Quality of life at work in a central sterile processing department.

OBJECTIVES: to evaluate the quality of life of nursing professionals who work in a central sterile processing department. METHODS: a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire "Medical Outcomes Study Short-Form 36" were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects. CONCLUSIONS: This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.

Quality of life at work in a central sterile processing department / Calidad de vida en el trabajo en una central de materiales y esterilización / Qualidade de vida no trabalho numa central de materiais e esterilização

ABSTRACT Objectives: to evaluate the quality of life of nursing professionals who work in a central sterile processing department. Methods: a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire "Medical Outcomes Study Short-Form 36" were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects. Conclusions: This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.

RESUMEN Objetivos: evaluar la calidad de vida de los profesionales de enfermería que actúan en una central de materiales y esterilización. Métodos: estudio exploratorio, descriptivo, cuantitativo, realizado con 82 profesionales de enfermería que actuaban en una central de materiales y esterilización (CME) de un Hospital Universitario, en el período de septiembre a noviembre de 2017. Se utilizó un instrumento semiestructurado y el cuestionario Medical Outcomes Study Short-Form 36. Resultados: los participantes eran, en su mayoría, del sexo femenino, estaban casados y en el grupo de edad de 31-40 años; El 47,6% tenía entre 6-10 años de profesión y el 82,9% mencionó el tiempo de servicio en CME de 1-5 años. Los Dominios de calidad de vida más frecuentes fueron Dolor, Vitalidad, Estado General de Salud y Aspectos Sociales. Conclusiones: El estudio reveló que es necesario repensar y recrear la dinámica del trabajo en CME para que se mejore la calidad de vida de esos profesionales de enfermería.

RESUMO Objetivos: avaliar a qualidade de vida dos profissionais de enfermagem que atuam em uma central de materiais e esterilização (CME). Métodos: estudo exploratório, descritivo, quantitativo, realizado com 82 profissionais da enfermagem que atuavam na central de materiais e esterilização de um hospital universitário, no período de setembro a novembro de 2017. Foi aplicado um instrumento semiestruturado e um questionário, "Medical Outcomes Study Short-Form 36". Resultados: os participantes eram, em maioria, do sexo feminino, casados, na faixa etária de 31-40 anos; 47,6% tinham de 6-10 anos de profissão e 82,9% referiram tempo de serviço em CME de 1-5 anos. Os domínios de qualidade de vida mais atingidos foram Dor, Vitalidade, Estado Geral de Saúde e Aspectos Sociais. Conclusões: O estudo mostrou que é preciso repensar e recriar a dinâmica do trabalho em CME na perspectiva de melhorar a qualidade de vida desses profissionais de enfermagem.

[The worker with no training in nursing in a center of materials and sterilization: a challenge to the nurse]. / O trabalhador sem formação em enfermagem atuando em centro de material e esterilização: desafio para o enfermeiro.

The object of this study was to characterize the process of insertion in the Centros de Material e Esterilização - Center of Material and Sterilization (CME) of workers who have no specific formation in the area of Nursing. Seventy-five workers of two public hospitals took part in the study. After the observation of the legal ethical aspects, data was obtained through a questionnaire previously validated and tested. The study found 15 workers without specific formation, who came from different intra- and extra-hospital services. They had not been submitted to selection processes nor to training, and had learned the work routine with co-workers. This is worrisome, considering the worker's occupational risk, the risks this situation represents for the quality of the reprocessing of hospital items and the conformity to the legislation that governs professional practice.

Três exemplos de mudanças na gestão de de suprimentos na Administração Pública Federal

O presente estudo foi realizado visando proporcionar melhor conhecimento de algumas mudanças que estão ocorrendo na gestão de suprimentos no âmbito da administração pública. Trata da descrição e análise de três iniciativas em diferentes instituições: Universidade Federal de Santa Maria, 4º Regimento de Carros de Combate do Comando Militar do Sul e Política de Materiais do Grupo Hospitalar Conceição.

A Flavobacterium meningosepticum outbreak among intensive care patients.

A Flavobacterium meningosepticum outbreak, involving 12 infected and 47 colonized intensive care patients during the months of February through July 1990, was investigated. F. meningosepticum was isolated from tap water and ice, but these environmental strains eventually proved to be distinct from those colonizing patients. A review of newly colonized patients' charts revealed that a common factor among the patients was daily changes of ventilator tubing pasteurized in the hospital's central sterile department. More than 90% of patients in the outbreak had been on ventilators that used the pasteurized tubing. An investigation of the pasteurization process found that two pasteurizer tanks had been operating at suboptimal temperatures (< 62 degrees C). Cultures of water from the tanks and droplets of water found in the pasteurized tubing grew species of Acinetobacter, Moraxella, and Pseudomonas but did not grow F. meningosepticum. After deficiencies in the pasteurization process were corrected, the outbreak terminated. Despite the failure to culture F. meningosepticum, an analysis of gram-negative bacillary isolates showed that the deficiency in the pasteurization process was a major contributor to colonization of ventilated patients by bacteria ubiquitous in tap water.