Enfermagem e serviço de atendimento pré-hospitalar: descaminhos e perspectivas

Martins, Pedro Paulo Scremin; Prado, Marta Lenise do

doi:10.1590/s0034-71672003000100015

Cited by 13 publications

(22 citation statements)

References 2 publications

(3 reference statements)

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“…Enfermagem 2010 Mar-Apr; 18(2):240-6. two models of EMS: SAMU, which is a mobile urgent care service of French origin composed of emergency field physician specialists and the American model that includes technicians in medical emergencies at the basic and intermediate levels and paramedics (2) . The SAMU in Porto Alegre was implemented through an agreement with France in 1995 and uses a mixed model in which the regulator physician decides whether to send a basic unit composed of a nursing technician or advanced support with a nurse and physician, or even a rapid response vehicle with a physician to support the basic unit (2)(3)(4) . EMS includes the initial actions performed in a short period of time by the rescue team at the site where the event occurs, whether it is traumatic, clinical or physic.…”

Section: Emergency Medical Services (Ems) Emerged In Brazilmentioning

confidence: 99%

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Conceptions and Feelings of Nurses Working in Emergency Medical Services about their Professional Practice and Training

Romanzini¹,

Bock

2010

Rev. Latino-Am. Enfermagem

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This descriptive study with qualitative approach aimed to identify the feelings that result from the practice and training of nurses working in mobile Emergency Medical Services (EMS). Nine nurses were interviewed in September 2007. Bardin's content analysis was used and six categories emerged: "Feelings aroused in the EMS", "Experiences in the daily routine", "nurses' activities in EMS", "Personal and professional preparedness", "Reflecting on the professional training" and "Nurses' perceptions of the EMS". The importance of this study lays in the need for personally, professionally and emotionally prepared nurses and also in the need to acknowledge and value the nursing practice in this service. The results revealed that nurses working in EMS feel secure, prepared and motivated to work and they also experience diverse feelings such as compassion, gratitude, anger, pity, sadness and anxiety. Acknowledgment and the possibility of restoring lives motivate them.

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Section: Emergency Medical Services (Ems) Emerged In Brazilmentioning

confidence: 99%

“…Another undeclared war in modern society "that of violent causes, cardiovascular, respiratory and metabolic diseases" is mainly responsible for the mortality caused by urgent/ emergent situations (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

Conceptions and Feelings of Nurses Working in Emergency Medical Services about their Professional Practice and Training

Romanzini¹,

Bock

2010

Rev. Latino-Am. Enfermagem

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“…APH in Brazil was influenced by two international models (3) , the French and the American model. In the American service, which is called Emergency Medical Services, the teams are formed by Emergency Medical Technician (EMT) or paramedics trained in Basic Life Support (BLS) and Advanced Life Support (ALS), respectively.…”

Section: Introductionmentioning

confidence: 99%

Serviço de Atendimento Móvel às Urgências Cuiabá: desafios e possibilidades para profissionais de enfermagem

Figueiredo

Costa

2009

Acta paul. enferm.

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The mobile emergency service, one of the main strategies of the National Policy of Medical Emergencies that has been implemented throughout the whole of the country in 2004, was only implemented in Cuiabá in 2007. This descriptive study reports the personal experience of one of the authors as a pre-hospital service (PHS) nurse who participated in the implementation process of the mobile emergency service. Until 2004, emergency services were carried out exclusively by the fire fighter (FF) department. The reorganization of the PHS enabled the inclusion of nursing professionals in the mobile emergency services. This reorganization of the PHS let to the detachment of the FF from mobile emergency services, moving the PHS to a new base and developing work activities as a civil service. This report describes that opportunities for nursing professionals in mobile emergency services have driven demands for specialization courses and the development of studies to prepare new practitioners. Keywords: Emergency nursing; Emergency medical services; Ambulances; Emergency medical system; First aid/nursing RESUMO O Serviço de Atendimento Móvel às Urgências um dos focos da Política Nacional de Atenção às Urgências que tem sido implantado no território nacional, iniciou em 2004, no município de Cuiabá, Estado de Mato Grosso sendo habilitado apenas em 2007. O estudo relata a experiência de uma das autoras como enfermeira do Atendimento Pré-Hospitalar (APH), participante do processo de implantação do serviço. Até 2004, em Mato Grosso, o atendimento às urgências era realizado exclusivamente pelo Corpo de Bombeiros (CB). A reformulação do APH possibilitou a inserção de profissionais de enfermagem em uma área não conquistada por essa profissão neste município. Tal reestruturação implicou desvinculação do CB, mudança para sede própria e desenvolvimento das atividades relacionadas ao serviço apenas por civis. Conclui-se que a nova possibilidade de atuação para profissionais de enfermagem impulsionou a busca de especializações e desenvolvimento de estudos que subsidiem a atuação prática nesse ambiente. Descritores: Enfermagem em emergência; Serviços médicos de emergência; Âmbulâncias; Sistema médico de emergência; Primeiros socorros/ enfermagem RESUMEN El Servicio de Atención Móvil a las Urgencias, uno de los elementos centrales de la Política Nacional de Atención a las Urgencias que se ha implantado en el territorio nacional, se inició en el 2004, en el municipio de Cuiabá, Estado de Mato Grosso siendo habilitado sólo en el 2007. El estudio relata la experiencia de una de las autoras como enfermera de la Atención Pre Hospitalaria (APH), que participó del proceso de implantación del servicio. Hasta 2004, en Mato Grosso, la atención a las urgencias era realizada exclusivamente por el Cuerpo de Bomberos (CB). La reformulación del APH posibilitó la inserción de profesionales de enfermería en un área no ganada por este gremio en el Municipio de Cuiabá. Tal reestructuración implicó la desvinculación del CB, el traslado a una sede pro...

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“…Os agravos por causas externas, o aumento da violência urbana, as doenças cardiovasculares, respiratórias e metabólicas são situações que podem requerer um atendimento emergencial e definitivo, nas quais vidas possam ser salvas ainda no ambiente fora dos hospitais, e transportadas a um local onde possam receber atendimento específico para cada caso (2) .…”

Section: Atendimento Pré-hospitalarunclassified

“…Mediante o aumento do conjunto de agravos súbitos que comprometem a vida de imediato, cresce também, a necessidade de um competente atendimento das vítimas no local da ocorrência, assim como, de transporte adequado para um serviço emergencial de atendimento definitivo (2) .…”

Section: Atendimento Pré-hospitalarunclassified

Higienização das viaturas móveis de atendimento pré-hospitalar:intervenção educativa

Suzuki¹

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Discussions on prevention and control of infection Related to Health Care (IRHC) should be unrestricted and expanded to other health care facilities. The literature on infection control is traditionally based on the practice of hospital context, and there is a gap when it comes to prehospital care. In addition to health care professionals, other professionals make up the team, firefighters, police officers and others who have not taken their training specific content to provide them with knowledge about prevention and control of infections in situations with potential risk of contamination by biological fluids, therefore, education is the weapon against the spread of infectious diseases. Objective: To evaluate the effectiveness of an educational intervention using concept maps and compliance indicators for cleaning of mobile cars of Prehospital care from a capital of the midwestern region of Brazil. Method: quantitative study, quasi-experimental, data collection was from July 2014 to January 2015. The study included 34 firefighters Rescue Battalion Emergency (BSE) of the Fire Brigade of the State of Goiás working in basic and advanced life support vehicles. The study was developed in four phases: Development and content validity of compliance indicator for cleaning of vehicles; Conformity assessment of the cleaning of vehicles before training; Educational Intervention and Conformity assessment of the cleaning of vehicles after intervention. A questionnaire was applied before the intervention and 30 days after. Compliance indicators were validated by an 8 experts judge with Content Validity Index (IVC≤ 70%). The evaluation of training effectiveness was taken by McNemar test, being considered p ≤ 0.05. The training of professionals was based on the theory of meaningful learning of David Ausubel and the construction of a conceptual map designed by Joseph Novak. The data show that after the course there was a slight improvement in the number of correct questions, being statistically significant (p = 0.021) and that the course brought a homogenization knowledge given to reducing the standard deviation. Results: Of the 71 indicators of compliance, 26 were excluded, totaling 45 indicators.The pre-intervention assessment, only one (2.9%) rescuer knew cleaning definition, four (11.8%) knew the concept of disinfection, 14 (41.2%) knew the importance of sanitize the vehicle and the use of PPE. After intervention a total of three (8.8%) firefighters knew conceptualize cleanliness, five (14.7%), disinfection, on the importance of cleaning and disinfection 16 (47.1%) and of the importance of the use of PPE were 15 (44.1%). The observation of the cleaning procedure improved regarding these parameters drying after washing (p=0,004) and disinfection of the vehicle (p=0,002) Conclusion: The educational intervention using an active methodology and the construction of conceptual maps was not fully effective. The observation of the vehicles cleaning procedures remained the same pattern, except for drying and disinfecting res...

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Enfermagem e serviço de atendimento pré-hospitalar: descaminhos e perspectivas

Cited by 13 publications

References 2 publications

Conceptions and Feelings of Nurses Working in Emergency Medical Services about their Professional Practice and Training

Conceptions and Feelings of Nurses Working in Emergency Medical Services about their Professional Practice and Training

Serviço de Atendimento Móvel às Urgências Cuiabá: desafios e possibilidades para profissionais de enfermagem

Higienização das viaturas móveis de atendimento pré-hospitalar:intervenção educativa

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