Abstract
to analyze the facilities and difficulties in the use by nurses of the care flow for patients with chest pain. descriptive analytical study, with a qualitative approach, conducted with 17 nurses from an emergency care unit in a municipality of the State of Ceara, in 2018. Data collected through documents and interviews, analyzed in a descriptive manner, in absolute and relative frequencies and through content analysis thematic. the use of assistance flow streamlines the process of transferring to referral units, reducing serious and lethal complications in the patient. It considers teamwork and communication as facilitating points in the care of patients with chest pain. The lack of permanent education, physical structure, equipment, transport delay and patient regulation as factors that hamper. investments in physical structure and equipment, in the reorganization of the care network and in permanent education to enable benefits to the service of excellence in health care.
Highlights
Healthcare in Urgency and Emergency is an important instrument for improving health in Brazil, highlighting the Emergency Care Units (UPA), operating 24 hours a day and aim at the concentration of services of intermediate complexity[1]
At UPA, care is based on the welcoming model with risk classification, considering the protocols adapted by the Ministry of Health for each local reality, treating the patients by clinical severity based on their signs and symptoms, not on a first-come, first-served basis[3,4]
Under these aspects, observing the demands and services in a UPA in the city of Fortaleza, State of Ceara, it was noticed the use of assistance flow to patient with chest pain based on Manchester protocol, since the early care is a determinant factor for the therapeutic success
Summary
Healthcare in Urgency and Emergency is an important instrument for improving health in Brazil, highlighting the Emergency Care Units (UPA), operating 24 hours a day and aim at the concentration of services of intermediate complexity[1]. Being the nurse the main responsible for the risk classification, it is essential to be constantly trained, in relation to factors predisposing to coronary heart diseases and the distinction between the chest pain and another type of localized pain Under these aspects, observing the demands and services in a UPA in the city of Fortaleza, State of Ceara, it was noticed the use of assistance flow to patient with chest pain based on Manchester protocol, since the early care is a determinant factor for the therapeutic success. The following questioning emerged: “What are the facilities/difficulties in the use of the flowchart for chest pain?” once the correct and safe use of this assistance flow has been achieved, it will benefit the population that needs this healthcare, reducing the morbidity and mortality by AMI and providing a better quality of life
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