Banca de DEFESA: MARCELO HENRIQUE TAVARES MARINHO

Educational offer under mechanical ventilation with focus on patient safety for multiprofessional team of

 the adult ICU of a University Hospital.

Health education; Checklist; Patient safety; Respiration Artificial; Permanent education.

Mechanical Ventilation (MV) is a therapeutic resource of great relevance as life support, which is associated with risks to the health of patients when used inadequately. The aim of this study was to develop a teaching model to improve learning about MV, focusing on patient safety for professionals of the multidisciplinary team of a university Hospital, to elaborate and validate content of a Checklist for respiratory monitoring of patients on mechanical ventilation aiming to reduce errors. This is an action research conducted in the ICU of a university Hospital, in the period from October 2017 to April 2018, in 4 stages: development of the checklist, validation of the checklist, preparation of the course and training of the team, and evaluation of the results of Training. The checklist, respiratory care of the patient in mechanical ventilation, contemed the following parameters and/or information: Patient data, previous check of ventilator test, gasometric evaluation, respiratory monitoring and monitoring of Fan. We used a questionnaire with nine identical questions before and after the training. 53 professionals were trained, of whom 47.2% were nursing technicians and 28.3% were nurses. Only 18.9% of the professionals reported previous training in mechanical ventilation with a focus on patient safety. We used the non-parametric McNemar test to evaluate the questionnaire data. We found that 22.6% recognized having knowledge to handle the mechanical ventilator safely before the training, a percentage that amounted to 58.5% (P < 0.05). The professionals recognized having improved their ability to manage the ventilator alarms, in relation to the frequency of checking alarms, adjusting the alarms and what to do in case of failure of the mechanical ventilator. We managed to improve the participants ' learning about mechanical ventilation with a focus on patient safety in most of the items evaluated (5/7), as well as to elaborate and validate a checklist to systate respiratory support to Patients in MV.