Abordagem na sala de emergência: dotação adequada de recursos de enfermagem

Abstract

Background: The prognosis of the critically ill person in the emergency room depends on the effective performance of the health team in operation. Objectives: To understand and justify the need to allocate a nurse who works exclusively in the assistance to patients in the emergency room of a hospital in the Great Lisbon and Tagus Valley region with multipurpose emergency service. Methodology: Retrospective, descriptive, exploratory, and quantitative study, with a sample of 3185 critically ill patients. Data collection through observation grid. Statistical analysis was performed using the IBM SPSS Statistics software, version 25.0. The Kruskal-Wallis test and chi-square test were used. Results: In 2017, an average of 9 patients per day were admitted in the emergency room. The direct care delivered lasted, on average, 45.4 minutes, 65% were admitted to the surgical admission unit service or the area of clinical observation of the emergency department. Conclusion: It is crucial to ensure safe staffing in care delivery to the critically ill person, being necessary a nurse working exclusively in the emergency room.