Evidence-Based Practice Poster Session (Posters #29-#36)
33 - Results Obtained by the Surgical Nurse Team in the Use of the Scale - ELPO
Description: The surgical positioning for an intervention is fundamental that it is efficient and safe to perform the surgical procedure. The position of the patient allows exposure, access to the operative site. It is the responsibility of all surgical staff to protect the patient from any adverse events resulting from the surgical position. Quite common surgical patients spend a long time on the surgical table. Faced with the position of prolonged positioning in the same position leads the patient to be exposed to risks of skin damage due to the surgical positioning. The high incidence of skin lesion due to surgical positioning has led researchers to identify the risks for perioperative pressure injury. In order to ensure safe and good quality perioperative nursing care, it is especially the responsibility of the surgical nurse to evaluate the risk and implement measures to reduce the risks. We report in this work the experience of the surgical nursing team of Vivalle Hospital, São José dos Campos - SP - Brazil, in the implementation of the Scale of Pressure Risk Classification by Surgical Positioning. Methodology: This is a quantitative, descriptive and exploratory research. The application of the ELPO risk classification is performed by the surgical ward nurse at the time of admission and the measures are implemented according to the algorithm for prevention of surgical positioning injury. The period analyzed was from April 2017 to August 2018.
Results: During the study period 19806 procedures were performed in the surgical center. From this total, we had 06 patients who developed skin lesion related to the surgical positioning with stage I.
Conclusion: We conclude that the Surgical Positioning Pressure Risk Rating Scale demonstrates efficiency by minimizing adverse events related to surgical positioning, leaving close to zero this type of adverse event.