Abstract
ABSTRACT Objective: to analyze the strategies used by nurses for organization and planning in the centralization process of the Central Supply Sterile Department at a General Hospital. Method: this is a qualitative study of the history of the present time, carried out through an interview with 8 nursing professionals, such as nurses and nursing technicians at a hospital in the city of Petrópolis, state of Rio de Janeiro, Brazil. Data collection took place between September 2017 and August 2018. For analysis and interpretation of the documentary corpus, pertinence, sufficiency, completeness, representativeness, homogeneity and organization of documents in chronological order of the events during the investigated period were considered. The historical context was triangulated, with social structures and the symbolic universe resulting from interviews and documentary analysis. Thus, the categories of analysis emerged. Results: the strategies used by nurses occurred through organization and new work practices, enhancement of the Central Supply Sterile Department, hiring new nursing technicians, staff training and insertion of new technologies before, during and after centralization from the Central Supply Sterile Department. Conclusion: material sterilization at Hospital Santa Teresa continued with fractional nursing care among surgical patients and material processing. The strategies to centralize the sterilization unit contributed to a correct sterilization of hospital materials, resulting in expressive gains for nursing, Hospital Santa Teresa, society and control of Infections Related to Health Care.
Highlights
IntroductionThe necessary requirements for the sterilization steps, according to ANVISA Board Resolution (RDC - Resolução da Diretoria Colegiada) March 15, 2012, include reception, cleaning, inspection, preparation, sterilization, storage, management and distribution of medical-surgical materials, aiming, in addition to patient safety, reducing hospital costs and length of stay.[1] All steps must be performed in different areas through a unidirectional flow, which contributes to the control of Health-Care Associated Infections (HAI).[2]
The Central Supply Sterile Department (CSSD) is a hospital unit dedicated to the processing of health care products (PHCP), which refers to a set of good practices related to the organization of service in CSSD
Several times, nursing technicians intercalated their performance in direct nursing care, related to the care of surgical patients and the requests of the medical staff; and in indirect care, in material sterilization processing:
Summary
The necessary requirements for the sterilization steps, according to ANVISA Board Resolution (RDC - Resolução da Diretoria Colegiada) March 15, 2012, include reception, cleaning, inspection, preparation, sterilization, storage, management and distribution of medical-surgical materials, aiming, in addition to patient safety, reducing hospital costs and length of stay.[1] All steps must be performed in different areas through a unidirectional flow, which contributes to the control of Health-Care Associated Infections (HAI).[2]. Reducing the risks of its occurrence is a challenge for health professionals, especially those linked to the sterilization unit. These challenges include processes related to sterilization and compliance with protocols that guide infection prevention measures, with a view to patient safety.[3]
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