O regresso a casa do doente submetido a cirurgia

: prevenindo a infeção

Abstract

As a part of the internship within the Master in Nursing in specialization area of Medical-Surgical Nursing 2013/2014 at the Portuguese Catholic University, was developed a document where the activities developed and aquired skills are described.. This course consists of 3 internship modules: The Intensive Care Unit, credited under the Act – Law 74/2006, the Accident & Emergency department and, as an optional internship, the local Group of prevention and infection control and antimicrobial resistance. As a guidance for the skills acquisition, an integrative review of the literature on the theme “The patient’s education needs undergone abdominal surgery when returning home” was made. Considering my career in the surgical area, I searched for acquired skills over the years to enhance the level of care. At each internship module was built a tool for teaching, following a theoretical validation and evidence based practice. For the Module II (Intensive/Intermediate Care), it was given this placement based on the 6 years of acquired competences when providing care to critically ill patients. It is of notice all the work developed at Western Lisbon Hospital (Centro Hospitalar de Lisboa Ocidental – CHLO) for those six years like training other professionals, prevention of pressure ulcers, contribution to the development of protocols for pressure ulcers treatment at CHLO and in the development of a research study about personal protective equipment used when caring patients undergoing kidney transplantation. As an optional internship Module III, the chosen placement was the local group of prevention and infection control and antimicrobial resistance. For this internship an audit tool was built for the Operating Room, focusing on intervention in the prevention of infection of the surgical wound, and it’s implementation. At the same time, a teaching instrument was performed to give to patients who underwent to abdominal surgery and caregivers about the care with the surgical wound when at home. In order to validate the understanding of the teaching adopted during hospitalization by nurses, a second validation tool for teaching was built, which will be given to patient/caregiver when discharge. For the internship Module I, held at Accident & Emergency department, teaching tools were created for the patients with surgical wounds, drains and vacuum dressings. It was also made the analysis of guidelines published by the National Health Department and international guidelines for Ebola Virus, and through collaboration with local group of prevention and infection control and antimicrobial resistance was given a contribution in reshaping and analysis of established procedures. A participation in a simulation in real-time disaster which took place at was also made. Under the approach to critically ill patients, apart from the time spent at Accident & Emergency department, some shifts were performed at the Emergency Medical Car of Resussitation (VMER).

Date of Award	16 Mar 2016
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Maria Manuela Madureira (Supervisor)