Abstract

To describe the experience of nursing, in adopting containment measures, in the care of patients undergoing hematopoietic stem cell transplantation to avoid COVID-19. Experience report. Containment measures involve those recommended by major health organizations, such as hand hygiene, social isolation, identification and monitoring of suspected or confirmed cases; and also the local measures implemented in the health service, such as the reduction in the number of hospitalizations for transplantation, clinical screening of outpatients entering the service, monitoring of respiratory signs and symptoms, the allocation of specific isolation rooms for those suspected of the disease and testing of symptomatic patients. Final considerations: The nurse is responsible for the challenge of planning nursing care to prevent the spread of coronavirus in a high-risk population and to implement measures based on available evidence, periodically updated.

Highlights

  • In Brazil, in February 2020, infection with the new coronavirus, SARS-CoV-2, was confirmed, whose disease was called Coronavirus disease (COVID-19), which is characterized by conditions ranging from asymptomatic to severe respiratory, being quickly classified as a Public Health Emergency of National Importance

  • The reception, care and adoption of prevention and control measures to COVID-19 must be performed by health services, through the establishment of standards, routines and protocols of care. Understanding that this management is fundamental for the identification and prevention of contamination by SARSCoV-2, and that the measures may suffer adaptations according to institutional characteristics, availability of resources and specificities of patients, the present experience report was elaborated, on the containment measures adopted by nursing in the care of patients undergoing haematopoietic stem cell transplantation (HSCT) in times of COVID-19, with the purpose of offering subsidies for health services

  • The STMO of this report is located in a university hospital, where the measures adopted to care for suspected and confirmed cases of COVID-19 were: creation of tents to screen patients in order to check for the presence of symptoms of infection by SARS-CoV-2 at all hospital entrances; expansion of the professional staff, including university professors and students in the health field; protection of professionals and family members, with the creation of accommodation for professionals and the purchase of personal protective equipment; assistance to professionals with suspicion, via tele-orientation; education and information, through channels of doubts; and measures to avoid crowding(6)

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Summary

Introduction

In Brazil, in February 2020, infection with the new coronavirus, SARS-CoV-2, was confirmed, whose disease was called Coronavirus disease (COVID-19), which is characterized by conditions ranging from asymptomatic to severe respiratory, being quickly classified as a Public Health Emergency of National Importance. Understanding that this management is fundamental for the identification and prevention of contamination by SARSCoV-2, and that the measures may suffer adaptations according to institutional characteristics, availability of resources and specificities of patients, the present experience report was elaborated, on the containment measures adopted by nursing in the care of patients undergoing HSCT in times of COVID-19, with the purpose of offering subsidies for health services.

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