units, and consequent risk to maintaining product sterility and patient safety.Estudo transversal, descritivo com abordagem quantitativa, cujos objetivos foram identificar os responsaveis pelos cuidados com os produtos para saude, apos a sua distribuicao nas unidades de internacao, e os aspectos estruturais e recursos materiais disponiveis para o seu transporte e armazenamento; descrever os cuidados dispensados com o transporte e armazenamento de produtos para saude, nas unidades de internacao e a ocorrencia de eventos relacionados com esses produtos. Os dados foram coletados em um hospital de ensino de grande porte, de julho a setembro de 2012, por um checklist, preenchido por observacao direta e uma entrevista com os gerentes de enfermagem. Apos analise descritiva, nenhuma das 11 unidades atendia a todas as recomendacoes referentes a estrutura, recursos materiais e processos de trabalho para o transporte e armazenamento dos produtos. Os eventos relacionados observados revelaram descuidado da equipe de saude nas unidades e consequente risco para a manutencao da esterilidade dos produtos e seguranca do usuario.

Intervening factors in attention flow of professionals injured by biological material

Objective: To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. Method: Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS.ti 6.2 software, under the work organization and subjective perspectives. Results: From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. Conclusion: The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment.OBJECTIVE To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. METHOD Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS.ti 6.2 software, under the work organization and subjective perspectives. RESULTS From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. CONCLUSION The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment.

Factores que intervienen en el flujo de atención al profesional accidentado con material biológico

Objective: To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. Method: Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS.ti 6.2 software, under the work organization and subjective perspectives. Results: From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. Conclusion: The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment.OBJECTIVE To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. METHOD Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS.ti 6.2 software, under the work organization and subjective perspectives. RESULTS From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. CONCLUSION The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment.

Fatores intervenientes no fluxo de atendimento ao profissional acidentado com material biológico

Objective: To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. Method: Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS.ti 6.2 software, under the work organization and subjective perspectives. Results: From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. Conclusion: The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment.OBJECTIVE To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. METHOD Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS.ti 6.2 software, under the work organization and subjective perspectives. RESULTS From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. CONCLUSION The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment.