Implantação de um time de terapia intravenosa em um hospital de grande porte da Serra Gaúcha

Abstract

Health services are essential for health care, and the monitoring of risks and adverse events is related to the quality of care, with health care-related infections (HAI) being commonly mentioned as an important threat to patient safety. Assistance related to the implantation and manipulation of vascular accesses is also fraught with risks for the patient. However, such technology has become indispensable to care practice, making it necessary to search for best practices, aiming at quality and safety. This study aims to build and implement an intravenous therapy team in a large hospital in Serra Gaúcha, a reference in traumatology. This is a methodological study consisting of two steps. The study population involved nurses from different hospital care units. Nurses were invited to participate in the study after being nominated by the nursing management. This project was approved by the Research Ethics Committee of the proposing institution and the co-participant. After approval of the research project, data collection began, which was carried out in two stages: a) qualitative exploratory phase, carried out through a focus group; and b) educational intervention phase, carried out through training meetings, with application of pre and post-test. Data from the first phase were analyzed from the perspective of content analysis and data from the pre- and post-test were described in an Excel table. Finally, nine nurses participated in the research. The data from the focus group meetings allowed us to list three categories: care in the insertion and handling of central venous catheters; complications related to the use of central venous catheters; and safety in intravenous therapy. The study made it possible to build and implement an intravenous therapy team in a large hospital in Serra Gaúcha, which was validated by the intravenous therapy team and approved by the hospital's management. Therefore, the products from this study stand out: formation of an intravenous therapy team; training of the intravenous therapy team; and the elaboration of a guiding document for intravenous therapy.