Organization of a hemodialysis unit to cope with the Covid-19: An experience report
Keywords:Covid-19 ; Renal dialysis; Nursing; Teaching.
Objective: To describe the experiences lived in the process of organizing the activities of a hemodialysis clinic to care for patients during the Covid-19 pandemic. Methodology: This is an experience report with a descriptive character of the aspects experienced by the authors in the process of organization and training of a renal replacement therapy unit in hemodialysis and nephrology, in a municipality in the central north health region of the state of Bahia, for coping with Covid-19 during the extracurricular nursing internship from March to December 2020. The Maguerez Arch Problematization methodology was applied, which allows the researcher to identify problems in the place of observation. Results: We observed that the service coordinators carefully analyzed the clinic's care routines, at this time in order to organize the work process for coping with Covid-19, with a survey of actions that should be implemented to avoid contamination by the virus during hemodialysis sessions. Preventive measures were strictly adopted, through training with employees, patients and caregivers. The adherence of those involved showed great responsibility, proven, in this period of 230 patients, only 13% had the Covid-19. Final considerations: This experience in such a complex epidemiological context contributed significantly to the professional construction of those involved, adding the importance of seeking scientific information, practical experience and development of management skills in health services while still in graduation.
Abranches, M. V., Oliveira, T. C., & José, J. F. B. de S. (2021). A alimentação coletiva como espaço de saúde pública: os riscos sanitários e os desafios trazidos pela pandemia de Covid-19. Interface - Comunicação, Saúde, Educação, 25(1), e200654.
Abreu, A. P., Riella, M. C. R., & Nascimento, M. M. (2020). A Sociedade Brasileira de Nefrologia e a pandemia pela Covid-19. Braz. J. Nephrol. 42, 1-3.
Adhanom T. WHO Director-General´s opening remarks at the Mission briefing on COVID-19-12 (2020). Ginebra, Suiza: World Health Organization. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-missionbriefing-on-covid-19---12-march-2020.
Aldarete, J. R. A. et al. (2020). Afinal, como o coronavírus reage no organismo? http://coro navirus.saude.mg.gov.br/blog/102-como-o-coronavirus-age-noorganismo.
Berbel, N.A.N. & Gamboa, S.A.S. (2012). A metodologia da problematização com o Arco de Maguerez: uma perspectiva teórica e epistemológica. Filosofia e Educação (Online),
Brasil. Organização Pan-Americana de Saúde. Folha informativa COVID-19: Escritório da OPAS e da OMS no Brasil. https://www.paho.org/bra /index.php?option=com_content&view=article&id=6101:covid19&Itemid=875#risco.
Dong, E. Du, H. & Gardner, L. (2020). An interactive web-based dashboard to track COVID-19 in real time: https://dx.doi. org/10.1016/S1473-3099(20)30120-1.
Lang, P. (2021). Fiocruz detecta mutação associada a variantes de preocupação no país. Agencia Fiocruz de Notícias. https://portal.fiocruz.br/noticia/fiocruz-detecta-mutacao-associada-variantes-de-preocupacao-no-pais.
Ma, Y., Diao, B., L. V. et al. (2019). Novel Coronavirus Disease in Hemodialysis (HD) Patients: Report from One HD Center in Wuhan, China.
Organização Mundial da Saúde. (2020). Folha informativa COVID-19 – Escritório da OPAS e da OMS no Brasil. https://www.paho.org/pt/covid19.
Organização Mundial de Saúde (OMS). (2020). Laboratory testing for coronavirus disease 2019 (COVID-19) in suspected human cases. Interim guidance. WHO/COVID-19/laboratory/2020.5, 19 https://www.who.int/publications-detail/laboratory-testing-for-2019-novel-coronavirus-in-suspected-human-cases-20200117.
Organização Pan-Americana de Saúde (OPAS). (2021). OMS recomenda cuidados de acompanhamento para pessoas com COVID-19 e baixa dose de anticoagulantes para pacientes hospitalizados. https://www.paho.org/pt/noticias/26-1-2021-oms-recomenda-cuidados-acompanhamento-para-pessoas-com-covid-19-e-baixa-dose.
Osman, A. A., Daajani, M. M. & Alsahafi, A. A. (2020). Re-positive coronavirus disease 2019 PCR test: could it be a reinfection? New Microbes and New Infections, 37, 100748,
Paes, C. C. D. C. & Paixão, A. N. dos P. (2016). A Importância Da Abordagem Da Educação Em Saúde: Revisão De Literatura. Revista De Educação Da Universidade Federal Do Vale Do São Francisco, 6(11).
Palácio, M. A. V. & Takenami, I. (2020). Em tempos de pandemia pela COVID-19: o desafio para a educação em saúde. Revista visa em debate sociedade, ciência tecnologia. https://visae mdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1530/1147
Rodríguez-Morales, A., Bonila-Aldana, K., Balbin-Ramon, G. J., Rabaan, A. A., Sah, R., Paniz-Mondolfi, A. et al. (2020). History is repeating itself: probable zoonotic spillover as the cause of the 2019 novel coronavirus epidemic. Le Infezioni in Medicina. 2020,1:3-5.
SBN, Sociedade Brasileira de Nefrologia. (2020). Coronavírus: Eles Não Podem Ficar Em Casa. https://www.sbn.org.br/noticias/single/news/coronavirus-eles-nao-podem-ficar-em-casa/.
SBN, Sociedade Brasileira de Nefrologia. (2020). O que é hemodiálise? https://www.sbn. org.br/orientacoes-etratamentos/tratamentos/hemodiálise.
Syed-Ahmed M., & Narayanan M. (2020). Immune dysfunction and risk of infection in chronic kidney disease. AdvChronicKidneyDis 26: 8–15.
Vega-Veja, O., Arvizu-Hernández, M., Domínguez-Cherit, J. G., Sierra-Madero, J. & Correa-Rotter, R. (2020). Prevención y control de lainfección por coronavirus SARS-CoV-2 (Covid-19) en unidades de hemodiálisis. Salud Publica 62:341-347.
World Health Organization. (2020). Infection Prevention and Control during Halth Care When Novel Coronavirus (NCOV) Infection Is Suspected. OMS. https://www.who.int/public ations/i/item/10665-331495.
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Copyright (c) 2021 Hebe Raquel Cardoso Souza Dourado; Marcela Costa da Silva; Cintia Ferreira Amorim; Queuam Ferreira Silva de Oliveira; Jaciara Mendes Cardoso
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