RISK CLASSIFICATION

PERCEPTION OF NURSING PROFESSIONALS

Abstract

INTRODUCTION: RISK CLASSIFICATION IS A VERY IMPORTANT INSTRUMENT, SINCE IT AIMS AT IMMEDIATE AND PRIORITY PATIENT CARE, CLASSIFYING THEM ACCORDING TO THE URGENCY, SIGNS AND SYMPTOMS PRESENTED, AND NOT IN ORDER OF ARRIVAL. THUS, IT STREAMLINES THE SERVICE AND PROMOTES IMPROVEMENTS, MANAGES THE ENTRANCE OF THE USERS IN THE EMERGENCY AND EMERGENCY, WHICH RESULTS IN AN AGILE AND RESOLUTIVE SERVICE. OBJECTIVE: TO UNDERSTAND THE PERCEPTION OF THE NURSING TEAM ABOUT THE HOST WITH RISK CLASSIFICATION IN THE EMERGENCY CARE SERVICE IN A MUNICIPALITY IN THE INTERIOR OF GOI�S. METHOD: DESCRIPTIVE STUDY OF A QUALITATIVE APPROACH. A TOTAL OF 13 NURSES, NURSES AND NURSING TECHNICIANS WERE SELECTED RANDOMLY AND FOR CONVENIENCE AT THE CENTERS FOR COMPREHENSIVE HEALTH CARE (CAIS), AND THE EMERGENCY CARE UNIT (UPA) IN A MUNICIPALITY IN THE STATE OF GOI�S. WAS A WRITTEN SEMI-STRUCTURED INTERVIEW FOR DATA ANALYSIS, THE CONTENT ANALYSIS TECHNIQUE WAS ADOPTED (BARDIN, 2011). RESULTS: THERE WERE TWO THEMATIC CATEGORIES: THE NURSING PERCEPTION REGARDING THE RECEPTION WITH RISK CLASSIFICATION (CCRC). FOR NURSING PROFESSIONALS, RISK CLASSIFICATION IS OF GREAT IMPORTANCE, SINCE IT AIMS AT PROVIDING PRIORITY CARE TO PATIENTS WHO NEED IMMEDIATE CARE, CLASSIFYING THEM ACCORDING TO THE URGENCY, SIGNS AND SYMPTOMS PRESENTED, AND NOT ON A FIRST-COME, FIRST-SERVED BASIS. THE PROTOCOL USED IN THE UPA IS THAT OF MANCHESTER, BUT NOT ALL THE PROFESSIONALS WORKING IN THIS SECTOR HAVE RECEIVED THE NECESSARY TRAINING OR ADEQUATE TRAINING TO HANDLE THIS PROTOCOL. IN TURN, THE TWO ACHRS DO NOT HAVE ANY TYPE OF PROTOCOL IMPLANTED, BUT IN ONE OF THEM A CLASSIFICATION WITH RISK CLASSIFICATION IS CARRIED OUT, ACCORDING TO THE PRESSURE PARAMETERS AND SIGNS AND SYMPTOMS OF THE PATIENT. THE SECOND CATEGORY FOUND WERE FACTORS THAT FACILITATE OR MAKE DIFFICULT THE CRC IN THE PERCEPTION OF THE NURSING TEAM. IN THE UPA THE PROFESSIONALS POINT OUT THE FUNCTIONALITY OF THE SERVICE AS THE FACTOR THAT WOULD FACILITATE THE ACCR AND IN THE CAIS THE ADEQUATE STRUCTURE AND EQUIPMENTS THE DISPOSITION TO REALIZE A CLASSIFICATION WITH QUALITY. IN RELATION TO THE DIFFICULTIES MOST POINTED WERE  THE PATIENT HIMSELF DUE TO LACK OF DISCERNMENT AND ADEQUATE ORIENTATION, OVERCROWDING OF PROMPT CARE DUE TO THE LOW RESOLUTION OF CASES IN PRIMARY CARE, LACK OF FINANCIAL AND HUMAN RESOURCES, LACK OF MATERIAL AND LACK OF COMMITMENT OF THE MULTIPROFESSIONAL TEAM. CONCLUSION: IT WAS OBSERVED THE NEED FOR INVESTMENTS IN PRIMARY CARE, SINCE THE DEFICIENCY IN THIS LEVEL OF CARE GENERATES AN INCREASE IN THE NUMBER OF EMERGENCY AND EMERGENCY SERVICES, AND MAINTAIN A PERMANENT EDUCATION PROCESS FOR HEALTH PROFESSIONALS AND THE SEARCH FOR THE MANAGEMENT OF GROUPS OR DISCUSSION WHEELS BETWEEN EMERGENCY SERVICES, REGULATION AND BASIC CARE, TO MINIMIZE THE FLOW AND STRUCTURE THE REALITY BETTER. FINALLY, THE DEVELOPMENT OF NEW STUDIES ON THE SUBJECT IS ALSO VERY IMPORTANT.