CONDUCTS OF THE NURSING PROFESSIONAL IN AN INTENSIVE CARE UNIT DURING THE TRANSFUSION PROCESS CONDUTAS ASSISTENCIAIS DOS PROFISSIONAIS DE ENFERMAGEM DE UMA UNIDADE DE TERAPIA INTENSIVA DURANTE O PROCESSO TRANSFUSIONAL CONDUCTAS ASISTENCIALES DE LOS PROFESIONALES DE ENFERMERÍA EN UNA UNIDAD DE CUIDADOS INTENSIVOS DURANTE EL PROCESO DE TRANSFUSIÓN

2010 
Objective: to characterize the nursing team that performs the procedures transfusion in the ICU of a university hospital. Method: this is about a descriptive study, from prospective data and quantitative approach, performed in the ICU at University Hospital in Natal city/RN. Population was composed by the nursing staff. Data collection was performed at two months after this study has been approved by the Committee of Ethics in Research of Federal University of Rio Grande do Norte (protocol number 175/08). Data were organized in Excel and analyzed in SPSS 15.0. Results: of the 27 surveyed, 59.3% and 40.7% were Fellows officials. Predominated: age between 21 and 32 years (63.0%), female (85.2%) and average full (74.1%). Average observed in the ducts in the transfusion process were inadequate, showing significant difference (ρ = 0.010). In step pre-transfusion, there was inadequacy in the sample (91.7%), prescription (84.0%), form (66.7%) and SSVV (62.0%). In step transfusion was related to inadequate medication (46.0%), observation (30.0%) and equipment (8.0%). In step post-transfusion, there was inadequacy in the nursing notes (88.0%), label (74.0%) and SSVV (62.0%). Conclusion: we found that this is a young team, a majority of stock, without proper training and a fragmented transmission process and without systematization. Descriptors: transfusion of blood products; nursing care; ICU. RESUMO Objetivo: caracterizar a equipe de enfermagem que realiza os procedimentos transfusionais na UTI de um hospital universitario. Metodo: estudo descritivo com dados prospectivos, abordagem quantitativa, realizado na UTI do Hospital Universitario em Natal/RN. A populacao foi composta pela equipe de enfermagem. A coleta de dados foi realizada em dois meses apos aprovacao pelo Comite de Etica em Pesquisa da Universidade Federal do Rio Grande do Norte (numero de protocolo 175/08). Os dados foram organizados no Excel e analisados no SPSS 15.0. Resultados: dos 27 pesquisados, 59,3% eram bolsistas e 40,7% funcionarios. Predominaram: faixa etaria entre 21 e 32 anos (63,0%), sexo feminino (85,2%) e nivel medio completo (74,1%). As medias nas condutas observadas no processo transfusional foram inadequadas (ρ= 0,010). Na etapa pre-transfusional, houve inadequacao na amostra (91,7%), prescricao (84,0%), formulario (66,7%) e SSVV (62,0%). Na etapa transfusional houve inadequacao de medicamentos (46,0%), observacao (30,0%) e equipo (8,0%). Na etapa postransfusional, houve inadequacao na anotacao de enfermagem (88,0%), etiqueta (74,0%) e SSVV (62,0%). Conclusao: tratase de uma equipe jovem, sem treinamento adequado, com maioria de bolsistas que foram responsaveis pelo maior numero de inadequacoes, um processo transfusional fragmentado e sem sistematizacao. Descritores: transfusao de componentes sanguineos; assistencia de enfermagem; UTI. RESUMEN
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