Cateter Central De Inserção Periférica: Motivos De Remoção Não Eletiva E Custo Do Consumo Mensal

Abstract

Objetivo: analisar a remoção não eletiva de cateter central de inserção periférica em Unidade de Terapia Intensiva Pediátrica e Neonatal e identificar o custo médio mensal do consumo destes cateteres. Método: pesquisa quantitativa, retrospectiva, realizada em um hospital público de ensino e pesquisa. Foram analisados descritivamente os registros relativos a 101 passagens desses cateteres em 2016. Para subsidiar o custeio, obtiveram-se os custos unitários dos cateteres junto ao Setor de Compras e Almoxarifado do hospital. Resultados: dentre os motivos de retirada não eletiva de 40 (100%) cateteres destacaram-se infecção/sepse (22,50%); obstruções (20%) e rupturas da porção externa do cateter (20%). O custo do consumo de 110 cateteres correspondeu a US$12,915.67 e o custo direto médio mensal a US$1,291.57. Conclusão: conhecer os motivos de remoção não eletiva desses cateteres e o custo do seu consumo pode auxiliar o enfermeiro no processo decisório quanto ao uso racional e efetivo desses dispositivos.

Direct Costs Corresponding to Vasculogenic Ulcer Dressings Performed in a Comprehensive Wound Care Unit

“…Considering the assistance provided by the CWCU Nursing professionals in all three modalities, the total MDC corresponded to US$ 9.24 (SD±9.89), with US$ 7.35 (SD±9.60) for topical therapies, US$ 1.51 (SD±0.38) for materials/solutions and US$ 0.37 (SD±0. 19) for the personnel.…”

“…In micro-costing studies developed by nurses, the costs corresponding to materials/solutions, required to enable provision of health services, have exerted a greater impact on the calculation of the total MDC for procedures and processes. In this perspective, the participation of Nursing professionals in the management of material resources/solutions is indicated as an aspect relevant to the financial balance of the health organization, contributing to the rational allocation of limited resources, with a view to maintaining sustainability and quality of care 14,[17][18][19][20][21][22][23] .…”

Methods for measuring venous peripherally inserted central catheters in newborns

“…It was found, in the present study, that the catheters inserted using the modified measure presented 61.4% of elective removals, while the catheters using the traditional measure obtained 45.5% of elective removals. Studies show a percentage of elective removals between 40.7% and 56.2% (8)(9)16,26) .…”

“…Regarding non-elective removals due to adverse events, it was found in this study that there was no statistically significant difference between the two measurement methods, although the traditional method had a higher percentage of adverse events (54.5%). Studies show a variation of non-elective removals due to adverse events between 39.6% and 48.8% (8)(9)16,26) .…”

Costos Directos De Las Curaciones De Úlceras Vasculogênicas Realizadas en Una Unidad De Tratamiento Integral De Heridas

“…En estudios de microcosto desarrollados por enfermeros, los costos correspondientes a materiales/soluciones, necesarios para viabilizar la prestación de los servicios de salud, han tenido mayor impacto en el cálculo del CDM total de procedimientos y procesos. Desde esta perspectiva, la participación de los profesionales de Enfermería en la gestión de los recursos materiales y/o de las soluciones se indica como un aspecto relevante para el equilibrio financiero de la organización de salud, contribuyendo así para una asignación racional de recursos limitados, con miras a mantener la sustentabilidad y calidad de la atención 14,[17][18][19][20][21][22][23] .…”