Aspectos legais da enfermagem hiperbárica brasileira: por que regulamentar?

Abstract

This study aimed to show the needs to standardize nursing care related to hyperbaric oxygenation and regulate working conditions for nursing staff that works on this area. They approach the legislation at the Brazilian Society of Hyperbaric Medicine, on Brazilian Chapter of the Undersea and Hyperbaric Medical Society, on Regulating Rules of the Ministry of Labor and on the Code of Ethics of Nursing Professionals, as instruments still insufficient to legalize the Hyperbaric Nurse, its procedures in hyperbaric conditions and pressurized environments. It allowed pondering on the disclosure of the state of art of hyperbaric nursing, as well as the incorporation of this activity in relation to the specialties on the COFEN Resolution 290/2004 and postgraduate courses in Nursing.

Oxigenoterapia hiperbárica para tratamento de feridas

“…As previously mentioned, nurses only joined the professional team for HBOT therapy in 2008, and to date only one national study discusses the need to standardise nursing care related to this therapy (2) . According to the authors, hyperbaric nursing care can generally be classified according to the pre, trans and post HBOT stages and respectively aim to prepare the therapeutic environment and the patient, ensure patient safety and comfort, monitor the session, ensure compliance, prevent complications, and ensure overall stability after therapy (2) .…”

“…According to the authors, hyperbaric nursing care can generally be classified according to the pre, trans and post HBOT stages and respectively aim to prepare the therapeutic environment and the patient, ensure patient safety and comfort, monitor the session, ensure compliance, prevent complications, and ensure overall stability after therapy (2) .…”

“…Nurses must ensure that individuals with wounds meet the criteria for HBOT, which includes considering lack of significant results with the prior use of scientifically proven and consensually accepted therapies, and verifying the existence of adequate vascularity (2,18) . Moreover, they should consider, together with the doctor and patient, the availability and accessibility of a HBO service since proximity can affect the convenience and cost of this treatment.…”

“…Therefore, nurses should work with the interdisciplinary team, with the patient, and with the family to determine the educational needs and perform the relevant interventions (2) .…”

“…In 2003, the Brazilian Society of Hyperbaric Medicine ("SBMH"), in accordance with safety and quality guidelines, established that nursing technicians should operate the hyperbaric chambers, when provided, and in 2008, nurses became members of the professional staff as required by the SBMH and the Undersea and Hyperbaric Medical Society (UHMS). There are currently 90 registered HBOT centres in Brazil and 2500 centres around the world (2) .…”