Debate de normas : renormatizações no trabalho dos técnicos de enfermagem do SAMU-192 e suas ressonâncias para o processo formativo.

Abstract

The work process of the Mobile Emergency Care Service (SAMU-192) encompasses the complexity of the labor situations in the prehospital environment, where each occurrence is an unprecedented and unstable situation presenting multiple possibilities, demanding of the workers the recreation of the previously established protocols, in order to effect the health care needed from the victim. This way, it can be noticed that there is always an inevitable distance between the antecedent norms and the real work, that becomes a confrontation between prescriptions and it’s renormalizations by the professionals. Thus, the research was born with the intention of following the industrious activity of the nursing technicians active at the SAMU-192 of a city located on the central region of the Rio Grande do Sul states and, starting from the theoretical referentials adopted, comprehending which are and how is the production of the constituted knowledge of the human activity in the perspective of the debate of norms and consequent renormalizations, mapping its contributions to the formation process. The study objectifies characterizing the situations and work conditions of the subject, besides describing the informal knowledges and experiences that emerge in the decision making processes. It also seeks to clarify how the actual formation of those workers is and, in light of the results, trace considerations about the same. In its theoretical and conceptual basis, the text brings a little history about work, graduation, ergology and SAMU-192. It’s about an exploratory, qualitative study, of reflexive and interpretative nature, inspired on the historical dialectical materialism and on the theory of ergology. As subjects of this study, four nursing technicians from the same SAMU-192 decentralized basis were chosen. Other informations analyzed by the research were institutional documents and protocols, besides gathering through a field journal, semiestructured interviews held face to face and the direct observation of real calls for help at the Basic Support Unit (BSU). For the interpretation of this material, analysis of thematic content was used. The study reveals that the work conditions and situations, comprising in it the influence of the sinister environment/scene, along with the subject’s histories and values, the discussion of norms and it’s consequent renormalizations. Regarding the graduation, the study confirms the formative process made by the subjects as exclusively oriented to the seizure of protocols and other past norms, not properly equipping the worker to face the infidelities of work situations where the activity is processed, especially for not contemplating the knowledge invested in the practice, the values, the history and other elements of the worker’s self-body. Lastly, despite the limitations of the research, it’s expected that the results will contribute to the enrichment of studies about nursing technicians work activities studies in the pre-hospital mobile scene, as well as to raise new interests in the execution about other investigations that will contribute to the field of study of the category Work, in its interfaces with Work in Health, the Education and Ergology.