The nurses performance in providing and interpretation of electrocardiogram (ECG) in intensive care unit (UTI)

This study aimed to analyze the literature production about the nurse's role in the performance and interpretation of the electrocardiogram (ECG) in the intensive care unit (ICU). This is a research of an integrative review of published literature in data banks: LILACS (Latin American and Caribbean Health Sciences), SciELO (Scientific Electronic Library Online), BDENF Database (Nursing) , MEDLINE (International Literature on Health Sciences), viewed through the website of BSV (Virtual Health Library) and BIREME (Regional Medical Library) by having descriptors Decs: "Electrocardiogram", "intensive care unit", "nursing". It was established as criteria for inclusion the published articles in the period from 2000 to 2010. Based on data collected it was shown that the nurse has a key role in the process of systematization, of the critical patient, both, in providing and in the interpretation of the electrocardiogram in the intensive care unit. It is concluded from this study that the knowledge on the role of nurses in providing and interpretation of the electrocardiogram, in the field of research is still incipient. Therefore, it is necessary to deepen this knowledge in order to minimize and prevent possible complications that may be identified in time to have an intervention in the exact timing with the whole crew interaction, thereby preventing undesirable reactions capable of increasing the morbidity of patients hospitalized in the intensive care unit

Continuous education in intensive care unit-icu: literature review

Background: Continuing education is a dynamic process of teaching and learning, active and permanent intended to update and improve the training of people. This study aimed to review the existing literature about the importance of continuing education in the intensive care unit-ICU, an also to reveal the year of published articles, authors and states in which they were published. Online) and BDENF (the Database of Nursing), with the descriptors Decs “continuous education”, “intensive care unit”, “nursing”, “permanent education.” It established as criteria of inclusion the articles published nationwide in the period from 2000 to 2011, with a sample collection of 21 articles. : 2006 (19.04%), and the majority of researchers (46.66%) with a PhD in nursing. It also revealed that the largest number of articles published about the ǡ that the state of São Paulo is a reference to the area in terms of academic life and health. . Additionally, it was found that the intensive care unit is a scenario : It is intensive care unit

Clinical epidemiological profile and the main diagnostic labels nursing to hospitalized patients with stroke in a large hospital in the south of the Legal Amazônia region

Introduction: Cerebrovascular Accident (CVA) is a disease that leaves to the patient some important neurological deficits interfering in maintaining the health and quality of life, therefore it becomes essential identify the epidemiological clinical profile of stroke patients with order to develop nursing actions in a systematic way. Objective: The objectives were identify and analyze the epidemiological clinical profile of patients admitted with a stroke diagnosis in the Intensive Care Unit (ICU) of a large hospital and propose nursing diagnoses labels. Material and Methods: This is a descriptive, cross-sectional and retrospective study with a quantitative approach, the sample was 73 (100%) records of patients with a diagnosis of stroke admitted to the ICU. Results: The most of patients were female 52.1% (38) and 69% (51) of the total sample studied lived in the urban area. The Ischemic Stroke achieved significant prevalence of 63% (46) compared to 32.9% hemorrhagic stroke (24), and 4.1% (3) of the patients were diagnosed with both types of stroke. The analysis found that 87.7% (64) of the patients had hypertension, 30.2% (22) of the patients had diabetes mellitus. Clinical manifestations and consequences presented by the most prevalent patients were 38.4% (28) for hemiplegia, motor aphasia 31.5 % (23) and 21.6% (16) developed memory loss. Conclusion: It was concluded that most patients were female and lived in the urban area with a mean age of 69.1 years. The main proposed nursing diagnoses labels were impaired physical mobility, impaired swallowing, imbalanced nutrition: less than body requirements, and the profile found shows the importance of the multidisciplinary team performance, enabling the creation and implementation of strategies to improvements in care to stroke patients

Cuidados imediatos e mediatos prestados ao recém-nascido em uma maternidade de um município da Amazônia legal

O período neonatal é marcado por vulnerabilidades aos recém-nascidos, que estão expostos a riscos biológicos, ambientais, socioeconômicos e culturais. Também é nesse momento que os recém-nascidos precisam se adaptar a fase de transição do meio intra para o extrauterino, onde inicialmente estavam num ambiente de aconchego, de temperatura e luminosidade constantes, com ruídos suaves, para um que necessita de esforço para realizar as funções vitais. Trata-se de uma pesquisa de campo de caráter descritivo, do tipo observacional e documental com abordagem quali-quantitativa e característica transversal, com fins de descrever os cuidados imediatos e mediatos prestados aos RNs sadios a termo em uma maternidade da Amazônia Legal. A coleta de dados ocorreu por meio da observação sistemática não participativa da assistência prestada ao recém-nascido pela equipe multiprofissional do período expulsivo e posteriormente à chegada ao alojamento conjunto por meio de um check-list facilitador e consultas a partir dos prontuários dos recém-nascidos. Durante o período de realização da pesquisa na maternidade ocorreram 156 partos, sendo 123 partos cesários (78,84%) incluindo 2 partos gemelares e 33 partos vaginais (21,15%). Após os critérios de exclusão, foram observados a assistência de 39 recém-nascidos, com predominância do parto tipo cesário conforme a Tabela 1. Verificou-se que na maioria dos casos, a equipe multiprofissional executou os cuidados em conformidade com as diretrizes estabelecidas, garantindo a qualidade e segurança, evidenciando avanços positivos nas práticas de assistência aos recém-nascidos, fundamentais para garantir o bem-estar e desenvolvimento saudável. Diante do exposto, a pesquisa promoveu uma reflexão sobre os cuidados imediatos e mediatos prestados aos recém-nascidos, onde notou-se que uma assistência adequada proporciona o desenvolvimento de maior qualidade quanto à atenção dada à saúde do recém-nascido, além de contribuir para a redução dos índices de mortalidade infantil, promoção da qualidade de vida, recuperação da saúde e bem-estar, garantindo o crescimento e desenvolvimento adequados nos aspectos físicos, emocional e social

The episiotomy and return to sex life after childbirth

during intercourse postpartum. This is a review of literature was performed using books, scientific articles published in Portuguese in a time frame from 2003 to 2008, in SciELO databases, Medline and Lilacs. It can be argued that episiotomy has become routine, used prophylactically as justification to avoid perineal trauma morbidity and mortality and gynecolog- ical problems such as rectocele, cystocele and relaxation of the pelvic floor. The return to sexual activity varies in a specific time for each woman depending on your libido, "fear", the healing of perineal lacerations or incisions and the degree of vaginal atrophy and secondary episiorrhaphy is an event that affects this time. Many women do not participate in the deci- sion to make or not an episiotomy nor are they informed about the routine practices that bring consequence and influence the quality of sexual life of it. More studies are needed to elucidate the woman feeling underwent episiotomy and the impact on your sex life

Knowledge of the professional nurse about sepsis

In the world every hour approximately 1,000 people die from sepsis; in the Brazil, the sepsis is one of the major health prob- lems, and is currently the leading cause of death in intensive care units (ICU). Given the above objective was to identify nurses' knowledge of a UTI about the stages of sepsis in a large public hospital within Rondônia, Brazil. This is a descriptive study, quantitative and qualitative cross-sectional, conducted from 17 to 21 June 2013. The sample consisted of 9 nurses. Data collection was based on a structured questionnaire with 3 objec- tive questions related to demographics and 8 guiding questions about sepsis. The result of the survey revealed that nurses have knowledge about prevention and control of sepsis in ICU. However, we found a deficit of knowledge based on scientific evidence about the advent SIRS (Systemic Inflammatory Re- sponse Syndrome), Sepsis, Severe Sepsis and Septic Shock, as well as the forms of treatment that includes resuscitation packs of 6 and 24 hours. Observed in the study of the importance of seeking more knowledge through continuing education, imple- mentation of sepsis bundles, thus contributing to reducing mor- tality from sepsis

Arterial blood gases: applications and implications for nursing

Acidosis disorders are associated with a high risk of organs dysfunction, systems and deaths in intensive care patients. The arterial puncture for the purposes of gasometry is a specific procedure of the nurse and demands technical and scientific competence for its execution. Objective: To carry out a bibliographic review concerning arterial gasometry, showing their applications and implications for nursing, proposing the main nursing diagnostic labels and their interventions based on the nursing process and current legislation. Methodology: This is a qualitative, descriptive exploratory study carried out through a bibliographic review. The data were collected in articles available on the internet, through the database search: Lilacs, SciELO, Bdenf, and published in English and Portuguese languages. Results: the collection technique consists of the arterial blood sample for gas analysis with the purpose of assisting in diagnosis, to conduct a therapy and to detect the level of blood gases, evaluating the adequacy of oxygenation and ventilation and the acid-base state by measuring the Respiratory and non-respiratory components. The main indication for gasometry is obtaining values for the partial pressures of oxygen and carbon dioxide and for arterial pH. The ability to analyze arterial gasometry, relating it to the patient's clinic, is an important function of the nurse, since it provides an overview of the patient's situation in relation to their oxygenation, ventilation and acid-base state. Final considerations: In view of what has been presented, it is essential that the nurse be up to date and able to collect the arterial blood, scientifically and technically, since its competence within the nursing team seeks to perform more complex procedures, therefore, to know the technique of collection of arterial gasometry, it becomes indispensable to avoid complications inherent to the procedure, thus making a safe and quality human care

Preparo dos policiais do Grupo de Operações Especiais - GOE/Cacoal em atendimento de primeiros socorros

This is descriptive research, from the field, it ́s of a qualitative and quantitative nature and transversal, developed with the Special Opera- tions Group - GOE - Military Police / RO, the headquartered being in Cacoal. The officers were selected by convenience, consisted of 22 officers. This study aimed to evaluate whether the police GOE / Cacoal are prepared to provide first aid to members of their team in a situation of urgency / emergency. The survey took place in July 2013 a ques- tionnaire was prepared by the researchers, containing 14 questions, with 09 closed questions and 05 open questions. It was observed that 63.63 % of the officers questioned did not receive first aid training to work in the GOE. In the group of the officers interviewed, 68.18% claim not to have been updated on first aid after entering the GOE; 50% reported that first aid training only occurred every four years or more; 18.18% reported training every two years; 9.09 % reported training every three years; and only 22.72% reported training as annu- ally; 63.63% of the military officers claim that the GOE did not feel prepared to help injured members of their team, because of the first aid equipment in the vehicles of the GOE; 95.45% of the interviewed claim not to have first aid material available to them. Most of the mili- tary officers mentioned situations where they witnessed injuries by gunshot fire, automobile accident and stab wounds. Considering the statistical data presented above, it is concluded that the majority of officers interviewed are not prepared to provide first aid care to injured members of thei

Preparation of the police's special operations group GOE/CACOAL in firstaid care

This is descriptive research, from the field, it´s of a qualitative and quantitative nature and transversal, developed with the Special Operations Group - GOE - Military Police / RO, the headquartered being in Cacoal. The officers were selected by convenience, consisted of 22 officers. This study aimed to evaluate whether the police GOE / Cacoal are prepared to provide first aid to members of their team in a situation of urgency / emergency. The survey took place in July 2013 a questionnaire was prepared by the researchers, containing 14 questions, with 09 closed questions and 05 open questions. It was observed that 63.63 % of the officers questioned did not receive first aid training to work in the GOE. In the group of the officers interviewed, 68.18% claim not to have been updated on first aid after entering the GOE; 50% reported that first aid training only occurred every four years or more; 18.18% reported training every two years; 9.09 % reported training every three years; and only 22.72% reported training as annu- ally; 63.63% of the military officers claim that the GOE did not feel prepared to help injured members of their team, because of the first aid equipment in the vehicles of the GOE; 95.45% of the interviewed claim not to have first aid material available to them. Most of the military officers mentioned situations where they witnessed injuries by gunshot fire, automobile accident and stab wounds. Considering the statistical data presented above, it is concluded that the majority of officers interviewed are not prepared to provide first aid care to injured members of their team

Poisoning by parental pq: case report in a city of Amazonia/Brazil

This study aimed to present a case and propose the major labels nursing diagnoses in intensive care in victim parenteral Paraquat poisoning. We used the descriptive qualitative case study method with retrospective approach in medical records of a patient admitted to the intensive care unit. The data analyzed resulted in 35 nursing diagnoses, hepatorenal involvement on post intoxication day with PQ, and the third day manifestations severe respiratory clinics. Concludes that intoxication with PQ via parenteral cause 100% mortality