Covid-19: Nursing Care for Safety in the Mobile Pre-Hospital Service

Abstract

<jats:p>ABSTRACT Objective: to describe the actions performed by nurses from the mobile pre-hospital service before, during, and after consultations and transfers of suspected and/or confirmed patients of Covid-19, and the limitations found by these professionals on reducing exposure to the disease. Method: a descriptive-reflective study about the actions performed by nurses from the mobile pre-hospital service in a capital city in southern Brazil to increase safety during consultations or transfers of suspected and/or confirmed patients of Covid-19. Results: the study allowed us to reflect on the multidimensionality of actions necessary for the prevention and control of the pandemic. Attitudes were identified to ensure instrumental safety in mobile units, professional safety, and patient safety in mobile pre-hospital care. Conclusion: regarding the nurses, concern with the safety of the professionals and patients was identified, since they adopted conducts for the prevention and control of the pandemic through the use of equipment, materials, and preparation of the ambulance. Subjective aspects of the professionals involved must be considered, such as technical and psychological preparation, which is a fundamental aspect both for serving the population and for the safety of the patient and the professional in terms of exposure to the virus.</jats:p>

Colaboração interprofissional em equipes da rede de urgência e emergência na pandemia da Covid-19

“…However, after the start of cases and deaths in the country, Coordination became the best rated factor by the teams in the UEs, making it possible to infer that, in the face of a national public health emergency, coordinated actions are taken to prevent and control the pandemic, ensuring the safety of the professionals and patients. 24 Inter-professional coordination, as well as collaboration, requires the sharing of responsibilities between team members, interdependence, clarity of professional roles, tasks and objectives 3 to conduct health care through attributes considered indispensable in the context of unpredictability brought about by the pandemic.…”

Sofrimento psíquico entre os profissionais de enfermagem durante a pandemia da COVID-19: Scoping Review

“…54 Particularly in Brazil, most health services do not have experience of working in major emergencies, as is the case with COVID-19, which represents an additional stressor for the teams. 6 Thus, there is a strong need for strategies to support this category of workers, since mental health, in addition to being part of the sustainable development goals of the millennium, 64 also articulates with the goal of the 2030 agenda, which foresees the need for nine million nurses and midwives to achieve universal health coverage. 63 Before the advent of the COVID-19 pandemic, Brazil had signs of exhaustion by the Nursing team, as the literature found that nearly 56% of these professionals fell ill in the last 12 months, had accidents at work, and approximately 180,000 professionals in the last year feel unassisted.…”

“…2 Faced with this pandemic and critical situation, health professionals, and more specifically Nursing professionals, are at the forefront of care and attention to people with COVID-19, which can trigger psychological distress. 3,4 Chinese and national studies indicate that health professionals, mainly nurses, exposed to the COVID-19 disease during the epidemic period, suffered negative impacts on mental health [3][4][5][6] related to the labor context. 3,5 However, psychological distress affects and impacts the life of Nursing professionals in the psychosocial context and their general well-being, which denotes the relevance of identifying such situations of mental distress.…”

Dispositivos mecânicos de compressão torácica e a redução do risco de doenças transmissíveis a profissionais do atendimento pré-hospitalar

“…Os profissionais da linha de frente dos atendimentos pré-hospitalares (APH) estão mais expostos a riscos, inclusive biológicos, uma vez que atuam em ocorrências nas quais nem sempre possível ter ciência de casos suspeitos e/ou confirmados de doenças transmissíveis. Diante disso, torna-se imprescindível a implementação de amplas medidas preventivas antes, durante e após esses atendimentos, visando diminuir a exposição de pacientes e profissionais a doenças infectocontagiosas, como a COVID-19 (Marques et al, 2020).…”