Avaliação de boas práticas relacionadas a manipulação e manutenção de cateter vesical de demora em uma unidade de terapia intensiva adulto.

Abstract

One of the main Infections concerning the Health System is the Urinary Infection, hence being totally connected to the patient’s safety. In this context, the aim was to identify and adopt good techniques for the nursing staff concerning the manipulation and maintenance of Indwelling Urinary Catheters on patients in the Adult Intensive Care Unit. Method: Descriptive Observational Research, with transversal design. The demonstration was composed by 22 Nursing Technicians. The data collection was done by observation in the area of the research, for latter a checklist filling out composed by 13 indicators of good techniques. It was also applied a individual survey to evaluate the knowledge concerning good techniques. The data analysis was made by descriptive statistics after being arranged in the Database from the Excel Software. The research was approved by the Ethics in Research Committee. Result: the sample, mostly composed by feminine samples, by the age of 31,5, graduation average time of 9,22 years, and average time of work in this area about 3,72 years. It was observed the manipulation of 56% IUC, verifying 6 indicators, among the 13 evaluated, had had adequation over 90%. Nevertheless, the previous hygiene of hands during the manipulation of IUC was done in 14.29% from all observations, and the after hygiene in 35.71%. The analysis taken in shifts resulted in different outcomes, which concern chiefly sanitizing the hands and the wearing of proper gloves. There has not been divergence between the knowledge or the techniques from the nursing technicians. Conclusion: it has been stated the need of establishing preventive actions in the control of infections concerning indwelling urinary catheters, highlighting the importance of the role of the nurse the daily cares in the ICU, as well as the importance of regular capacitance of the staff.