Intervenção educativa para redução de PAV em UTI Covid-19: relato de experiência

Abstract

INTRODUCTION: Ventilation-associated pneumonia (VAP) is defined as a pulmonary infection that appears 48 to 72 h after endotracheal intubation and institution of invasive mechanical ventilation, as well as up to 48 hours after tube removal. In Intensive Care Units (ICU), VAP is the most common infection. The reported prevalence is 20.5 to 34.4 cases of pneumonia per 1,000 days of MV. OBJECTIVE: To report an experience of multidisciplinary educational intervention in an extracurricular internship at the Intensive Care Unit – COVID -19, focusing on the reduction of cases of ventilator-associated pneumonia (VAP). METHOD: This is a descriptive study of a qualitative nature in the form of experience report based on the model described by Duarte, Borges and Arruda (2011), based on the academic experience during an extracurricular nursing internship in the Intensive Care Unit of COVID-19, in a private hospital, in Goiânia-Goiás. RESULTS: The training was divided into two moments, one of them exposing and updating with the team the topics of prevention of pneumonia associated (VAP) with ventilation and hand hygiene, where it was possible to carry out step-by-step guidance on hand washing and later removal of doubts about the bronchial aspiration process in cases of VAP. CONCLUSION: Nurses as managers and team leaders must actively exercise the role of educators, seeking ways that will be clearly understood by their team and that achieve positive results in the face of scenarios that require their interventions.