INFECÇÃO PRIMÁRIA DA CORRENTE SANGUÍNEA EM PACIENTES COM CATETER VENOSO CENTRAL INTERNADOS EM UNIDADES DE TERAPIA INTENSIVA EM UM HOSPITAL DE ENSINO

Abstract

Objective: To describe the experience of nursing students during the supervised internship. Methods: descriptive experience report based on observations of patients with central venous catheters in two intensive care centers in a state hospital in the city of Serra in the state of Espírito Santo. Results and discussion: The average age was 49 years old, 70% male, and 100% were at risk for primary bloodstream infection according to the observations. There is a Bundle both in the evolution of the nurse and at the bedside. The existence of an unstable clinical condition requires intensive care due to some comorbidities such as hypertension and renal failure. Alcohol chlorhexidine is used in the dressing of the puncture, sterile glove, Transport, and gauze daily after the bath. Immediate practices without previous evaluation were observed through the infusion of new drugs. Conclusions: there was an interpretation of the different dynamics of the intensivists' work process. The assessment of the puncture site during dressing changes was possible. The healthcare institution should pay attention to the presence of bloodstream infections by the device. Bundle items in preventing venous catheter infection are paramount. The criterion for choosing the antibiotic requires greater criteria. There is an indirect relationship between comorbidities and central venous catheter, where it encourages the risk of infection due to excessive manipulation of the catheter by the team. We suggest investment and qualified human resources through assistance training and that this study serves as a contribution to new research that encompasses such experiences.