Classificação de pacientes pediátricos e análise do dimensionamento de profissionais na emergência pediátrica

Abstract

Introduction: The Patient Classification System is used to identify the need to care of the patients and acts in determining the minimum quantitative professionals needed in each unit providing health services. Objective:Identify the socioeconomic profile, the need to nursing care and to evaluate the quantitative of professionals responsible for the care of the hospitalized child in the pediatric emergency. Method: Random sampling for convenience, the statistical analysis was performed through the SPPS 20. The Kolmogorov-Smirnov test was applied to all variables and against the p≤0,05 to which the data differ from a normal sample,Wilcoxon (Mann- Whitney) was used for the independent variables. The value of p≤ 0,05 was considered statistically significant. Results: The majority of the children evaluated at the time of the study had the classification of intermediate care of need. The respective medians were of 08 nursing technicians, 02 nurses, 05 doctors, and 17 children hospitalized per period of 6 hours. There was the difference in the total number of nursing technicians (p=0,00)of week and weekend days, however, there was no difference in the number of children hospitalized (p=0,67). There is a deficit in the total of Nurses, considering that the resolution of Cofen nº 0543/2017 provides 33% of nursing professionals should be composed of Nurses and the Manual Department of Health of the Federal District recommends at least 4 nurses per shift. Conclusion: The need for nurses is greater when patients are more severe. The Patient Classification can flexibilize the dimensioning of professionals contributing to the safety and health of the patient, with repercussions on the professionals involved in the allocation of resources to the contingencies.