Revista gaúcha de enfermagem / EENFUFRGS
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This is an integrative review of literature aimed to identify evidence-based interventions which make up care bundles to reduce central venous catheter-related or associated bloodstream infections. To collect data in Brazilian and international databases were used the key word bundle and the descriptors catheter-related infection, infection control and central venous catheterization, resulting in fifteen articles, after inclusion criteria application. This work showed five interventions as those commonly employed in the bundles methods: hand hygiene, chlorhexidine gluconate for skin antisepsis, use of maximal sterile barrier precaution during the catheter insertion, avoid the femoral access and daily review of catheter necessity with prompt removal as no longer essential. The majority of the studies showed a significant reduction in bloodstream infection related to or associated with central venous catheters.
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This present study aimed at identifying and assessing available literature regarding the activities of the nurse involved in assessing risk classification in emergency services. The integrative review carried out searches in the following databases: Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin-American and Caribbean Health Sciences Database (LILACS), and Scientific Electronic Library Online (SCIELO). Twenty-two articles that met inclusion criteria were selected. Results indicated that the major attributions of this professional are the assessment of the patient's healthcare status and decision-making, a process that demands clinical knowledge and experience The nurse is capable of organizing the workflow of patients according to the priority of the rendered care and service demands, and stands out as a professional of excellence in the development of triage/risk classification practices in emergency services.