Abstract
Objective: To describe the systematization of the use of the peripherally inserted central catheter (PICC) in neonates and children in a university hospital located in the south of Brazil. Methods: This is a qualitative study, developed with the Creative-Sensitive Method (CSM). Three dynamics with ten nurses were developed. The data were submitted to the French discourse analysis. Results: The results pointed out that Nursing Care Systematization (NCS) must be applied throughout the process of use of peripherally inserted central catheter; one must create an out-patient service articulated with the admission sector and the families so that children can make use of the catheter in outpatient units. Conclusion: The institutional protocols for the use of this catheter must be developed from the Nursing Care Systematization, based on the patient's needs, the scientific evidence, the institutional reality and the dialogue among nursing team, medical team and family.
Highlights
To describe the systematization of the use of the peripherally inserted central catheter (PICC) in neonates and children in a university hospital located in the south of Brazil
The results pointed out that Nursing Care Systematization (NCS) must be applied throughout the process of use of peripherally inserted central catheter; one must create an out-patient service articulated with the admission sector and the families so that children can make use of the catheter in outpatient units
The institutional protocols for the use of this catheter must be developed from the Nursing Care Systematization, based on the patient's needs, the scientific evidence, the institutional reality and the dialogue among nursing team, medical team and family
Summary
A manutenção e a remoção foram destacadas pelas enfermeiras como etapas cruciais da utilização do PICC, no que se refere, principalmente, aos cuidados que proporcionem uma maior durabilidade do dispositivo evitando a perda do cateter antes do fim da indicação. Na fala da enfermeira da hemato-oncologia, observa-se que há um conflito entre a equipe médica e de enfermagem quanto à indicação do PICC nas crianças com problemas hemato-oncológicos, o que limita a atuação da Enfermagem na escolha do dispositivo intravenoso para esses pacientes.
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