RESUMO
Background: The presence of contamination and microorganisms at any stage of processing renders a method unsafe, leading to a high risk of cross-transmission and cross-infection. Objective: The objective of this study was to assess the cleaning quality of aspirator instruments used in neurosurgical procedures. Methods: The experimental study was conducted at the materials and sterilization center, as well as the microbiology laboratory, of a philanthropic hospital in Brazil. A study protocol was implemented, which involved the analysis of 10 samples of Yasargil aspirators with varying dimensions. The samples were subjected to protein tests to detect the presence of organic matter and microbiological analysis. Descriptive statistics were used to analyze the data. Results: The results indicated that 40% of the instruments tested positive for protein after manual cleaning. Furthermore, after automated cleaning, samples showed an increased microbiological load, with Escherichia coli accounting for 20% and Klebsiella aerogenes for 10% of the identified microorganisms. Conclusion: This study provides evidence of failures in the cleaning process of healthcare products and highlights the presence of biofilm in the pipes, thereby compromising the drinking water quality standard.
RESUMO
Objetivo: avaliar a qualidade dos registros de enfermagem realizados em prontuário de pacientes internados num hospital público municipal da região norte brasileira. Método: estudo quanti-qualitativo, tipo documental, em prontuários de pacientes que permaneceram internados no mínimo 48 horas. O instrumento de coleta avaliava a qualidade dos registros, conforme definição pelo Conselho Federal de Enfermagem. Foram realizadas análises descritivas por meio do Stata®13.0. Resultados: do total de 248 prontuários, 25,9% foram considerados completos, 67,1% incompletos, 6,7% incorretos e 0,3% não estavam preenchidos. Em mais de 90% dos registros estudados se verificou que não havia uma escrita sequencial e concisa, emprego de terminologias técnicas e descrição dos cuidados prestados. Conclusões: Os registros de enfermagem foram considerados com qualidade insatisfatória. Como possíveis caminhos a serem experimentados tem-se o uso de formulários específicos para a Sistematização da Assistência de Enfermagem, implementação do prontuário eletrônico e padronização de siglas. (AU)
Objective: to evaluate the quality of nursing records carried out in patients' records in a municipal public hospital in the northern region of Brazil. Method: quantitative-qualitative study, documentary type in medical records of patients who remained hospitalized at least 48 hours. The collection instrument evaluated the quality of the records, as defined by the Federal Nursing Council. Descriptive analyzes were carried out using Stata®13.0. Results: Of the total of 248 medical records, 25.9% were considered complete, 67.1% were incomplete, 6.7% were incorrect and 0.3% were not filled. In more than 90% of the studied registers it was verified that there was no sequential and concise writing, use of technical terminologies and description of the care provided. Conclusions: Nursing records were considered of unsatisfactory quality. As possible ways to be tried it is suggested the use of specific forms for the Systematization of the Nursing Assistance, implantation of the electronic medical record and standardization of acronyms. (AU)
Objetivo: evaluar la calidad de los registros de enfermería realizados en los registros de pacientes en un hospital público municipal en la región norte de Brasil. Método: estudio cuantitativo-cualitativo, tipo documental en registros médicos de pacientes que permanecieron hospitalizados al menos 48 horas. El instrumento de recolección evaluó la calidad de los registros, según lo define el Consejo Federal de Enfermería. Los análisis descriptivos se llevaron a cabo utilizando Stata®13.0. Resultados: Del total de 248 registros médicos, 25.9% se consideraron completos, 67.1% estaban incompletos, 6.7% eran incorrectos y 0.3% no se llenaron. En más del 90% de los registros estudiados se verificó que no había una escritura secuencial y concisa, el uso de terminologías técnicas y la descripción de la atención prestada. Conclusiones: los registros de enfermería fueron considerados de calidad insatisfactoria. Como posibles formas de ser juzgado, se sugiere el uso de formularios específicos para la Sistematización de la Asistencia de Enfermería, la implantación del registro médico electrónico y la estandarización de acrónimos. (AU)