Situações de urgência e emergência que ocorrem no ambulatório de especialidades: reflexões da enfermagem

Abstract

Objectives: to critically and reflectively address the main challenges faced by the Nursing care for users in urgent/emergency situations in the outpatient clinic specialty and point out factors that must be considered in the organization and planning assistance to be provided in these situations. Method: this is a reflection article elaborated based on the authors' experiences in different outpatient services which allowed discussions to be held about urgent and emergency situations occurring in the outpatient clinic, which were analyzed in light of scientific literature. Results: in the analysis, there were highlighted aspects that interfere in the work process and essential elements for the planning and (re)organization of the service in this type of care, highlighting the role nurse management and their role in patient care. Among the challenges found are: issues relating to the physical structure; computerization of medical records; sizing of personnel and reference team to respond to urgencies/emergencies. You main factors for the restructuring of specialty outpatient clinics in the care of urgencies and emergencies are: organization of patient care flow; elaboration of assistance evaluation indicators; carrying out strategic planning including resources physical and material; dimensioning and training of personnel, especially the nursing. Conclusion: through this reality that presents itself in the outpatient clinic, specialty, health teams, especially nursing teams, must be able to use both equipment and materials needed in urgent/emergency situations and technologies that involve knowledge and interpersonal relationships.