Análisis de la técnica de administración de hemoderivados por enfermeras a pacientes adultos de los hospitales públicos de tercer nivel en Quito

Context: The administration of blood products is a procedure that takes care and merits knowledge, use of appropriate techniques, compliance with standards and protocols. In hospitals of the Ministry of Public Health, blood products are administered by nursing professionals. Objective: To evaluate t...

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Autor principal: Guzmán Velasco, Magdalena (author)
Altres autors: Morales Veneras, Gladys (author)
Format: article
Idioma:spa
Publicat: 2018
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Accés en línia:https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/2827
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Sumari:Context: The administration of blood products is a procedure that takes care and merits knowledge, use of appropriate techniques, compliance with standards and protocols. In hospitals of the Ministry of Public Health, blood products are administered by nursing professionals. Objective: To evaluate the procedure of administration of blood products by nurses to adult patients of the Eugenio Espejo Hospital and Isidro Ayora Gynecological-Obstetric Hospital, in the period April-September 2016. Methods: Observational descriptive design executed in 52 nurses of the Eugenio Espejo (n = 41) and Isidro Ayora (n = 11) hospitals. A questionnaire with 16 items was applied to assess the level of knowledge and an observation guide to determine skills and procedures applied in the administration of blood products. Results: 92.31% of professionals who answered the questionnaire agree that informed consent and correct patient identification are essential before starting blood transfusion. Before a transfusion reaction, 90.38% answer that the first action to be carried out is to stop the transfusion. 100% mentioned that they do not have a document where to register and record the procedure for administration of blood products. Through the observation guide, it was determined that 80% of professionals performed the procedure correctly; when assessing the steps prior to the administration of blood products, the response was positive in 50% of cases; The verification of the correct procedure after administering blood products was passed by more than 50% of professionals. Conclusions: Nursing professionals are unaware of the existence of a specific form for registration of blood products administration; In the units evaluated, there is no protocol for the administration of blood products.