Nurses from the Mobile Emergency Service: profile and developed activities

the profile showed a workforce predominantly female, young and having specialized training. The activities were organized in the dimensions of caring, managing and educating, verifying the predominance of the first one. Care actions involved multiple procedures, but the use of the Systematization of Nursing Care (SNC) was not mentioned in the development of care activities. Then, the managerial dimension with a predominance of bureaucratic activities was emphasized. Educational activities were less prominent.

Conclusion:

care actions are the focus of the activities of nurses, predominantly the prescribed institutional care without the use of instruments such as SNC that could contribute to the greater visibility of their professional work.

Key words:
Ambulance; Emergency Medicine; Emergency Medical Services; Nurses; Work

Characteristics		n	%
Gender
	Male	19	30.2
	Female	44	69.8
Age
	Less than 30 years old	15	23.8
	31 to 50 years old	46	73.0
	Over 51 years old	1	1.6
	No answer	1	1.6
Acting time as a nurse
	Less than one year	3	4.8
	1 to 5 years	24	38.1
	6 to 10 years	22	34.9
	Over ten years	14	22.2
Post-Graduation
	Specialization	48	76.2
	Master's	2	3.2
	Doctorate	-	-
	Do not have	7	11.1
	Coursing Specialization	6	9.5
Acting time at SAMU
	Less than one year	17	27.0
	From 1 to 5 years	36	57.1
	Over five years	10	15.9
Received training
	Yes	52	82.5
	No	10	15.9
	No answer	1	1.6
Acting unit
	USB	-	-
	USA	58	92.0
	Air	2	3.2
	Coordination	3	4.8

Care to patients	n	%
Rating the injury and treatment	32	18.6
Medications according to the medical prescription	20	11.6
Check vital signs	19	11.0
Puncture venous access	18	10.4
Nasogastric and vesical probe	10	5.8
Cardiac monitoring and pulse oximetry	10	5.8
Hygiene and comfort	8	4.7
Hemodynamic evaluation	8	4.7
Immobilizations	7	4.1
Anamnesis	6	3.5
Help the doctor in procedures and decision-making	6	3.5
Care with mechanical ventilation	6	3.5
Emotional support	5	2.9
Dressings	5	2.9
Electrocardiogram	4	2.3
Transportation and transfers	3	1.7
Hemoglucotest	2	1.2
Neurological evaluation	2	1.2
Child-birth	1	0.6
Total	172	100

Family care	n	%
Psychological/emotional support and user embracement	21	70.0
Check vital signs and medical care	5	16.7
Monitoring the patient	2	6.7
Maintain family privacy	1	3.3
Removing from the risk situations in the event of accidents	1	3.3
Total	30	100

Administrative actions	n	%
Fill the occurrence form	40	27.4
Check List of materials/medicines/equipment	35	24.0
Report in the minutes book (on duty notebook)	20	13.7
Inventory of base /control inventory	11	7.5
Nursing report	9	6.2
Request for drugs and materials	8	5.5
Disinfection of equipment and vehicle	6	4.1
Prescription drugs application	4	2.8
Transfer responsibility term	3	2.0
Warehouse temperature control	3	2.0
Scales (the vehicle disinfection)	3	2.0
Fill of the patient records	1	0.7
Participation in development projects such as "Educate SAMU"	1	0.7
Participation in meetings	1	0.7
Filling timesheet	1	0.7
Total	146	100

Educational actions	n	%
Guidance on the patient´s situation, on the recommendation of not following the ambulance during transfer of the patient, and about the referrals	102	75.0
Continuing education of staff	19	14.0
Guidance on what is the SAMU	7	5.2
Training with colleagues	4	2.9
Lectures and meetings	3	2.2
None at that time	1	0.7
Total	136	100

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Marilene Nonnemacher Luchtemberg. E-mail: marilene@esucri.com.br