ATENCIÓN DE ENFERMERIA QUE RECIBEN LOS PACIENTES CON INTOXICACIONES AGUDAS, INGRESADOS EN EL HOSPITAL PROVINCIAL DOCENTE DR. VERDI CEVALLOS BALDA DE PORTOVIEJO, EN EL PERIODO DE FEBRERO 2004 A FEBRERO DEL 2005

Abstract

The present investigation work named “Infarmary Attention” the patients receive with sharp intoxication entered in the Provincial Hospital Dr. Verdi Cevallos Balda from Portoviejo, during February 2004 February 2005. It is descriptive prospective retro. The objectives were: General: To identify the type of nursery attention in patients that receive with sharp intoxications, entered in the provincial and educational Dr. Verdi Cevallos Hospital from February 2004 February 2005. The specific objectives were: To determine the factors that impact in the infirmary attention to the patient with sharp intoxication; to determine the magnitude of the problem of the sharp intoxications in the emergency area. To characterize some factors epidemic partners related with the patients with sharp intoxications; to identify certain current characteristics that determine the sub registration or that they acquire the quality of information; to evaluate the carried out infirmary actions, using approaches and indicators settled down in the norms of the area, to elaborate a training plan to the personnel of the infirmary quality that works in this area with the purpose of improving the quality of attention in the event of sharp intoxications. The universe was constituted by 189 patients with sharp intoxications. Previous the data obtaining, it was carried out a test pilot in the room of emergency of the cantonal Hospital Rodriguez Zambrano from Manta. The results of the investigation were presented by means of charts and statiscal graphics. We conclude the following: According to the factors that impact in the infirmary attention we have the personnel 80% is qualified, with personnel professional 100% existence having 82% of materials and inputs; in the characterization of the factors epidemic partners we have that, according to the age 46% corresponds of 16 – 30 years old, 18% less small than 5 years old, 17% 31- 45 years old, 10% years and 9% in patient more than 46 years old, according to the sex 60% it corresponds to the masculine sex and 40% to the feminine one, according to the civil state 58% single, with 22% living together, 14% married, in the magnitude of the problem has that according to the toxic ingested in the retrospective study 64% for organ phosphorus, 10% nutritious with 9% alcohol and in the retrospective study 38% was nutritious, 36% alcohol with, 19% organ phosphorus according to the cause of intoxication has that 54% was accidental and 46% intentional. According to the current characteristic that determine the sub registration of the information we have: that 96% registers the age, state of diagnostic of the patient, quantify of intravenous liquids and as for the evaluation of the infirmary actions 93% the time of the ingestion, quick valuation, is valued to manage the forms correctly, as for the patient’s handling, the entrance, 96% of the nurses carried out activities like canalization of veins, vital signs control, as for the treatment of urgency has and only 22% of the nurses, they enhanced special procedures as, aspiration of secretions, gastric washing, probe vesicle, 78% prepares the emergency tray, takes blood samples, in revaluation of the case 61% if they carried out it, and 39% didn’t carry out it.