Análisis de las normativas que guían la práctica del técnico de enfermería en Brasil

Araújo, Marília Souto de; Medeiros, Soraya Maria de; Costa, Edilma de Oliveira; Oliveira, Jonas Sâmi Albuquerque de; Costa, Raphael Raniere de Oliveira; Sousa, Yanna Gomes de

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (3) • 2020 • https://doi.org/10.1590/0034-7167-2018-0322 copiar

Análisis de las normativas que guían la práctica del técnico de enfermería en Brasil

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivos:

evaluar los fundamentos de las normativas que guían la práctica del profesional técnico de enfermería para aclarar cómo ocurre la actuación de esa categoría.

Métodos:

se trata de un estudio de enfoque cualitativo, de naturaleza exploratoria y descriptiva, de tipo documental, realizado con base en las resoluciones del Consejo Federal de Enfermería. De un total de 364 resoluciones publicadas en el período de 1975 a 2018, se seleccionaron 15 que cumplían con el objetivo del estudio.

Resultados:

se sistematizaron dos categorías analíticas: el nivel de actuación del técnico de enfermería, según exponen las resoluciones del Consejo Federal de Enfermería, y la descripción de las actividades del profesional con base en estas resoluciones.

Consideraciones Finales:

el análisis de los fundamentos de las normativas que guían la práctica del técnico de enfermería apunta a una posible debilidad de contenido teórico y normativo para fundamentar la práctica de estos profesionales.

Descriptores:
Práctica Profesional; Resoluciones; Atención de Enfermería; Ubicación de la Práctica Profesional; Enfermería

Conselho Fedeal de Enfermagem resolution No./year	Title
210/1998	Provides for the professional practice of nurses that work with chemotherapeutic and antineoplastic substances.
211/1998	Provides for the professional practice of nurses that work with ionizing radiation.
214/1998	Provides for surgical instrumentation.
358/2009	Provides for systematization of the nursing care and implementation of the nursing process in public or private environments with a professional nursing care, and other provisions.
375/2011	Provides for the presence of the nurse in pre-hospital and inter-hospital care in situations of known or unknown risk.
376/2011	Provides for the participation of the nursing staff in the process of transportation of patients in environment internal to healthcare services.
422/2012	Normalizes the professional practice of the nurse in orthopedic care and orthopedic immobilization procedures.
424/2012	Normalizes the duties of the nurse professionals in Material and Sterilization Center (CME - Centro de Material e Esterilização) and in companies that process health products.
427/2012	Normalizes the nursing procedures for using mechanical restraint in patients.
450/2013	Normalizes the procedure for vesical probe according to the Conselho Federal de Enfermagem /Conselho Regional de Enfermagem system.
453/2014	Approves the technical standard that provides for the performance of the nursing staff in nutritional therapy.
464/2014	Normalizes the practice of the nursing staff in home care.
501/2015	Resolves to approve and establish the regulation on the competence of the nursing staff in the care of wounds.
511/2016	Approves the technical standard that provides for the performance of nurses and nurse technicians in hemotherapy.
567/2018	Regulates the practice of the nursing staff in the care of patients with wounds.

Conselho Federal de Enfermagem resolution No./year	Characterization of activities
210/1998	To act on the prevention, treatment and minimization of side effects in clients undergoing chemotherapy anticancer treatment.
211/1998	To act with radiology examinations, as well as in the prevention, treatment and rehabilitation to clients subjected to ionizing radiation.
214/1998	To act on surgical instrumentation.
358/2009	To participate in the implementation of the nursing process, under the supervision and guidance of the nurse.
375/2011	To act in any pre-hospital service, under direct supervision of the nurse.
376/2011	To monitor the level of consciousness and vital functions, in accordance with the general state of the patient; to keep the connection of endotracheal tubes, vesical probes and nasogastric tubes, chest tubes and intravenous catheters, ensuring the hemodynamic and ventilatory support to the patient; to use protective measures to ensure the physical integrity of the patient.
422/2012	To act in the field of orthopedics and procedures related to orthopedic immobilization through training.
424/2012	To perform the activities prescribed in Standard Operating Procedures, under the guidance and supervision of a nurse.
427/2012	To employ mechanical restraint of the patient under direct supervision of the nurse; to prevent adverse events and early identify them; clinical monitoring of the level of consciousness, vital data and skin and circulation conditions in places and members contained the patient, when the patient is under contention.
450/2013	To perform activities prescribed by the nurse in the planning of assistance, such as monitoring and recording of the patient's complaints, the conditions of the drainage system, the urine output; maintenance of clean technique when handling the drainage system, urine collection for exams; monitoring of water balance - ingestion and elimination of liquids; under supervision and guidance of the nurse.
453/2014	To storage correctly the enteral feeding bottle for its conservation and integrity; to establish specific care with the route of administration; care with the administration of nutrition, checking: medical record, bottle label, patient's name, route of administration, volume and time; to monitor the patient during the procedure; to communicate to the multidisciplinary team the intercurrences related to Nutritional Therapy.
464/2014	To participate in the implementation of the home health nursing, to the extent suitable, under supervision and guidance of the nurse.
501/2015	To dress stage I and II wounds; to assist the nurse in dressing of stage III and IV wounds; to dress stage III wound, when delegated by nurses; to guide the patient on the procedures held and wound care.
511/2015	To promote general care to the patient according to the prescription of nursing or preestablished protocol; to perform procedures that are prescribed or have preestablished protocol, using aseptic technique; to promote cautious identification of the blood bag and tubes simultaneously; to conduct the prescription made by the nurse; to measure vital signs in the pre-, intra- and post-transfusion procedure; to rigorously monitor the drip of blood or blood components.
567/2018	To dress the wound under prescription and action of the nurse; to assist the nurse in the wounds.

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: Marília Souto de Araújo. E-mail: mariliasdearaujo@yahoo.com.br