Standardization of the duty shift in a General Adult Intensive Care Unit

Multi-method research, which used action research, descriptive study and content validation. Participants included 11 care nurses and 4 intensive care nurses. For the data collection, a semi-structured questionnaire was used, meetings with participants and validation with specialists. In this step, the modified online Delphi Technique was used. For data treatment, the Discourse of the Collective Subject (DCS) was used, descriptive analysis and Content Validity Index.

Results:

Three DCS on duty change, a Standard Operating Procedure (SOP) and an information registration instrument, validated in appearance, clarity, suitability and content.

Final considerations:

The instrument assists in the transmission of information, strengthening patient safety and SOP will outline the shift, these tools can improve ICU shift, minimizing the risks of communication failure.

Descriptors:
Communication; Critical Care; Nursing care; Shift Work; Patient Safety

Theme discussed	Content agreement
Information record	- Book of intercurrence: annotations on the work team, presence of attestations, absences, delays and overtime; equipment borrowed and defective; intercurrences with other sectors; from any source. - Duty shift registration tool: unique patient information. - Information such as surgeries, procedures, scheduled exams, fasting, isolation, contact precaution, airway or droplets, allergies, mobilization restrictions, should be recorded on the duty shift tool and on the plaques in the patient's box.
Modalities	- Associated method between bedside duty shift with verbally transmitted information and use of registration tool.
Time spent on the activity	- The time set for the duration of the activity was between ten and twenty minutes.
Unit organization	- In duty shifts, the nursing station, arsenal of materials and purge must be organized. - Enteral and parenteral diets installed and checked with beginning and ending. - Hemodialysis checked in the computer system. - The emergency cart is checked and complete. - Alarms of patient monitors with parameters connected and adjusted.

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[1] Corresponding Author: Roselene Campos Corpolato E-mail: r.corpolato@hotmail.com