The challenge of expanding ICU beds during the COVID 19 pandemic: An overview of the intensive care nursing service

• Autor(a) principal: Candaten , Angela Enderle
• Data de Publicação: 2021
• Outros Autores: Moretti, Miriane Melo Silveira, Schmitz, Thaís dos Santos Donato, Tavares , Juliana Petri, Azzolin , Karina de Oliveira, Borba, Daniela dos Santos Marona, Haas, Jaqueline Sangiogo, Barcellos, Ruy de Almeida, Hochegger, Tais, Osterkamp, Lilian
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/17908
• topic: Enfermagem; COVID-19; Gestão; Terapia Intensiva.; Enfermería; COVID-19; Gestión; Cuidados Intensivos.; Nursing; COVID-19; Management; Intensive Care.

Objective: Report the organization of the work fronts with the management of the Nursing and Medicine Service of the Intensive Care Center (ICU) for the organization, planning and opening of new critical beds. Method: This is an experience report of ICU nurses, from March to August 2020. To propose a critical reflection of the work process, it will be based on the actions of advanced nursing practice (APS). Results: In the research: multidisciplinary groups were created to review and develop flows and protocols based on evidence-based practice and readaptations to routines. Nurses integrated each group according to their expertise. In education: training was carried out in loco on the adopted care practices. The most emerging themes were attire/dedressing, prone maneuver, hemodialysis and extracorporeal membrane oxygenation (ECMO). Due to the immediate hiring of professionals, face-to-face and distance learning training was prepared. Also, realistic simulations took place. As for care practice: new protocols and care flows were developed. As for management: the units were allocated in the annex to the main building, with clusters of up to 10 beds being opened, totaling 105 beds. The team was resized, groups were restructured, allocating experienced nurses and nursing technicians in new units for training admissions and patient safety. Daily Huddles were carried out to map occupational and care risks. Conclusion: Through the critical-reflective process and planning, new strategies were essential. In order to redesign our purpose, there was a need for constant adaptations, as the pandemic scenario remains unpredictable.