O enfermeiro na Central de Material e Esterilização: uma visão das unidades consumidoras / The nurse at Central Supply Unit: a view from the consumer units

Delimitamos como objeto as concepções dos enfermeiros das unidades consumidoras (UC) acerca do seu trabalho na Central de Material e Esterilização (CME). Temos como objetivos: identificar essas concepções e discutir o trabalho dos enfermeiros em CME quanto a sua importância como cuidado de enfermagem. O estudo é descritivo com abordagem qualitativa. A entrevista semi-estruturada foi utilizada na coleta dos dados com 25 enfermeiros de dois hospitais, um público e outro privado, do Rio de Janeiro, entre novembro de 2006 e julho de 2007. Da análise temática emergiram três categorias: trabalho que envolve gerência; trabalho desconhecido, mas fundamental; o invisível que é essencial em sua simplicidade. Concluímos que os enfermeiros que atuam nas UC desconhecem o papel técnico do enfermeiro na CME, considerado um trabalho gerencial. Esse trabalho precisa ser mais valorizado, pois a alocação freqüente de funcionários próximos da aposentadoria ou com problemas de saúde prejudica a imagem e a credibilidade conferidas ao setor. Diversos aspectos relacionados ao trabalho do enfermeiro em CME o caracterizam como cuidado, tais como a segurança ao cliente e a preocupação com a qualidade do assistir.

We delimited as our object the conceptions held by nurses in consumer units of their colleagues’ work in the Central Supply Unit. The study objectives were to identify these conceptions and discuss the work of nurses in Central Supply Unit in terms of its importance as nursing care. The study was descriptive and the approach, qualitative. A semi-structured interview was used from November 2006 to July 2007 to collect data from 25 nurses at two hospitals, one public and the other private, in Rio de Janeiro city. From the thematic analysis three categories emerged: work involving management; work that is unseen, but fundamental; the invisible that is essential in its simplicity. We concluded that nurses providing care in consumer units are unaware of the technical role of nurses in Central Supply Unit, which they consider managerial work. The value of such work must be stressed, because frequent allocation of staff near retirement age or with health problems has seriously undermined the sector’s image and credibility. Several aspects of nurses’ work in Central Supply Unit, such as patient safety and quality of care, characterize it as care.

Delimitamos como objeto las concepciones de los enfermeros de las unidades consumidoras (UC) sobre su trabajo en la Central de Material y Esterilización (CME). Tenemos como objetivos: identificar esas concepciones y discutir el trabajo de los enfermeros en CME cuanto a su inportancia como cuidado de enfermería. El estudio es descriptivo con enfoque cualitativo. La entrevista semiestructurada fue utilizada en la recolección de los datos con 25 enfermeros de los hospitales, un público y outro particular, de la ciudad de Rio de Janeiro – RJ – Brasil, entre noviembre de 2006 y Julio de 2007. Del análisis temático emergieron tres categorias: trabajo que envuelve gerencia; trabajo desconocido, pero fundamental; el invisible que es esencial en su simplicidad. Concluimos que los enfermeros que actuan en las UC desconocen el papel técnico del enfermero en la CME, considerado un trabajo de gerencia. Ese trabajo necesita ser más valorizado, pues que la destinación frecuente de funcionarios próximos del aposentamiento o con problemas de salud perjudica la imagen y la credibilidad conferidas al sector. Diversos aspectos relacionados al trabajo del enfermero en CME lo caracterizaran como cuidado, tales como la seguridad al cliente y la preocupación con la calidad del asistir.

Nosocomial Infections in Central Supply Unit in Hospital:Hidden Dangers and Administration Strategy / 中华医院感染学杂志

OBJECTIVE To prevent and control nosocomial infection in the central supply unit.METHODS Hidden dangers of nosocomial infection of central supply unit were investigated and analyzed to formulate the strategy of precaution and control.RESULTS Management status in central supply unit was not standardized and several administration shortages such as supervising system,architectural composition,and precaution consciousness were occurred.CONCLUSIONS Adopting comprehensive management,establishing regulations and carrying out strictly are essential for prevention and control against nosocomial infections in central supply unit.

Occupational Hazard and Protection Strategy of Central Supply Unit / 中华医院感染学杂志

OBJECTIVE To discuss the occupational hazard factors and protection measures of Central Supply Unit.METHODS The occupational hazard factors in the Central Supply Unit were analyzed and some suggestion on the occupational protections to decrease occupational risk was done.RESULTS It is necessary to give some special training about the occupational safety,reinforce the precaution of occupational hazard with regard to biology,physics,chemistry and motor function to establish some protection and countermeasures.CONCLUSIONS The pertinent occupational protection strategy according to the actual hazard factors is more efficient and more benefit for high quality management of Central Supply Unit which will enhance the standardization,quality and working efficiency,and ensure the work safety and quality.

Occupational Protection in Central Supply Unit of Modern Hospital / 中华医院感染学杂志

OBJECTIVE To discuss the occupational hazard factors and protection measures of Central Supply Unit.METHODS The occupational hazard factors in the Central Supply Unit was analyzed and some suggestion on the occupational protections to decrease occupational risk was done.RESULTS It is necessary to give some special training about the occupational safety,especially through various sharp instrument wound-treatments to establish some protection and countermeasures CONCLUSIONS The pertinent occupational protection strategy according to the actual hazard factors is more efficient and more benefit for the high quality management of Central Supply Unit which will enhance the standardization,quality and working efficiency,and ensure the work safety and quality.

O trabalho de enfermagem na Unidade Centro de Material: uma abordagem ergonômica / Nursing work in Central Supply Unit: an ergonomic approach

O presente estudo tem por objetivo analisar as condições de trabalho dos trabalhadores de enfermagem na Unidade Centro de Material (UCM) de um hospital público, de ensino, da cidade de São Paulo. Os dados foram coletados junto aos 28 trabalhadores de enfermagem, entre eles 03 enfermeiras, 03 técnicas de enfermagem, 21 auxiliares e 01 atendente de enfermagem, que atuavam na UCM nesse período e concordaram em participar da pesquisa. O instrumento utilizado foi um formulário denominado "Lista Ergonômica de Verificação" proposto por Palmer (1976) e adaptado por Amarante (1999). A análise dos dados permitiu evidenciar as condições adequadas e inadequadas em relação ao espaço e ao método de trabalho. Quanto ao espaço de trabalho foram verificados as exigências físicas, os mostradores e painéis, a legibilidade das fontes de informações, o grupamento e o posicionamento dos materiais e equipamentos, a precisão e rapidez, a adequabilidade da sequência do trabalho, as exigências visuais e auditivas. Quanto ao método de trabalho foram verificados as exigências físicas e mentais, o fluxo de informações, a carga ambiental e a organização do trabalho.

This paper intends to analyze the conditions of nursing workers at a Central Supply Unit (CSU) in a public educational hospital in São Paulo. Data were collected among 28 nursing workers, among them 03 nurses, 03 nursing technicians, 21 nursing auxiliaries and 01 nursing attendant who worked at the CSU that time and consented to participate of the study. A form called "Ergonomic Checklist" suggested by Palmer (1976) and adapted by Amarante (1999) was used as a survey instrument. Data analysis allowed pointing out the adequate and inadequate conditions concerning space and methods of work. Concerning the working space, body demands, machines screens and panels, legibility of the information sources, grouping and position of the material and equipment, precision and speed, adequacy, audio-visual demands were checked. Concerning the methods of work, body and mental demands, flux of information, environmental charge and work organization were checked.

Application of Detail Management in Hospital Central Supply Unit / 中华医院感染学杂志

OBJECTIVE To cultivate central supply unit member's custom of watching detail and dealing with everything carefully. To enhance central supply unit work's quality and efficiency,and decrease the phenomenon of article sterilized overdue and nipping tool's scathe. METHODS To organize study and enhance the cognition. To constitute regulations,systems and operation rule. To investigate the condition of medical instrument utilized,and pay attention to detail service for packaging sterilization. RESULTS The rate of overdue sterilized article decreased from 0.008% to 0.001%. The number of nipping tool's injuries decreased from 18 in 24 to 2 in 22 when the detail management was actualized. The rate of injury decreased from 75.0% to 9.09%. CONCLUSIONS In order to ensure the quality of asepsis of articles,we need to alter our conceptions,strengthen our responsibility,servicing more initiatively and carefulness.