Karina Suzuki

FATURAMENTO DE CURATIVOS GRAU II E REGISTROS: CONTRIBUIÇÕES DA ENFERMAGEM

Objective: to verify whether an educational action developed with nurses contributed to improved documentation on wound treatment, thereby enabling more accurate billing related to level II wound treatment Methods: exploratory, descriptive and quantitative study. Data were collected from the prescription and evaluation sheets of the clinical record, and from the hospital data processing center, before and after the educational action focusing on the importance of nursing records. Among 532 events reviewed, 266 were before and 266 after the intervention. The variables were analyzed according to frequencies and percentages, namely: prescription, evaluation, schedule time, documentation, professional category of the prescriber and the person performing the procedure. The associations between variables were analyzed using the Chi-square or the test for the difference in proportions. Results: the amount of prescriptions, schedule time, and documentation increased after the educational action, which directly influences billing for the procedure; costs were R

Microbiological evaluation of the steam sterilization of assembled laparoscopic instruments

9,201.60 before and R

Evaluación microbiológica de la esterilización a vapor de instrumental laparoscópico montado

25,142.40 after the action. No significant change was identified in the nursing evaluation related to the procedure. Conclusion: an increase in prescriptions after the educational action was verified, which, in turn, resulted in an increase in billable services. Further studies involving billing as a result of nursing records of interventions are necessary, as well as the investment of the managers in educational actions

Avaliação microbiológica da esterilização a vapor do instrumental laparoscópico montado

ABSTRACT Objective: assess the safety of steam sterilization of assembled laparoscopic instruments with challenge contamination. Method: a laboratory experimental study, using as test samples trocars and laparoscopic graspers. Geobacillus stearothermophillus ATCC-7953 was used, with a microbial population of 106UFC/Filter paper substrate, removed from the biological indicator. Three of them were introduced into each instrument at the time of assembly, and sterilized at pressurized saturated steam, 134oC for 5 minutes. After sterilization, the instrument was disassembled and each filter paper substrate was inoculated in soybean casein culture and incubated at 56oC for 21 days. In case of absence of growth, they were subjected to heat shock of 80oC, for 20 minutes and re-incubated for 72 hours. Sample size: 185 graspers and 185 trocars, with 95% power. We paired the experiments with comparative negative control groups (5 graspers and 5 trocars with challenge contamination, sterilized disassembled) and positive control (30 filter paper supports, unsterilized), subject to the same incubation procedures. Results: there was no microbial growth in experimental and negative control. The results of the positive control were satisfactory. Conclusion: this study provided strong scientific evidence to support the safety of steam sterilizing of the assembled laparoscopic instrument.Objetivo: avaliar a seguranca da esterilizacao a vapor, do instrumental laparoscopico montado com desafio da contaminacao. Metodo: estudo experimental laboratorial, cujo corpo de prova foram trocarte e pinca laparoscopica. Utilizou-se esporos Geobacillus stearothermophillus ATCC-7953, com populacao microbiana de 106UFC/suporte de papel filtro, removidos do indicador biologico. Tres deles foram introduzidos no interior de cada instrumento, no momento da montagem, sendo esterilizados a vapor saturado sob pressao, 134oC por 5 minutos. Depois da esterilizacao, o instrumental foi desmontado, e cada suporte de papel filtro foi inoculado em meio de cultura de caseina soja, incubado a 56oC por 21 dias. Nao havendo crescimento, foram submetidos a um choque termico de 80oC, por 20 minutos e reincubados por 72 horas. Tamanho da amostra, 185 pincas e 185 trocartes, com poder de 95%. Os experimentos foram acompanhados dos grupos controle negativo comparativo (5 pincas e 5 trocartes com contaminacao desafio, esterilizados desmontados) e positivo (30 suportes de papel filtro, nao esterilizados), submetidos aos mesmos procedimentos de incubacao. Resultados: nao houve nenhum crescimento microbiano nos grupos experimental e controle negativo. Os resultados do controle positivo foram satisfatorios. Conclusao: este estudo forneceu fortes evidencias cientificas para sustentar a seguranca da pratica de esterilizacao a vapor do instrumental laparoscopico montado.

As necessidades de informacao de mulheres mastectomizadas subsidiando a assistencia de enfermagem

ABSTRACT Objective: assess the safety of steam sterilization of assembled laparoscopic instruments with challenge contamination. Method: a laboratory experimental study, using as test samples trocars and laparoscopic graspers. Geobacillus stearothermophillus ATCC-7953 was used, with a microbial population of 106UFC/Filter paper substrate, removed from the biological indicator. Three of them were introduced into each instrument at the time of assembly, and sterilized at pressurized saturated steam, 134oC for 5 minutes. After sterilization, the instrument was disassembled and each filter paper substrate was inoculated in soybean casein culture and incubated at 56oC for 21 days. In case of absence of growth, they were subjected to heat shock of 80oC, for 20 minutes and re-incubated for 72 hours. Sample size: 185 graspers and 185 trocars, with 95% power. We paired the experiments with comparative negative control groups (5 graspers and 5 trocars with challenge contamination, sterilized disassembled) and positive control (30 filter paper supports, unsterilized), subject to the same incubation procedures. Results: there was no microbial growth in experimental and negative control. The results of the positive control were satisfactory. Conclusion: this study provided strong scientific evidence to support the safety of steam sterilizing of the assembled laparoscopic instrument.Objetivo: avaliar a seguranca da esterilizacao a vapor, do instrumental laparoscopico montado com desafio da contaminacao. Metodo: estudo experimental laboratorial, cujo corpo de prova foram trocarte e pinca laparoscopica. Utilizou-se esporos Geobacillus stearothermophillus ATCC-7953, com populacao microbiana de 106UFC/suporte de papel filtro, removidos do indicador biologico. Tres deles foram introduzidos no interior de cada instrumento, no momento da montagem, sendo esterilizados a vapor saturado sob pressao, 134oC por 5 minutos. Depois da esterilizacao, o instrumental foi desmontado, e cada suporte de papel filtro foi inoculado em meio de cultura de caseina soja, incubado a 56oC por 21 dias. Nao havendo crescimento, foram submetidos a um choque termico de 80oC, por 20 minutos e reincubados por 72 horas. Tamanho da amostra, 185 pincas e 185 trocartes, com poder de 95%. Os experimentos foram acompanhados dos grupos controle negativo comparativo (5 pincas e 5 trocartes com contaminacao desafio, esterilizados desmontados) e positivo (30 suportes de papel filtro, nao esterilizados), submetidos aos mesmos procedimentos de incubacao. Resultados: nao houve nenhum crescimento microbiano nos grupos experimental e controle negativo. Os resultados do controle positivo foram satisfatorios. Conclusao: este estudo forneceu fortes evidencias cientificas para sustentar a seguranca da pratica de esterilizacao a vapor do instrumental laparoscopico montado.

Higienização das mãos: a adesão entre os profissionais de enfermagem da sala de recuperação pós-anestésica

ABSTRACT Objective: assess the safety of steam sterilization of assembled laparoscopic instruments with challenge contamination. Method: a laboratory experimental study, using as test samples trocars and laparoscopic graspers. Geobacillus stearothermophillus ATCC-7953 was used, with a microbial population of 106UFC/Filter paper substrate, removed from the biological indicator. Three of them were introduced into each instrument at the time of assembly, and sterilized at pressurized saturated steam, 134oC for 5 minutes. After sterilization, the instrument was disassembled and each filter paper substrate was inoculated in soybean casein culture and incubated at 56oC for 21 days. In case of absence of growth, they were subjected to heat shock of 80oC, for 20 minutes and re-incubated for 72 hours. Sample size: 185 graspers and 185 trocars, with 95% power. We paired the experiments with comparative negative control groups (5 graspers and 5 trocars with challenge contamination, sterilized disassembled) and positive control (30 filter paper supports, unsterilized), subject to the same incubation procedures. Results: there was no microbial growth in experimental and negative control. The results of the positive control were satisfactory. Conclusion: this study provided strong scientific evidence to support the safety of steam sterilizing of the assembled laparoscopic instrument.Objetivo: avaliar a seguranca da esterilizacao a vapor, do instrumental laparoscopico montado com desafio da contaminacao. Metodo: estudo experimental laboratorial, cujo corpo de prova foram trocarte e pinca laparoscopica. Utilizou-se esporos Geobacillus stearothermophillus ATCC-7953, com populacao microbiana de 106UFC/suporte de papel filtro, removidos do indicador biologico. Tres deles foram introduzidos no interior de cada instrumento, no momento da montagem, sendo esterilizados a vapor saturado sob pressao, 134oC por 5 minutos. Depois da esterilizacao, o instrumental foi desmontado, e cada suporte de papel filtro foi inoculado em meio de cultura de caseina soja, incubado a 56oC por 21 dias. Nao havendo crescimento, foram submetidos a um choque termico de 80oC, por 20 minutos e reincubados por 72 horas. Tamanho da amostra, 185 pincas e 185 trocartes, com poder de 95%. Os experimentos foram acompanhados dos grupos controle negativo comparativo (5 pincas e 5 trocartes com contaminacao desafio, esterilizados desmontados) e positivo (30 suportes de papel filtro, nao esterilizados), submetidos aos mesmos procedimentos de incubacao. Resultados: nao houve nenhum crescimento microbiano nos grupos experimental e controle negativo. Os resultados do controle positivo foram satisfatorios. Conclusao: este estudo forneceu fortes evidencias cientificas para sustentar a seguranca da pratica de esterilizacao a vapor do instrumental laparoscopico montado.