CONSTRUÇÃO DE INSTRUMENTO BASEADO NA ESCALA DE MORSE COMO GARANTIA DA SEGURANÇA DO PACIENTE NO SETOR DE CLÍNICA CIRÚRGICA

Autores

  • Michelle Freitas de Souza
  • Beatriz Gerbassi de Aguiar Costa
  • Gicélia Lombardo Pereira
  • Vanessa Calazans Viana
  • Júlya de Araújo Silva Monteiro

Palavras-chave:

Enfermagem, Escala de Morse, Segurança do Paciente

Resumo

Introdução: Em 2013 foi criada a portaria nº 529 que instituiu o Programa Nacional de Segurança do Paciente. Este programa permitiu a criação de seis metas, as quais visam promover e garantir a segurança do paciente. E uma delas é a redução do risco de quedas que se enquadra na sexta meta. Objetivo: Construir instrumento de orientação sobre quedas a partir da escala de Morse. Metodologia: Estudo metodológico descritivo de construção de instrumento de orientação de quedas realizado em três etapas, cuja primeira é levantamento de informações referente às quedas ocorridas, a segunda refere-se a revisão integrativa da literatura e a terceira refere-se à construção de um instrumento, a partir da escala de Morse. Resultados: O instrumento foi elaborado pelos enfermeiros do setor, juntamente com coordenação e enfermeiros do núcleo de segurança do paciente. Ele resultou em seis domínios: Manter as grades da cama elevadas durante a recuperação do processo anestesiológico; auxiliar e acompanhar os pacientes no 1º pós-operatório em suas necessidades humanas básicas; orientar o cliente/acompanhante para garantir a utilização de seus óculos e ou aparelho auditivo sempre que sair da cama; avaliar o risco de queda pela escala de MORSE; inserir o risco de queda na ficha de identificação; colocar o cliente com risco elevado para queda próximo ao posto de enfermagem; assegurar que as camas permaneçam em posição mais baixa, com as rodas travadas e as grades elevadas. O instrumento é apresentado na admissão pelo enfermeiro, posteriormente recolhe-se a assinatura do paciente/acompanhante e em seguida é anexado no prontuário. Conclusão: O instrumento foi implementado e aceito por todos os enfermeiros da clínica cirúrgica. Ele pode colaborar para prevenir quedas dentro do setor e permite também a visibilidade das ações de enfermagem. Dessa forma, a sua utilização constitui ferramenta de promoção e garantia da segurança do paciente.

Publicado

2020-12-01

Como Citar

Souza, M. F. de, Costa, . B. G. de A. ., Pereira, G. L., Viana, . V. C. ., & Monteiro, J. de A. S. (2020). CONSTRUÇÃO DE INSTRUMENTO BASEADO NA ESCALA DE MORSE COMO GARANTIA DA SEGURANÇA DO PACIENTE NO SETOR DE CLÍNICA CIRÚRGICA . Revista Multidisciplinar Em Saúde, 1(4), 51. Recuperado de http://editoraime.com.br/revistas/rems/article/view/598
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