A inserção da enfermeria no atendimento pré-hospitalar: histórico e perspectivas atuais

Abstract

This historical and bibliographic study aimed to identify the background that enabled the nurse integration into pre-hospital care, the transformations and the underwent involvement after his/her integration and the link to legal aspects of professional practice. The analysis considered six journal articles and three thesis--found in LILAS, BEDENF and DEDALUS databases--, and six legal documents downloaded from government organizations' official websites and professional associations. Results allowed in an understanding of the historical background, the nurse's involvement into this area and the link to legal aspects that regulate this practice.

A formação acadêmica de enfermagem e os incidentes com múltiplas vítimas: revisão integrativa

“…In this context, the analysis of literature indicated the need for a specific profile to work in the emergency sector, appointing, among other factors: clinical competency, performance, holistic care and leadership (21) ; education and professional experience, skill, physical, stress-coping, rapid decision-making, priority-setting and teamwork abilities (22) ; aptitude to obtain the patient's history, physical examination, immediate treatment, concerned with life maintenance and patients' orientation to continue treatment (23) .…”

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

“…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.…”

“…The safe removal of victims with life support to a healthcare facility of excellence has currently become essential. Because nurses are inserted into this scenario, they face various challenges related to the operationalization of the service, as well as their background and professional training (3,(5)(6) .…”

“…Nurses enable faster, more organized, calmer and safer care delivery and are considered an anchor for the teams (3)(4)(5)(6)(7)(8)(9)(10) . Previous studies indicate that undergraduate programs pay little attention to the training required to work in emergency medical services (6)(7)10) .…”

“…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) .…”