Organização do acolhimento e vinculação em rede de parturientes em um pronto atendimento com unidade obstétrica

Abstract

The Stork Network adopts strategies for the reorganization of work processes in the obstetricneonatal field and establishes, with one of its main guidelines, the Reception and Risk Classification at the entrance doors of the obstetrics emergency services (A & CR). Observe the reality experienced by the health professionals and users of the Professor Zerbini Health Center with an Obstetric Unit, made it possible to identify the need to reorganize care so that it has a continuous care process. It is also considered that in this unit the initial care occurs in the same space and with the same professional both for urgency and emergency as for obstetrics. In this sense, it is noticed that the care given to pregnant women is compromised by the lack of a host protocol that regulates or normalizes the care of the same ones from the construction of flows, according to the degree of risk of each user. This intervention project allowed the reorganization of the host and the humanized assistance, identifies the clinical priority with which the client is to be attended (A & CR), establishes a referral and counterreferral system, establishes safe transport to the mother-child binomial, and provides work tools for professionals. A survey and data collection was carried out for the execution of this project and were divided into five stages: 1st stage: meeting with all the members to survey the problems and plan the actions. 2nd stage: Team formation. Step 3: Beginning of the training of the nursing team. 4th stage: evaluation. Step 5: Implementation of the Protocol. As partial results we have: There was a meeting with the management and members of the Maternal and Child Death Prevention Committee; There were hiring of five generalist nurses 24 hours; SMS requested a physical space for obstetric care differentiated from emergencies and / or emergencies; Requested the SMS to print the A & CR Service Registry and the Daily Map to follow the activities developed by the nursing team; SMS is requested a box of suggestions and criticisms from users and family members. Strengthening this process of obstetrical practices able to meet the guidelines of the Stork Network depends on all of us professionals, managers, population, institutions and partnerships that believe and fight for quality public health and promote better living conditions.