Relatório de estágio

Abstract

As part of the curriculum for the Master's Degree in Nursing of Professional Expertise in the Medical-Surgical Nursing’s area, it was held three training periods, in order to complement the theoretical training with providing skilled nursing care to the patient in critical condition, so this report represents the final stage of this route. This document is based on evidence research, systematic and continuous reflection of the learning moments, the encountered difficulties and the overcome in the process of acquiring knowledge and personal and/or professional development over the stage at the Saint Joseph’s Hospital (Central Lisbon Hospital Centre, EPE) in the following services: Emergency Medical Unit, Emergency Department and Operating Room Multipurpose Center. Throughout the stages, emphasis was placed on the provision of skilled nursing care and the quality and safety of care provided to patients and their families, and in the stage of intensive care, specialist care were targeted for critically ill patients undergoing invasive mechanical ventilation, to develop a standard nursing procedures to patient tracheostomy patient, to identify variables to monitor the patient after extubation and subsequent development of an instrument of data collection . On stage in the emergency department, the provision of skilled nursing care was focused on patients with thoracic trauma/pathology, in raising an awareness of proper handling of totally implanted central venous catheters, in drafting a statement work in management of patients with suspected meningitis (in conjunction with a team-mate and a master of the Infection Control Committee of Saint Joseph's Hospital) and also to prepare a poster about noninvasive capnography and patients with chronic obstructive pulmonary disease. In the stage of Peri-Operative Nursing, I have developed skills with the provision of skilled nursing care to patients in critical condition undergoing oncological surgery while circulating and anesthesia nurse in the operating room and in the post-anesthetic unit, but also with an instruction work on the drug’s preparation and identification according to the ColorADD design, implemented in the operating room. Across the three modules it has been proceeded to the stage management of thermolabile drugs, solutes and materials, according to the institution´s regulation and each service´s characteristics. The activities, relating to the proposed objetives, allowed the gradual development of autonomous powers in the field of professional responsibility, ethics and legal continuous improvement of quality care management and learning professionals features of the Specialist Nurse.

Date of Award	Sept 2012
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Manuela Madureira (Supervisor)