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Index de Enfermería
versão On-line ISSN 1699-5988versão impressa ISSN 1132-1296
Resumo
LOPEZ ALONSO, Sergio R et al. Advanced practice of the nurse in out-of-hospital emergencies and comparison with the casuistry attended by teams with doctors. Index Enferm [online]. 2020, vol.29, n.3, pp.127-131. Epub 25-Jan-2021. ISSN 1699-5988.
Objective:
To explore prehospital emergency nursing and to compare the case-mix attended with prehospital medical teams.
Methods:
Cross-sectional study, including patients from Málaga District attended by a prehospital nurse (2012 – 2016), and by prehospital medical teams (2012).
Main variables:
priority, cause of the demand, nursing diagnosis, medication and referral. Descriptive and multiple inferencial analyses.
Results:
The nurse attended 2253 patients. Medical teams attended 21226 patients, and 34.8% presented similar pathologies. Case-mix: Cervical-back-sciatica pain (12.6%), dizziness/vertigo (9.6%), no urgent pathology (9.2%), etc. 63.9% of patients needed medication: Diazepam (19.3%), metoclopramida (13.6%), metamizol (12.5%), etc. Management of medication or healthcare devices, and problem coping were usually associated to assistance demands. 92% of demands were resolved in situ.
Conclusions:
The emergency nurse turns out to be an efficient choice for sharing prehospital demands, even with nursing prescription not yet legalized.
Palavras-chave : Emergency Nursing; Advanced Practice Nursing; Prehospital care; Emergency Medical Services; Prehospital Services.