TECNICAS DE VALORACION AL PACIENTE CRÍTICO

7/25/2019 TECNICAS DE VALORACION AL PACIENTE CRTICO

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UNIVERSIDAD ANDINA

Nstor CceresVelsquez

ESCUELA DE POSTGRADOSEGUNDA ESPECIALIDAD PROFESIONAL DE ENFERMERA

ESPECIALIDAD DE ENFERMERA EN EMERGENCIAS YDESASTRES

TECNICAS DE VALORACION ALPACIENTE CRTICO

DOCENTE. MG. HILDA G. GALLEGOS FLORES

PUNO - 2014


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Mg. Hilda G. Gallegos Flores

INTRODUCCIN

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Mg. Hilda G. Gallegos FloresMg. Hilda G. Gallegos Flores


INDICE

INTRODUCCIN

ORGANIZACIN DE LOS SERVICIOS BASICOS..................................................................DEFINICIONES:.........................................................................................................................EMERGENCIA...........................................................................................................................URGENCIA.................................................................................................................................DEFINICION DE LA UNIDAD OPERATIVA DE EMERGENCIA...........................................DESASTRE.................................................................................................................................SITUACIN DE EMERGENCIA...............................................................................................UBICACIN DE LA UNIDAD DENTRO DEL ESTABLECIMIENTO....................................ACCESIBILIDAD.......................................................................................................................RELACIONES.............................................................................................................................PROGRAMA MEDICO ARQUITECTONICO...........................................................................CRITERIOS A CONSIDERARSE EN LA PLANIFICACION Y DISEO DE LAUNIDAD......................................................................................................................................

Criteri T!"#i"$%"i#'(...........................................................................................................Criteri )e C#%rt:......................................................................................................................Criteri* A*"i')* ' M'#te#i+ie#t:..........................................................................................Criteri* )e Re)&""i,# )e t* Rie*-* )e V&(#er'i(i)'):.........................................................../REA DE LA UNIDAD DE EMERGENCIA............................................................................./REA ADMINISTRATIVA:......................................................................................................../REA CLINICA:.........................................................................................................................NORMAS DE ATENCIN EN LOS SERVICIOS DE EMERGENCIA.....................................TRIAE DE LOS SERVICIOS DE EMERGENCIA..................................................................UNIDAD DE S1OC2 TRAUMA.............................................................................................IMPLEMENTACIN DE LA UNIDAD DE S1OC2 TRAUMA.............................................INFRAESTRUCTURA3 EQUIPAMIENTO Y LOG4STICA.....................................................

EQUIPAMIENTO Y LOG4STICA.............................................................................................ORGANIZACIN DE LA UNIDAD DE S1OC2 TRAUMA..................................................COMUNICACIONES................................................................................................................SISTEMAS DE APOYO A LA UNIDAD..................................................................................MEDICINA DE EMERGENCIAS Y DESASTRES..................................................................PERFIL PROFESIONAL DE LA ENFERMERA EN EMERGENCIAS...................................ACTIVIDADES EN LA ATENCIN DE ENFERMER4A EN EL /REA DEEMERGENCIA..........................................................................................................................ACTIVIDADES EN OBSERVACIN DE EMERGENCIA......................................................PROPUESTA FINAL DE FUNCIONES DE LA ENFERMERA ESPECIALISTAQUE LABORAN EN LAS UNIDADES DE EMERGENCIAS Y5O CUIDADOSINTENSIVOS............................................................................................................................

FUNCIONES DOCENTES........................................................................................................TAREAS ASISTENCIALES QUE PUEDE REALIZAR...........................................................TRASLADO DEL PACIENTE CR4TICO..................................................................................TRANSPORTE ASISTIDO: AMBULANCIAS.........................................................................MONITOREO 1EMODINAMICO...........................................................................................MONITORIZACIN INVASIVA..............................................................................................INDICACIONES DEL CAP......................................................................................................COMPLICACIONES DEL CAP:...............................................................................................CATETER VENOSO CENTRAL..............................................................................................

BIBLIOGRAF4A.............................................................................................................

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CAPITULO I

ORGANIZACIN DE LOS SERVICIOS BASICOS

1. DEFINICIONES:

C#"er (' )i%ere#"i' e#tre e*t* )* t!r+i#* # *( e* i+6rt'#te 6'r' e( e7&i6)e *'(&)3 *i# 6'r' t)' (' 6('"i,# e# *& "#8t. E# #&e*tr' 9i)' )i'ri' 6)e+*e#%re#t'r#* e# "&'(7&ier ++e#t ' e*t'* *it&'"i#e*. E*t'r 6re6'r')* 6'r''%r#t'r(* e* %)'+e#t'(.

1.1. EMERGENCIAE* (' *it&'"i,# )e *'(&) 7&e *e 6re*e#t' re6e#ti#'+e#te e i#e*6er')' 7&ere7&iere 'te#"i,# i#+e)i't' '( 6#er e# 6e(i-r i#+i#e#te (' 9i)'3 (' *'(&) 7&e

6&e)' )e8'r *e"&e('* i#9'(i)'#te* '( 6'"ie#te3 E8e+6( )e 6*i(e* "'**:P!r)i)' )e "#"i+ie#t3 ')'#te 6!r)i)' )e *'#-re e+rr'-i'3 )i%i"&(t')re*6ir'tri' 6r(#-')'3 )(r i#te#* e# (' ;#' )e( 6e"3 "#9&(*i#e*3e(e"tr"&"i,#3 '*%i 6&e)e re7&erir '*i*te#"i' +!)i"' )e#tr )e 6eri) )e tie+6r';#'(e ?)e#tr )e (* @ r'*

DAOC+6r+i* )e( e*t') )e *'(&) e# -r') )i9er*. L* )'* e# e( *er9i"i )ee+er-e#"i' *e "('*i%i"'# )e '"&er) ' *& 6riri)') Priri)') I: E+er-e#"i' -r'9e)') *it' e (' 9i)' )e( 6'"ie#te > 6r ( t'#tre7&iere# ' 'te#"i,# i#+e)i't'.

F"i#' ('* @ r'* )e( )=' (* H )='* )e( ' > (' 6er+'#e#"i' )e (*6'"ie#te* e# e*t' i)') # )ee *er +'>r ' ('* @ r'*.

1.4. DESASTREE# e( *er9i"i )e e+er-e#"i' e* "&'#) e( #+er )e 6'"ie#te* (' -r'9e)') )e*&* 6')e"i+ie#t* > (e*i#e* *# t'(e* 7&e e* i+6*i(e *e-&ir 6er'#)#r+'(+e#te3 (' 'te#"i,# *,( e* 6*i(e "# '>&)' e


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1.". SITUACIN DE EMERGENCIAA(ter'"i,# *it' > %rt&it' 7&e )e # *er 'te#)i)' )e +'#er' i#+e)i't'3 6#e '' 6er*#' e# -r'9e rie*- )e 6er)er (' 9i)'3 6&e)e "#)&"ir ' (' +&erte *e"&e('* i#9'(i)'#te* "rre*6#)e ' 6'"ie#te* "# )'* "'(i%i"')* "+Priri)') I > II.

2. UBICACIN DE LA UNIDAD DENTRO DEL ESTABLECIMIENTOPr (' %"i,# 7&e re'(i;'3 )ee e*t'r &i"')' e# (&-'r )e '""e* i#+e)i't >3)ire"t )e*)e e( e e9'"&'"i,# %re#te )e+'#)'* +'*i9'* )e'te#"i,# e# "'* )e "'t*tr%e*.

L'* re'* ')>'"e#te* ' (' U#i)') )e E+er-e#"i' )ee# *er 6re*er9')'* 6'r' &* )ee e# e( i#terir )e e*te. L'* 9='* )e '""e* i#ter# $ i#terir )e (' U#i)') )e E+er-e#"i' "# e( 1*6it'(

)eer# *er )i%ere#"i')'* > e e7&i6*3"#*i)er'#) 6'r' (* 6'*')i;* +=#i+ )e @.J0 +t*.

E# ('* 9='* i#terire* )e (' U#i)')3 *e )ee )i*6#er )e t)'* ('* +e)i)'* 7&ee9ite# (' i#*t'('"i,# )e e7&i6*3 +i(i'ri 7&e 6#-'# e# rie*- (' "ir"&('"i,#%(&i)' )e 6er*#'* > e7&i6*.

E( i#-re* "#t'r "# r'+6'* "# '#" +=#i+ )e +t. (ire e#tre6'*'+'#*3 "# ' 6e#)ie#te # +'>r )e K3 "# *&6er%i"ie '#ti)e*(i;'#te >6r9i*t' )e 6'*'+'#*3 7&e %'"i(ite# e( +9i+ie#t )e ('* *i(('* )e r&e)'* > )e('* "'+i(('*.

4. RELACIONESL' U#i)') )e E+er-e#"i' )ee te#er ' re('"i,# )ire"t' '"i' ('* U#i)')e* )e:A>&)' '( Di'-#,*ti" > B'#" )e S'#-re3 Ce#tr Q&irr-i"3 Ce#tr O*t!tri"3tr* *er9i"i* "r=ti"*3 C&i)')* I#te#*i9* > C#*&(t' E 6(i".

@


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E# ('* %"i#e* 7&e *e i#te-r'# e# (' 6('#i%i"'"i,# *'#it'ri' )eer "#*i)er'r*e ('')'6t'"i,# )e (* *er9i"i* ' ('* +)i%i"'"i#e* e# (' )e+'#)'3 (' &ti(i;'"i,# )e#&e9' te"#(-='3 ('* e 6r>e"t')' )e (* 6'"ie#te* 7&e '"&)e# ' E+er-e#"i'3 (' "+6(e8i)') )e(1*6it'(3 (' &i"'"i,# > (' '""e*ii(i)') )e( +i*+.

". PROGRAMA MEDICO AR#UITECTONICOSe-# ('* #r+'* t!"#i"'* 6'r' 6r>e"t* )e 'r7&ite"t&r' > e7&i6'+ie#t )e ('*i)')e* )e e+er-e#"i' )e (* e*t'(e"i+ie#t* )e *'(&) )e #&e*tr 6'=* i#)i"'re%iri!#)*e ' e*te te+' 7&e e# ('* %"i#e* 7&e *e i#te-r'# e# (' 6('#i%i"'"i,#*'#it'ri' )eer "#*i)er'r*e (' ')'6t'"i,# )e (* *er9i"i* ' ('* +)i%i"'"i#e* ' (')e+'#)'3 (' &ti(i;'"i,# )e #&e9' te"#(-='3 ('* e (' '""e*ii(i)') )e( +i*+.

$. CRITERIOS A CONSIDERARSE EN LA PLANIFICACION Y DISEO DELA UNIDAD

$.1. C%&'(%&) T*+,&+)-,+&),/: S# t)* '7&e((* re('"i#')* "# ('r-'#i;'"i,#3 ("'(i;'"i,# > 'i(i)') )e i#terre('"i,# )e (* '+ie#te*. E("riteri 'r7&ite"t,#i" )ee %'9re"er (' i(&+i#'"i,# #'t&r'( )e (* '+ie#te*.

$.2. C%&'(%&) ( C),)%':S# (* re('"i#')* "# (' "+)i)') )e (* 6'"ie#te*3'( 6er*#'( )&r'#te *& 6er+'#e#"i' e# e+er-e#"i'.

$.!. C%&'(%&) A)+&/) / M/,'(,&3&(,'): Re('"i#')* "# (* *i*te+'* 7&e'*e-&re# (' "'(i)') > 6rti)') )e( +'#te#i+ie#t3 re)&"ie#) (* "*t* )e6er'"i,# > +'#te#i+ie#t.

$.4. C%&'(%&) ( R(++&, ( ') R&(5) ( V,(%/6&&/: Se "#*i)er'#e*t* "+ ('* '""i#e* te#)ie#te* ' +i#i+i;'r (' *&*"e6tii(i)') )e (' 6('#t'

%=*i"' > )e ('* i#*t'('"i#e* ' *&%rir )'* e*tr&"t&r'(e* > # e*tr&"t&r'(e*.7. 8REA DE LA UNIDAD DE EMERGENCIA

7.1. 8REA ADMINISTRATIVA:C+6re#)e (* '+ie#te* re('"i#')* "# ('*'"ti9i)')e* ')+i#i*tr'ti9'* 7&e %'"i(it'# > )'# '6> ' ('* '"ti9i)')e* "(=#i"'*)e (' i)')3 "+6re#)e:

/9 Informes: A+ie#te )e*ti#') ' ri#)'r i#%r+e* > 'te#"i,# '( 6(i"./re' +=#i+' @.H +@.

69 Admisin y Acreditacin del derecho:A+ie#te )e*ti#') '.


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Ate#)er (' *(i"it&) )e (* 6'"ie#te* 7&e #e"e*it'# 'te#"i,# +!)i"' e#e+er-e#"i'.

Tr'+it'r *6it'(i;'"i,# )e (* 6'"ie#te*. S& &i"'"i,# e*t'r ' (' e#tr')' > *er 9i*i(e. /re' +=#i+': H+@ 6'r' (' 'te#"i,# )e ' 6er*#'.

+9 Caja: A+ie#te )#)e *e &i"'r' e( 6er*#'( 6'r' re'(i;'r "r'#;'. S&&i"'"i,# )ee *er "#ti-&' ' (' )e ')+i*i,#. /re' +=#i+' @.H+ 6r

6er*#'.

9 Unidad del Jefe: A+ie#te )e*ti#') ' re'(i;'r ('* %"i#e* )er-'#i;'"i,# > "r)i#'"i,#. /re' +=#i+' )e H +@ "# *& *er9i"ii-i!#i".

(9 Secretaria: A+ie#te )e tr''8 t!"#i"$')+i#i*tr'ti9 )e (' i)') e#

re('"i,# ' ('* %"i#e* )e: A'*te"i+ie#t. Ar"i9. Re"e6"i,#. De*6'" )e i#%r+'"i,#. /re' +=#i+' )e +@

9 Trabajo Social: A+ie#te )e*ti#') '( tr''8 t!"#i" ')+i#i*tr'ti9 )e'6> ' (* 6'"ie#te* > %'+i(i're*. Ui"'"i,# 6r, "('*i%i"'"i,# )e

6'"ie#te*. /re' +=#i+' H+@.

b) Shoc Tra!ma:A+ie#te )e*ti#') ' (' 'te#"i,# i#+e)i't' )e( 6'"ie#te

"riti" 6riri)') . L' 'te#"i,# *e re'(i;' 6r e7&i6 +&(ti)i*"i6(i#'ri(i)er') 6r e( +!)i" e#"'r-') )e( re'. S& &i"'"i,# )ee *er )e +&>


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%"i( '""e*3 e* ;#' re*tri#-i)'. E( tie+6 )e 6er+'#e#"i' )ee *er (e*tri"t'+e#te #e"e*'ri3 '*t' "#*e-&ir (' e*t'i(i)') )e( 6'"ie#te 7&e

6er+it' *& tr'*(') ' tr *er9i"i3 7&e "rre*6#)' 6'r' *& tr't'+ie#t)e%i#iti9 6'r' e( tr'*(') )e( 6'"ie#te "riti" )ee 'er i#)i"'"i,# +!)i"'3"r)i#'"i,# > tr'*(') ')e"&'). C')' 'te#"i,# )ee re-i*tr'r*e e# (ir

)e Re-i*tr )e Ate#"i,# )#)e *e '#t'r: %e"'3 r'3 #+re3 e)')3#+er )e i*tri'3 )i'-#,*ti"3 tr't'+ie#t3 )e*ti#3 #+re > %ir+' )e(+!)i" tr't'#te. S& re' +=#i+' *er )e @0 [email protected] 0 "'+i(('.

c) T"ico de Emer#encia: L' %"i,# )e e*te '+ie#te e* 'te#)er ' (*6'"ie#te* 7&e re7&iere# 'te#"i,# i#+e)i't' 6'r' )i'-#*ti"'r *& e#%er+e)') i#i"i'r tr't'+ie#t #e"e*'ri3 6'r' *& re"&6er'"i,# 6'*'r(* ' *er9'"i,#>5 *6it'(i;'"i,# *i e( "'* ( re7&iere. L* 6'"ie#te* 6er+'#e"e# e# e*tet,6i" e( tie+6 *&%i"ie#te. L' 'te#"i,# )e( 6'"ie#te *er re-i*tr') e# ('i*tri' "(=#i"' re9e )e e+er-e#"i'3 )eie#) "#t'r %ir+' > *e(( )e(re*6#*'(e. /re' +=#i+' H +@. 6r "#*&(tri.

d) T"ico de Atencin $ediatra: E* e( '+ie#te )e*ti#') ' (' "#*&(t'6e)itri"'. S& re' +=#i+' )ee *er )e H +@.

e) T"ico %ineco Obstetricia: A+ie#te )#)e *e 'tie#)e e+er-e#"i'-i#e"*tetri"i'*. S& &i"'"i,# )ee e*t'r "er"' )e( i#-re*. S& )i*e )ee

6er+itir (' 6ri9'"i)') )e( 6'"ie#te3 *& re' +=#i+' *er H + > "#t'r' "#*er9i"i i-i!#i"3 e( +i*+ 7&e te#)r re' +=#i+' @.0 +@.

f) T"ico Tra!matolo#a:A+ie#te )e*ti#') ' 'te#)er 6'"ie#te* > e%e"t&'r6r"e)i+ie#t* )e re)&""i,# (& +i(i'ri ')e"&'). S&&i"'"i,# )ee e*t'r "er"' )e (* t,6i"* )e 'te#"i,#3 )e %"i( '""e* 6'r'"'+i(('*3 *i((' )e r&e)'* > e7&i6* )e R 6rtti(. /re' +=#i+' H +@.

#) T"ico Inyectables:/re' )e*ti#')' ' (' '6(i"'"i,# )e i#>e"t'(e* ' 6'"ie#te*'+&('tri*. /re' +=#i+' H +@.

h) Sala de Obser&acin de Ad!ltos:A e*t' *'(' i#-re*'# 6'"ie#te* 'ie#)6'*') 6re9i'+e#te 6r (' "#*&(t' > )ei) ' *& i#e*t'i(i)') #e"e*it'# '*er9'"i,# )ire"t' > tie#e 6r 8eti9 tr't'r > ((e-'r ' )i'-#,*ti" >

e*t'i(i;'r ' (* 6'"ie#te* '#te* )e *er *6it'(i;')*3 6'*'r ' (' *'(' )e6er'"i#e* *er )')* )e '(t'. L* 6'"ie#te* e# e*te '+ie#te # )ee#6er+'#e"er 6r tie+6 +'>r ' @ r'* 6'r' 6riri)') I > )e @ 6'r'6riri)') II.

L' *'(' )e *er9'"i,# )ee "#t'r "# '+ie#te* *e6'r')*3 t'#t 6'r' 9'r#e*"+ 6'r' )'+'*3 7&ie#e* 6er+'#e"er# e# "'+i(('* > "')' ' )e e*t'* )eete#er re' +=#i+' )e J +@3 6r9i*t'* )e *i*te+' )e '*6ir'"i,# +#t') >

6re6'r') '*= "+ e( *i*te+' )e 3

H


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'-re-#)*e ')e+* ' +e*' 6'r' t+' )e '(i+e#t* )e( 6'"ie#te. C')'6'"ie#te "#t'r' "# *i*te+' )e (('+')' ?E8. Ti+re.

L'* "'+i(('* e*t'r# *e6'r')'* "# *i*te+' )e "err'+ie#t 7&e 6er+it'# )'r6ri9'"i)') ' "')' 6'"ie#te. Se re"+ie#)' ')e+* e( *i*te+' )e rie(e* '!re*

?Te" 6'r' *&8e"i,# )e e7&i6*3 %r'*"* )e *(&"i#e* > +'#i6&(e )e (*+i*+*.

Dee 6er+itir*e e( '""e* r6i) )e "')' '+ie#te "# +=#i+ )e tr%i""r&;')3 ('* 6'*i((* )eer *er )e '#"&r' ')e"&')' 7&e 6er+it' e( 6'*'8e"r&;') )e )* "'+'* *i# #i#-' )i%i"&(t') ('* 6&ert'* )ee# *er (*&%i"ie#te+e#te '#"'* 6'r' 7&e 6'*e# ('* "'+'* "# %'"i(i)')3 e( e*6'"i+=#i+ 7&e )ee 'er e#tre "'+i(('* e* )e @. +@. E# "&'#t ' (' i(&+i#'"i,#)ee te#er e ti+re )e (('+')'*. L* *er9i"i*i-i!#i"* )eer# )i%ere#"i'r 6r *e 6er+itir e( '""e* )e *i((' )er&e)'* > )e )* 6er*#'*. Dee# "#t'r "# 9e#ti('"i,# #'t&r'( *i#"# e "#t'r "#)&"'* 6'r' i-ie#e )e( 6'"ie#te.

L// +;/'/:A+ie#te )e*ti#') ' ('9'r3 )e*i#%e"t'r > -&'r)'r ('*"'t'* > 6'6'-'>*3 *& &i"'"i,# *er '( (') )e (* *er9i"i* i-i!#i"*:*& re' +=#i+' *er )e .H0 +@.

S(%&+&) ;&5&*,&+)


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E( #+er )e e((* )e6e#)er )e( t'+' )e (' i)') )e e+er-e#"i'. Se"#*i)er' re' +=#i+' )e @.H0 +@ 6r "'3 [email protected] "'+i((' 6'r'

6'"ie#te* 6ree*"('re* > H [email protected]'r' 6'"ie#te* e# e)') e*"('r.

E=&e (*i-&ie#te: T& )e M'> )e )i%ere#te* t'+'* B'(,#3 9(9&(' >+'*"'r' ?A+& E7&i6 "+6(et )e e#t&'"i,# e#)tr'7&e'(O 6rti)') *&* )'t* Ve('r 6r e( +e8r'+ie#t3 "#*er9'"i,# > re"&6er'"i,# )e *& *'(&). 1'"er &* ')e"&') )e (* *er9i"i*3 ie#e* e i#%r'e*tr&"t&r'. D'r "&+6(i+ie#t ' ('* #r+'*. Re*6et'r (* )ere"* )e (* )e+* 6'"ie#te*. Re*6et'r (' )i-#i)') )e( 6er*#'(. C&+6(ir e( tr't'+ie#t 6re*"rit > ('* +e)i)'* +!)i"$*'#it'ri'* )i"t')'*. I#%r+'r *re (* e%e"t* ')9er** )e +e)i"'+e#t*.


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!. PRIORIDADES Priri)') I: Ate#"i,# i#+e)i't' *" tr'&+'. Priri)') II: Ate#"i,# '#te* )e (* 0 +i#. Priri)') III: Ate#"i,# 6&e)e e*6er'r 0 +i#. Priri)') IV: Ate#"i,# 6r "#*&(t' e 6re*e#te i#ter!* 6r

(' 6er*#'. S(i"it'r '( 6'"ie#te 7&e *e i)e#ti%i7&e3 *i (e 6er+ite *& "#)i"i,# C#*&(te '( 6'"ie#te e( +ti9 )e 6re*e#"i'. P#-' 'te#"i,# ' ( 7&e !*te e "e#tr* '*i*te#"i'(e*3 e*t# (i-')* ' ri#)'r 'te#"i,# +!)i""+ 7&irr-i"' ' t)' 6er*#' e# *it&'"i,# )e e+er-e#"i' *e'3 *e-#:

A%'>+) !. L(? G(,(%/ ( S/.P'"ie#te i#-re*'.Le re'(i;'# tri'8e.

Si e( 6'"ie#te 9ie#e eri) )e '(' 6r 'r+' ('#"'3 '""i)e#te )e tr#*it3e*t'+* (i-')* ' '9i*'r ' (' 6(i"='.

".1. CONTROL DE INGRESO DE PACIENTES

a) (!ncionarios in&ol!crados:

Vi-i('#te )e *e-&ri)').

b) 'e!erimientos crticos:

D"&+e#t N'"i#'( )e I)e#ti)') ?DNI Li*t' )e 6'"ie#te* *6it'(i;')* e# e+er-e#"i'.

".2. PASOS EN LA ATENCIN' Pre-te '( 6'"ie#te %'+i(i'r "&'( e* e( +ti9 7&e ( tr'e ' e+er-e#"i'.

L('+e '( 6'"ie#te 6'r' 'te#"i,# +!)i"'.

Dire""i#e '( 6'"ie#te ' tri'8e 6'r' )eri9'r( ' (' i)') "rre*6#)ie#te)e6e#)ie#) )e( e*t') )e *'(&).

" S(i"it'r ' %'+i(i're* ' e*6er'r e# (' *'(' )e e*6er'.

I)e#ti%i7&e #e"e*i)') )e( 6'"ie#te.

J


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Si e( 6'"ie#te *e e#"&e#tr' "# rie*- 9it'(3 )eri9e i#+e)i't'+e#te '*" tr'&+' 6'r' 7&e 6&e)' *er 'te#)i) 6r e*6e"i'(i*t'.

Si e( 6'"ie#te e*t e*t'i(i;') "#ti#e "# (' 'te#"i,# )e tri'8e.

$. RECEPCIN:

A( 6'"ie#te e# *it&'"i,# )e e+er-e#"i'3 e( 6er*#'( )e 9i-i('#"i' %'"i(it'r *&i#-re* 6'r' e(( t'#t ('* "'+i(('* "+ (' *i((' )e r&e)'* )ee# 6er+'#e"er ' ('e#tr')' 6'r' *& r6i) tr'*(').E( '""e* '( re' )e e+er-e#"i' )ee *er )ire"t3 (ire )e *t"&(*3 "#*e'(i;'"i,# "('r'.

. ADMISIN:Se e#"'r-' )e (' i)e#ti%i"'"i,# > 9eri%i"'"i,# )e )'t*.Dee te#er '""e* ' i#%r+'"i,# '"t&'(i;')'.

Ni#-' 6er*#' e# *it&'"i,# )e e+er-e#"i' 7&e)'r *i# *er 'te#)i).E( 6'"ie#te3 *i e* e+er-e#"i' *e 'tie#)e 6r (' Le> Ge#er'( )e S'(&)3 # 6'-')ere"*3 (&e- )e e*t'i(i;') *e )'r )e '(t' 6'*'r ' (* '+ie#te* )e*er9'"i,#.

INGRESO DEL PACIENTE

EGRESO DEL PACIENTE DE OBSERVACIN EMERGENCIA

Tpico MedicinaAdmisinTriajeIngreso

Identificacin Tpico ciruga

Tpico traumatologaRegistro de datos

Tpico ginecobstetriciaSi es emergencia

debe recibir atencin

Tpico pediatra

Shock trauma


13/95


A?/ / &/5,)'&+)TACR e-re**18' )e tr't'+ie#t "'r)e )eter+i#' (' 6riri)') )e( )' )e( +i*+3 ' %i# )e)eri9'r( '( re' "rre*6#)ie#te )e '"&er) '( 6rt"( )e tri'8e: (i*t' )e )'**e-# 6riri)') )e 'te#"i,#.

E( 6r%e*i#'( )e *'(&) e#"'r-') )e( tri'8e3 e*t'r e# 6er+'#e#te "r)i#'"i,#"# e( +!)i" 8e%e )e -&'r)i' 7&ie# e*t! 6r-r'+') "+ re*6#*'(e *ie#)re*6#*'i(i)') )e (' re*(&"i,# )e (* "'** e*6e"i'(e* e# 7&e '>' 7&e'6(i"'r (' (e> )e e+er-e#"i'.

E# e( re' )e tri'8e *e '"ti9'r e( ",)i- )e '('r+' )e e+er-e#"i' '#te (' ((e-')')e 6'"ie#te )e 6riri)') I3 6'r' 7&e e( e7&i6 )e re'#i+'"i,# *e "#*tit&>' e#e( '"t3 e# (' *'(' )e *" tr'&+': (i*t' )e )'* *e-# 6riri)') )e 'te#"i,#.

E( 6rt"( )e( tri'8e 6)r *er ')e"&') ' ('* "'r'"ter=*ti"'* )e "')' *6it'(.

C'r'"ter=*ti"'* )e( re' )e tri'8e Re*tri#-i)'. E*6'"i*'. F"i( '""e*. Se"tri;')'. Cer"'#' ' re'* )e tr't'+ie#t.

@


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4. CRITERIOS:Se "#*i)er' Criteri* )e Rie*-3 (* te#i)* e# (' e9'(&'"i,# i#i"i'( )e( 6'"ie#te3"'6t'#) ('* (e*i#e* 6re*e#te* > 6te#"i'(e*.

Se "('*i%i"' e( rie*- > (' 'te#"i,# "rre*6#)ie#te e# "&'tr 6riri)')e*3 )e +'>r '+e#r rie*-3 ( 7&e )eter+i#' (' 'te#"i,# i#+e)i't' )i%eri)' )e( 6'"ie#te.

L' 6riri;'"i,# )e (' 'te#"i,# # )ee *er i#%(&e#"i')' 6r %'"tre* e5 '"+6''#te*3 #)eer# i#ter%erir e# (' '*i-#'"i,# )e 6riri)')3 6er re7&iere# )e ' e*6e"i'('te#"i,# > +'#e8 )e (' *it&'"i,# 6r 6'rte )e( 6er*#'( )e e+er-e#"i'.

". LISTA DE DAOS SEGN PRIORIDAD:Se e#&+er'# ('* 6't(-='* +* %re"&e#te* re('"i#')'* "# "')' ' )e ('Priri)')e* e*t'(e"i)'* e# e( tri'8e:

A. PRIORIDAD IP'"ie#te* "# '(ter'"i,# *it' > "riti"' )e( e*t') )e *'(&)3 e# rie*- i#+i#e#te)e +&erte > 7&e re7&iere# 'te#"i,# i#+e)i't' e# (' S'(' )e Re'#i+'"i,# $ S"tr'&+'.. P'r "'r)i re*6ir'tri.@. D(r tr"i" )e 6*i(e ri-e# "'r)i-!#i" *i# i6te#*i,#. Arrit+i' "# "+6r+i* e+)i#+i" )e 6*i(e ri-e# "'r)i-!#i" "#

*i# i6te#*i,#.. S" ?e+rr-i"3 "'r)i-!#i"3 )i*tri&ti93 *tr&"ti9.H. 1e+rr'-i' 6r%&*'.. Di%i"&(t') re*6ir'tri'.. O*tr&""i,# )e 9=' re*6ir'tri' '(t'.J. I#e*t'i(i)') e+)i#+i"' ?i6te#*i,#3 *"3 "ri*i* i6erte#*i9'.. P'"ie#te i#"#*"ie#te 7&e # re*6#)e ' e*t=+&(*.0. P'"ie#te "# tr'&+' *e9er "+:

V="ti+' )e '""i)e#te* )e tr#*it. Q&e+')&r'* "# e *=#t+'* )e e+'r'; e"t,6i" rt.. Si-#* 9it'(e* '#r+'(e*.


17/95



A'): Fre"&e#"i' "'r)i'"' ' H0 < +i#. Fre"&e#"i' "'r)i'"' ' H0 < +i#. Pre*i,# 'rteri'( *i*t(i"' ' 0 ++1-. Pre*i,# 'rteri'( *i*t(i"' @@0++1-. Pre*i,# 'rteri'( )i'*t,(i"' ' 0 ++1-. 0 0 ++1- 6r e#"i+' )e

*&'*'(. Fre"&e#"i' re*6ir'tri' H < +i#. Fre"&e#"i' re*6ir'tri' 0 < +i#.

L/+'/,'(: Fre"&e#"i' "'r)i'"' ' 0 < +i#. Fre"&e#"i' "'r)i'"' ' @00 < +i#. Pre*i,# 'rteri'( *i*t(i"' ' 0 ++1-. Fre"&e#"i' re*6ir'tri' ' 0 < +i#. ?'*t' (* @ +e*e* Fre"&e#"i' re*6ir'tri' ' H0 < +i#. ?)e*)e (* @ +e*e* '*t' e( ' S't&r'"i,# )e r ' tre**e-)*. S'#-r'): e+'te+e*i*3 *'#-r') re"t'(3 9'-i#'(3 e6i*t'


18/95



B. PRIORIDAD IIP'"ie#te* 6rt')re* )e "&')r *it3 '-&) "# rie*- )e +&erte3 "+6(i"'"i#e* *eri'*3 "&>' 'te#"i,# )ee re'(i;'r*e e# tie+6 )e e*6er' #+'>r i-&'( ' 0 +i#&t* )e*)e *& i#-re*3 *er# 'te#)i)* e# "#*&(tri* )e

e+er-e#"i':. Fre"&e#"i' re*6ir'tri' )e @ 6r +i#.

@. Cri*i* '*+ti"' "# r#"e*6'*+ +)er').. Di'ete* +e((it&* )e*"+6e#*')'.. 1e+6ti*i*.H. Si-#* > *=#t+'* )e ')+e# '-&).. C#9&(*i,# re"ie#te e# 6'"ie#te "#*ie#te.. D(r tr"i" # "'r)i-!#i" *i# "+6r+i* 1e+)i#+i".J. Arrit+i'* *i# "+6r+i* 1e+)i#+i".. S'#-r') -'*tri#te*ti#'( "# *i-#* 9it'(e* e*t'(e*.

0. P'"ie#te "# tr'*tr#, e# e( *e#*ri. 1i6t#=' %('"i)e; +&*"&('r '-&)' )e e9(&"i,# 6r-re*i9'.@. De*"+6e#*'"i,# e6ti"'.. 1er#i' U+i(i"'( I#-&i#'( e#"'r"e(')'.. Si-#* > *=#t+'* )e )e*"+6e#*'"i,# tiri)e'.H. C#t&*i#e* tr'&+'ti*+* "# **6e"' )e %r'"t&r' (& Si-#* )e ",(er'.@. De*i)r't'"i,# '-&)' *i# )e*"+6e#*'"i,# e+)i#+i"'.@@. 1e+'t&ri' +i"r*",6i"'.@. Re'""i,# '(!r-i"' *i# "+6r+i* re*6ir'tri.@. S=#)r+e %eri( i#%e""i,# e# 6'"ie#te i#+*&6ri+i).@H. P'"ie#te* 6*t$6er')* )e "ir&-=' '(t'+e#te e*6e"i'(i;')' 6'"ie#te* e#

6r-r'+' )e e+)i(i*i* "# *=#t+'* > *i-#* '-&)*@. C'-&(6't='* *i# )e*"+6e#*'"i,# e+)i#+i"'.@. Sre)*i* )e )r-'* > '("( *i# )e6re*i,# re*6ir'tri'.@J. Ce%'(e' "# '#te"e)e#te* )e tr'&+' "r'#e'(.@. S=#)r+e +e#=#-e.

0. S=#t+'* > *i-#* )e e#%er+e)')e* 9'*"&('re* '-&)'*.. C,(i" re#'( *i# re*6&e*t' ' (' '#'(-e*i' +'>r ' r'*@. Rete#"i,# &ri#'ri'.. S=#)r+e )e '*ti#e#"i' )e )r-'* > '("(.. C&er6* e


19/95



. C#t&*i#e* tr'&+'ti*+* (e9e* *i# *i-#* *=#t+'* )e %r'"t&r' (& ter"er tri+e*tre 7&e re6rt' '&*e#"i' )e+9i+ie#t* %et'(e*.

S'#-r') 6*t$6'rt. 1i6erte#*i,# 7&e "+6(i"' e( e+'r';.

Si-#* > *=#t+'* )e t


20/95



@. 1eri)' 7&e # re7&iere *&t&r'.. I#t *=#t+'* )e )e6re*i,#.. Cri*i* )e '#*ie)') )i*"i'ti9'*.@0. Si-#* > *=#t+'* )e i#%e""i,# &ri#'ri' '(t'.@. P'"ie#te* "# #e&r*i* )e '#*ie)').@@. P'"ie#te* *i",ti"* "# re'-&)i;'"i,# )e *&* *=#t+'* 6er '# *i# "#)&"t'

6*i"ti"'.

D. PRIORIDAD IVP'"ie#te* *i# "+6r+i* )e %"i#e* 9it'(e* #i rie*- )e "+6(i"'"i,#i#+e)i't' 7&e 6&e)' *er 'te#)i) e# C#*&(t' E


21/95



Per ' "'r- )e +!)i"* > e#%er+er'* 6re6'r')* 6'r' (' e*6e"i'(i)') )eMe)i"i#' )e E+er-e#"i'* > De*'*tre* )i" tie+6 )e e#tre#'+ie#t )&r, '*.E# M'> )e JJ3 e# e( 1*6it'( N'"i#'( E)-'r) Re'-(i'ti M'rti#* *e "re, ('Se-)' U#i)') )e S" Tr'&+'3 e# *& i#i"i )iri-i) 6r "(=#i"* e#tre#')* e#t!"#i"'* > 6r"e)i+ie#t* )e S6rte C'r)i'" A9'#;') )e Vi)' > S6rte

A9'#;') )e( Tr'&+'.

E( @0 )e 8i )e @3 *e i#te-r'r# (* 1*6it'(e* Ce#tr'( I > Ce#tr'( II3 "re#)*ee( 1*6it'( )e( S&r Are7&i6'3 '( i%i"'r*e > *e "re' e( '"t&'( Ser9i"i )eE+er-e#"i' e# e( ' H *e "re': L' U#i)') )e S" Tr'&+' "# 6er*#'(+!)i" > )e e#%er+er='3 "'6'"it')* > e#tre#')* 6r (' E*"&e(' N'"i#'( )eE+er-e#"i'* > De*'*tre* e# T!"#i"'* > Pr"e)i+ie#t* )e Re'#i+'"i,#C'r)i6&(+#'r B*i"$A9'#;')3 S6rte B*i" e# e( Tr'&+' > tr* ')e+*re'(i;'r# 6'*'#t='* e# (' i)') )e S" Tr'&+' )e 1*6it'( N'"i#'( E)-'r)Re'-(i'ti M'rti#*3 Li+'.

A"t&'(+e#te S" Tr'&+' e* ' )e ('* i)')e* )e r-&(( )e (' M'"r re-i,#S&r3 6r e( e7&i6 +&(ti)i*"i6(i#'ri '(t'+e#te "'6'"it') e i#%r'e*tr&"t&r' ee7&i6'+ie#t ')e"&').

2. DEFINICINE* e( '+ie#te )e*ti#') ' (' 'te#"i,# i#+e)i't' )e( 6'"ie#te "r=ti" "# (' %i#'(i)'))e *& e*t'i(i;'"i,# )e 9i)' > tr'&+' "# e( e7&i6'+ie#t e*6e"=%i"3 (-=*ti"' >r-'#i;'"i,# '6r6i')'. E# e( '+ie#te )e *" tr'&+' *e 'tie#)e ' (* 6'"ie#te* "('*i%i"')* "+

6riri)') .

L' 'te#"i,# *e re'(i;' 6r e7&i6 +&(ti)i*"i6(i#'ri3 (i)er') 6r e( +!)i")e e+er-e#"i' re*6#*'(e. E( tie+6 )e 6er+'#e#"i' )e( 6'"ie#te e# (' *'(' )e *" tr'&+'3 )ee *er e(

e*tri"t'+e#te #e"e*'ri3 '*t' "#*e-&ir (' e*t'i(i)') )e( 6'"ie#te 7&e 6er+it'*& tr'*(') ' tr *er9i"i 6'r' e( tr't'+ie#t )e%i#iti9.

E( tr'*(') )e( 6'"ie#te ' tr' re' *er9i"i3 *er i#)i"') 6r e( +!)i"re*6#*'(e3 )eter+i#'#) ('* "#)i"i#e* )e tr'*(') > e( 6er*#'( 7&e e*t'r '"'r- )e( +i*+3 )e '"&er) '( e*t') )e( 6'"ie#te. Se re7&iere "r)i#'"i,#

6re9i' e#tre e( 6er*#'( +!)i" > e( )e e#%er+er=' )e( *er9i"i )e e+er-e#"i'3 >)e( re' *er9i"i )e( )e*ti#.

L' e#%er+er' re'(i;' ('* "r)i#'"i#e* 6re9i'* "# (' e#%er+er' )e( *er9i"i

re' )e )e*ti#3 > )i*6#e ( "#9e#ie#te 6'r' (' re+i*i,# )e (' )"&+e#t'"i,#3+'teri'( )e 'te#"i,# > 6erte#e#"i'* )e( 6'"ie#te3 *e-# "rre*6#)'.

L' *'(' )e *" tr'&+' 6)r "#t'r "# *i*te+' i#%r+ti" re-i*tr+'#&'( ?(ir "&')er#3 )#)e *e "#*i-#'# (* )'t* )e (' 'te#"i,# re'(i;')'e*6e"i%i"#)*e: %e"'3 r' )e ((e-')'3 #+re3 e)')3 *e' 7&e +&"'* 9e"e* e( tr't'+ie#t e+6ie;' '#te* 7&e e( )i'-#,*ti"3 6&e* ('

+&erte ri-i#')' e# e( re"#"i+ie#t )e *i-#* i+6rt'#te* 6&e)e *er e9it')'3*i *e *i-&e ri-&r*'+e#te ' r&ti#' 6re%i8')' )e 6'&t'* -&='*.

J


22/95



!. VISINDi*6#er )e ' i)') 6'r' (' 6rte""i,# > '*i*te#"i' i#+e)i't' )e( 6'"ie#te -r'9e"# i)#ei)')3 *e-&ri)') > "'(i)') )#)e 6'rti"i6e# "# e%e"ti9i)') t)* (*"+6#e#te* )e( e7&i6 )e e+er-e#"i'.

4. MISINRe'#i+'"i,# > e*t'i(i;'"i,# )e (* 6'"ie#te* "'t'(-')* "+ -r'9e)') *it'ee""i,# )e6('#te'+ie#t*3 i+6(e+e#t'"i,# > e9'(&'"i,# r6i)' )e (* 6'r+etr*%i*i(,-i"*.

". OBETIVOS Ate#"i,# r6i)' > 6rt'3 e%i"ie#te > e*6e"i'(i;')' ' (* 6'"ie#te*

"r=ti"'+e#te e#%er+* "# "&')r* +!)i"$7&irr-i"* 7&e 6#-'# e# 6e(i-r*&* 9i)'*.

E*t'i(i;'r e+)i#+i"' e9it'#) *& )e*"+6e#*'"i,# >5 +&erte36ti+i;'#) e( e*t') )e (* *i*te+'* re*6ir'tri*3 "'r)i9'*"&('r > #er9i*"e#tr'(.

Per+itir *& tr'*(') *i# '6're#te* rie*-* ' ('* i)')e* )e )e*ti# %i#'(3 6'r' ('ter'6i' e*6e"=%i"' "+ *# ('* i)')e* )e "&i)')* i#te#*i9* )e e+er-e#"i'3

-e#er'(e*3 "r#'ri'*3 #e&r7&ir&r-i"'*3 et". L-r'r ' i)') ie# r-'#i;')'3 )iri-i)' ')e"&')'+e#te "# 6er*#'(

#e"e*'ri > e#tre#') "# '+ie#te )e "#%i'#;' > "'(+'. Di*+i#&ir (' +ri$+rt'(i)') )e ('* 6er*#'* e# rie*-. Di*+i#&ir (* "*t* )e tr't'+ie#t ' ('r- 6(';.

CRITERIOS DE ADMISIN

".1. CRITERIOS DE GRAVEDAD P't(-=' '-&)' "+#.

Ur-e#"i'* "'(i%i"')'* +e#re*. Ur-e#"i'* "'(i%i"')'* +'>re*. Gr'9e)') *it' e


23/95



Gr'9e)') *it' e5 e*t'(e > e( 7&e 6r-re*' r6i)'+e#te ' (' +&erte.

".2. CRITERIOS DE ADMISIN A LA UNIDAD DE TRAUMA

SHOC

A. A3&&, (5, "&('re*. Q&e+')&r'* '*"i')'* ' tr'&+'*. Me"'#i*+ )e (e*i,# > e)') )e( 6'"ie#te. Le*i#e* i+6rt'#te* )e( SNC ?TEC3 TVM. 1eri)'* 6e#etr'#te* 6r 'r+' )e %&e- 'r+' ('#"' e# "'e;'3 t,r' ')+e#. 1eri)'* *e9er'* "rt'#te* >5 6'#te* e# "'r'3 "&e((3 t,r' 1TA. I#*&%i"ie#"i' "r#'ri' '-&)'. A#-i#' i#e*t'(e. I#%'rt '-&) )e +i"'r)i. Arrit+i' "'r)i'"' "# "+6r+i* e+)i#+i"'. Tr'*tr#* +et',(i"* e i)re(e"tr(=ti"* *e9er*. C+6r+i* #e&r(-i": "+'3 ACV. I#t e#9e#e#'+ie#t. 1e+rr'-i' -'*tri#te*ti#'( "# "+6r+i* e+)i#+i"

I#te#t )e *&i"i)i. O*tr&""i,# )e 9='* '!re'*. Y (* )e+* 6'"ie#te* )e Priri)') I +e#"i#')* e# tri'8e.

C. M(&+&,/ (, E3(%5(,+&/ ? (/'%( I)e#ti%i"'#) e( 6r(e+'. I)e#ti%i"'r 6riri)')e*. I#*t'&r'r (* 6r"e)i+ie#t* > tr't'+ie#t ')e"&') i#i"i'( E*t'i(i;'r (* *i-#* 9it'(e*

O*er9'"i,#: Cr=ti"* 1*6it'(i;'"i,#

@0


24/95



Re'#i+'"i,# )e( 6'"ie#te SOP UCI3 UTI

$. IMPLEMENTACIN DE LA UNIDAD DE SHOC TRAUMA

$.1. RECURSOS HUMANOSE* e( e(e+e#t i+6rt'#te )e (' U#i)') > )e6e#)er )e( #i9e( )e "+6(e8i)'))e "')' e*t'(e"i+ie#t )e *'(&) 6'r' *& "#%r+'"i,#. E( 6er*#'( *er'(t'+e#te "'6'"it') e i)e#ti%i"') > *#: M!)i"* e*6e"i'(i*t'* E#%er+er'* E*6e"i'(i*t'* e# E+er-e#"i'* > )e*'*tre* T!"#i"'* )e e#%er+er=' "'6'"it')'* e# Ate#"i,# )e e+er-e#"i'* Te"#,(- +!)i" Per*#'( )e (i+6ie;'3 ('r'tri*t'3 Per*#'( )e R '9'#;'). ACLS3 ATLS Re'#i+'"i,# "'r)i6&(+#'r 6e)itri"' > #e#'t'(.

A)+i#i*tr'"i,# e# e+er-e#"i'* > )e*'*tre*.

C#"i+ie#t* > )e*tre;'* "# 6r"e)i+ie#t* i#9'*i9* )ee+er-e#"i'*. M'#e8 '9'#;') )e (' 9=' '!re'. A""e* 9e#* > 'rteri'(. C("'"i,# )e +'r"'6'** tr'#*itri* Tr'"e#te*i*3 6eri"'r)i"e#te*i*3 tr'"t+='. P'r'"e#te*i* I#*er"i,# )e "'t!ter *&6r' 6i" ?t'((' 9e*i"'( Artr"e#te*i* )e r)i((' > ti((

@


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26/95



Ser "'6'; )e: I)e#ti%i"'r *i-#* > *=#t+'*. Re'(i;'r e '6(i"'r tr't'+ie#t

6rt '( 6'"ie#te e# e*t') )e e+er-e#"i'.

C'6'"it'"i,# )e '*i*te#"i' e# *it&'"i#e* )e: C('*i%i"'"i,# )e 9="ti+'* e# +'*' > *it&'"i#e* )e )e*'*tre.

C#"i+ie#t )e: L* '*6e"t* (e-'(e* e# (' 'te#"i,# )e 6'"ie#te* "r=ti"*

I#ter6ret'"i,# )e: E


27/95



C/&( ? '%/') ;3/,)C#*i)er'r '( *er &+'# e# t) *& e#tr# "#:C+6#e#te* i6*i"*"i'(e*3 *i# )i*ti#"i,# )e r';'3 "re)3 "#)i"i,#*"ie"#,+i"' #i *e ' ('

"+i)').

C/


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7. INFRAESTRUCTURA E#UIPAMIENTO Y LOGSTICA

7.1. CARACTERSTICAS FSICAS Dee e*t'r &i"')' e# re' )e %"i( '""e*3 "er"' '( i#-re* )e '+&('#"i'*.

Dee "#t'r "# '""e** e 6er*#'(. B&e#'

i(&+i#'"i,# "e#tr'( > (+6'r'* '""e*ri* "# (&; ('#"' > %r='. A-&'"'(ie#te > '-&' %r='.

C#t'r "# *i*te+' )e '(ert' 9i*&'( *#r "# tr'* re'* )ee+er-e#"i'.

C#t'r "# *&%i"ie#te e*6'"i 6'r' ' &e#' "ir"&('"i,# )e( e7&i6+ie#tr'* *e 'tie#)e.

Ser '&t,#+3 i#)e6e#)ie#te )e tr *er9i"i )e e+er-e#"i'.

7.2. E#UIPAMIENTO Y LOGSTICADee# e*t'r )i*6#i(e*3 r)e#')* > 6er'ti9*: C'+i(('* 1i)r&(i"'*. Ve#ti(')re* > re*6ir')re* +e"#i"* ?"i"(')* ' 6re*i,# 9(&+e#. M#itr "'r)i'" > 6re*i#e*. De*%iri(')r "'r)i'"3 e(e"tr"'r)i,-r'%. B+'* )e i#%&*i,#3 tr'#*%&*re* *'#-&=#e*. C"e )e 6'r "'r)='"$re*6ir'tri. D* %&e#te* e+6tr')'* ?' )e tr' )e '*6ir'"i,# 9'"=' > '

t+' )e '-&'. E7&i6* )e '*6ir'"i,# 6rtti(. O


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C. O'%): E*t'#te 6'r' +e)i"i#'* )e e+er-e#"i'. E7&i6* )e 6e7&e'* i#ter9e#"i#e* > )e i*e-&ri)')3 %r'*"* )e

)re#'8e tr"i". E7&i6 6'r' 6"i,# (&+'r. S6rte* 6'r' *&er* "# rie(e* )e*)e e( te" > %!r&('* 6'r'

i#+9i(i;'"i,#. Me)i"'"i,# )e e+er-e#"i'. M'teri'( %-i(e. G'*'* e*t!ri(e*. R6' )e "ir&8'#.

. ORGANIZACIN DE LA UNIDAD DE SHOC TRAUMA Or)e# > "+'#) De%i#ir %"i#e* P'&t'* "(=#i"'* )e 'te#"i,# E*t')=*ti"' i#%r+'ti9' S&6er9i*i,# > "#tr(

De6e#)e )e (' "+6(e8i)')$r-'#i;'"i#'( )e "')' e+er-e#"i'3 *e re"+ie#)'"#t'r "#: 0 8e%e )e e7&i6 M!)i" e+er-e#"i' e( "(=#i" )e +'>r e F"i#e*3 )e i-&'( %r+' "# e(

M'#&'( )e Nr+'* > Pr"e)i+ie#t*.

J. COMUNICACIONESA tr'9!* )e '#e tri'8e A>&)' )i'-#,*ti"' L'r'tri I#ter"#*&(t'

J.2. EKTERNAS:A tr'9!* )e ' "e#tr'( 6r6i' )e e#%er+er=' ' "e#tr'( )er')i > te(e%'< Re%ere#"i'* Tr'#*%ere#"i'* I#ter"#*&(t'*

Ce#tr )e tr'*6('#te Ce#tr'( )e C+i"'"i,# > Si*te+' N'"i#'( )e E+er-e#"i'*.

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J.!. INTERCONEKIN CON: E+er-e#"i' )e tr* *6it'(e*. De%e#*' Ci9i( P(i"=' N'"i#'( B+er* Otr'* i#*tit&"i#e* '%i#e* ' ('* e+er-e#"i'* > )e*'*tre*

10. SISTEMAS DE APOYO A LA UNIDADE*t* )ee# e*t'r 6er'ti9* ('* @ r'* )e( )=': S'(' )e 6er'"i#e*3 B'#" )e*'#-re. L'r'tri3 R')i(-='3 Di*6#ii(i)') )e )i(i*i*3 C'+'* )i*6#i(e* 6'r'*6it'(i;'"i,# UCI3 UCIN3 E+er-e#"i'.

11. MEDICINA DE EMERGENCIAS Y DESASTRES E+er-e#"i' S" Tr'&+'

S" tr'&+' Re'#i+'"i,# Re'#i+'"i,# Vi)'

PERFIL PROFESIONAL DE LA ENFERMERA EN EMERGENCIAS

1. DEFINICINL' e#%er+er'? e*6e"i'(i*t' e# &r-e#"i'* e* 6r%e*i#'( 7&e "&e#t' "# t=t&(i9er*it'ri > "!)&(' 6r%e*i#'( e De*'*tre*36r6r"i#'r "&i)')* e#%er+er* ' 6er*#'* "# 6r(e+'* )e *'(&) e# *it&'"i,#"r=ti"'3 )e '(t rie*- e# %'*e ter+i#'(3 e# e( +it i#)i9i)&'( "(e"ti93 )e#tr)e( +it *'#it'ri i#*tit&"i#'( )+i"i(i'ri3 '-i(i;'#) (' t+' )e )e"i*i#e*

+e)i'#te ' +et)(-=' %)'+e#t')' e# (* '9'#"e* 6r)&"i)* e# e( "'+6 )e(* "&i)')* )e (' *'(&)3 (' !ti"' > (' e9i)e#"i' "ie#t=%i"' (-r')' ' tr'9!* )e ''"ti9i)') i#9e*ti-')r' )ire"t'+e#te re('"i#')' "# (' 6r"ti"' '*i*te#"i'(.

A*i+i*+3 6r *er e


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D+i#'r (* +e"'#i*+* 6'r' +'#e8 )e M(ti6(e* V="ti+'* > '*e-&r'+ie#t)e( re' e# *it&'"i#e* )e &r-e#"i'*3 e+er-e#"i'* > )e*'*tre* e# e( re' 6re*6it'('ri'.

P*eer '"t&'(i;'"i,# )e ('* G&='* )e M'#e8 Pre 1*6it'('ri > P('#e* C&i)')*1*6it'('ri*

S'er '"t&'r e# *it&'"i#e* )e e*tr!* 6'r' i#i"i'r +e)i)'* ter'6!&ti"'* e# '7&e((&-'r )#)e e( 6'"ie#te 6ier)e *& *'(&)3 '*= "+ "#ti#&'r('* )&r'#te *&tr'*(') '( Ce#tr 1*6it'('ri > e# e*te +i*+.

Te#er 'i(i)')e* e# e( +'#e8 )e *i*te+'* )e "+i"'"i,#3 t'#t '(+ri"'*?re"e6"i,# )e (('+')'* "+ i#'(+ri"'*3 7&e 6er+it' (' 6ti+i;'"i,# )ere*&(t')*.

Di*6#er )e "'6'"i)') )e "+i"'"i,# "# t)'* ('* 6er*#'* 7&e "#%r+'#(' re) )e 'te#"i,# e# e( "'+6 )e (' e+er-e#"i' 6(i"'3 )e*t'"'#) ('#e"e*i)') )e )e*'rr(('r *i*te+' i#te-r') )e '*i*te#"i'

E*t'r %'"&(t') 6'r' e('r'r 6('#e* )e e+er-e#"i'

Di*6#er )e "'6'"it'"i,# e# tri'8e > RAC

2. DICHOS PROFESIONALES ESTARAN CAPACITADOS Y SERANCOMPETENTES PARA: Re%(e8'r e# *& '"t&'r 6r%e*i#'( 6ri#"i6i* > 9'(re* !ti"* i9er*'(e* > re*6et

' ('* #r+'* 9i-e#te*. Re*6et'r (* )ere"* &+'#* )e( &*&'ri3 %'+i(i're*3 e#tr# 6r%e*i#'( >

+ie+r* )e (' "+i)')3 "#*i)er'#) (' )i9er*i)') "&(t&r'( De+*tr'r "+6r+i* "# e( "&i)') )e (' 9i)' > (' *'(&) )e (' 6er*#'3

%'+i(i' > "+i)')

Uti(i;'r (* "#"e6t* te,ri"* > e( "#"i+ie#t )e (* "&i)')* )e e#%er+er='"+ '*e 6'r' (' t+' )e )e"i*i#e* e# (' 6r"ti"' e#%er+er' )e &r-e#"i'*3e+er-e#"i'* > )e*'*tre*3 '( tie+6 7&e 9'(r' i#+e)i't'+e#te (' *it&'"i,# )e*'(&) )e( &*&'ri e# e*t') "r=ti" e# rie*- i#+i#e#te )e +&erte3 &ti(i;'#)"riteri* )e 6rti)') > 6re"i*i,#

E*t'(e"er "+i"'"i,# '*erti9' "# e( &*&'ri3 %'+i(i'3 "+i)') >+ie+r* )e (' "+i)') 6r%e*i#'(

Pre*t'r 'te#"i,# i#te-r'( '( &*&'ri > re'(i;'r *e-&i+ie#t )e( e*t')e+)i#+i"3 +et'(i" > #e&r(-i" e# e+er-e#"i'3 6'r' re*(9eri#)i9i)&'(+e#te "+ +ie+r )e( e7&i6 )e *'(&)3 (* 6r(e+'* )e *'(&))ete"t')* ' tr'9!* )e *i-#* > *=#t+'* )e '('r+'

S+eter ' tri'-e (* 6'"ie#te* ' (* 7&e *e 6re*t'# "&i)')* e# *it&'"i#e* )ee+er-e#"i'* > .)e*'*tre*3 > '6(i"'r (' RAC $ Re"e6"i,#3 A"-i)' >C('*i%i"'"i,#$ ' (* 7&e *e 6re*t'# "&i)')* &r-e#te* e# e( +it *6it'('ri >)e 'te#"i,# 6ri+'ri' )e *'(&)3 > e# e( +it )e (' 'te#"i,# &r-e#te e 6*i"*"i'(e* > e#(* %'"tre* 7&e i#%(&>'# e# e( %(&8 > (' )e+'#)' )e 6'"ie#te*.

Uti(i;'r "# )e*tre;' > *e-&ri)') (* +e)i* ter'6!&ti"* > )e '6> '()i'-#,*ti" 7&e *e "'r'"teri;'# 6r *& te"#(-=' "+6(e8'.

Di'-#*ti"'r3 tr't'r > e9'(&'r )e %r+' e%i"'; > r6i)' ('* re*6&e*t'* &+'#'*

7&e *e -e#er'# '#te (* 6r(e+'* )e *'(&) re'(e* >5 6te#"i'(e* 7&e '+e#';'#(' 9i)' # 6er+ite# 9i9ir(' "# )i-#i)').

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E*t'(e"er ' re('"i,# ter'6!&ti"' e%i"'; "# (* &*&'ri* 6'r' %'"i(it'r(e* e('%r#t'+ie#t ')e"&') )e ('* *it&'"i#e* 7&e 6')e;"'#.

Re'(i;'r (* 6erti#e#te* 6('#e* )e 'te#"i,# )e e#%er+er=' e*t'#)'ri;')* 6'r' *&6*terir '6(i"'"i,# +e)i'#te 6('#e* )e 'te#"i,# )e e#%er+er=' i#)i9i)&'(i;')''*')* e# (* )i'-#,*ti"* e#%er+er* %r+&(')'*3 > e9'(&'r )e %r+' e%i"'; >

r6i)' ('* re*6&e*t'* &+'#'* 7&e *e -e#er'# '#te (* 6r(e+'* )e *'(&) re'(e*>5 6te#"i'(e* 7&e '+e#';'# (' 9i)' # 6er+ite# 9i9ir(' "# )i-#i)').

E9'(&'r3 > +)i%i"'r *i '> 6erti#e#"i'3 (* 6('#e* )e "&i)')* '*#)*e e# ('*re*6&e*t'* )e( 6'"ie#te3 )e (' "#*e"&"i,# )e (* 8eti9* > )e (* re*&(t')*+e)i)*.

P'rti"i6'r '"ti9'+e#te "# e( e7&i6 +&(ti)i*"i6(i#'ri' 6rt'#) *& 9i*i,# )ee 6rt"(*e*6e"=%i"* 6'r' (' 6r"ti"' )e (' E#%er+er=' E*6e"i'(i*t' e# Ur-e#"i'*3E+er-e#"i'* > De*'*tre*.

Re'(i;'r i#ter9e#"i#e* )e E#%er+er=' e# *it&'"i#e* )e &r-e#"i'3 e+er-e#"i' >)e*'*tre* &ti(i;'#) 6rt"(* >5 -&='* )e 'te#"i,#3 "# "riteri* )ee%e"ti9i)')3 6rti)') > 6re"i*i,#.

Ge*ti#'r (* re"&r** '*i*te#"i'(e* "# "riteri* )e e%i"ie#"i' > "'(i)') >'"re)it'r "'6'"i)') re*(&ti9' %re#te ' "#ti#-e#"i'* ')+i#i*tr'ti9'*

A*e*r'r "+ e*6e"i'(i*t' e# e( +'r" *'#it'ri -('( > e# t)* (* #i9e(e* )et+' )e )e"i*i#e*.

Pr6r"i#'r e)&"'"i,# *'#it'ri' ' (* &*&'ri*3 '*= "+ '*e*r'r '( e7&i6 )e*'(&) e# t)* (* '*6e"t* re('"i#')* "# *& re' e# (' e*6e"i'(i)').

A*&+ir ('* "+6ete#"i'* e# +'teri' )e %r+'"i,# )e (* %&t&r* e*6e"i'(i*t'*.

I+6&(*'r (=#e'* )e i#9e*ti-'"i,# 7&e *e'# re(e9'#te* 6'r' e( )i'-#,*ti"3 ('*i#ter9e#"i#e* > (* re*&(t')* e# (' "(=#i"' '9'#;')' e# &r-e#"i'* >e+er-e#"i'* > re'(i;'r i#9e*ti-'"i#e* e# e( "'+6 )e (' e*6e"i'(i)')3e#%er+er=' > *'(&)3 7&e '6rt'# ' (' -e#er'"i,# )e #&e9* "#"i+ie#t* >+)e(* )e i#ter9e#"i,# 6'r' (' *(&"i,# )e (' 6r(e+ti"' )e (' e*6e"i'(i)')

A)6t'r '"tit&)e* "#"r)'#te*3 e# (' t+' )e )e"i*i#e* !ti"'* > e# *&'6(i"'"i,#3 "# e( C,)i- De#t(,-i" )e (' E#%er+er='.

M'#te#er ' '"tit&) 6r'"ti9' e# e( )e*e+6e )e *&* re*6#*'i(i)')e*6r%e*i#'(e* > '"t&'(i;'r 6er+'#e#te+e#te *&* "#"i+ie#t* *re (* '9'#"e*"ie#t=%i"* > te"#(,-i"* )e *& 6r%e*i,#

P'rti"i6'r e# e( )i*e3 i+6(e+e#t'"i,# > e9'(&'"i,# )e 6('#e* )e re*6&e*t'3"#ti#-e#"i' e# *it&'"i#e* )e e+er-e#"i'* +'*i9'* > )e*'*tre*

C('r'r e# 6('#e* )e 6re6'r'"i,# '( 6er*#'( )e( e#tr# )e (' i#*tit&"i,# >"+i)')

De*'rr((' 6r-r'+'* e)&"'ti9* )iri-i)* '( &*&'ri3 %'+i(i' > "+i)') e#"#"r)'#"i' "# ('* #e"e*i)')e* )e (' e*6e"i'(i)') > 6(=ti"' i#*tit&"i#'(

P('#e'r e i+6(e+e#t'r '""i#e* )e i-ie#e > *e-&ri)') "&6'"i#'(.

!. EN LAS UNIDADES MVILES DE SOPORTE VITAL AVANZADO ELPROFESIONAL DE ENFERMERA ESPECIALISTA EN URGENCIASEMERGENCIAS Y DESASTRES ESTAR8 FACULTADO PARA: Or-'#i;'r ('* '"ti9i)')e* )e E#%er+er=' 6'r' (-r'r (' *i*te+'ti;'"i,# )e(

"&i)') )e( &*&'ri ?6('#e* )e "&i)') 6re *6it'('ri.

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I)e#ti%i"'r e( r( )e (' E#%er+er' "+ 6r%e*i#'(. E('r'r 6rt"(* 6er'ti9*3 7&e e*t'(e;"'# 6'&t'* )e '""i,# > 6r"&re#

6r6r"i#'r ' +'>r "'6'"i)') )e re*6&e*t' > re*6#*'i(i)') 6r 6'rte )eE#%er+er='.

Pr6e#)er '&t"&i)')* ri#)'#) e)&"'"i,# )e *it&'"i#e* 6re *6it'('ri'* >

re+i*i,# ' 6r-r'+' 6'r' +'#e8 )e 6't(-='* "r,#i"'*. Re'(i;'r 6r"e)i+ie#t* )e E#%er+er=' 7&e *e )eri9e# )e (' 'te#"i,# *'#it'ri'3 >

*&6er9i*i,# )e (' "'(i)') )e 6re*t'"i,# )e (* 7&e '# *i) )e(e-')*. P('#e'r > e8e"&t'r 6r-r'+'* e)&"'ti9* 6'r' e( 6er*#'( 7&e ('r' 6r%e*i#'(

)e tr'* re'* > # 6r%e*i#'( e# ('re* 6r6i'* )e (' )i*"i6(i#'. P('#e'r > e8e"&t'r '"ti9i)')e* e)&"'ti9'* ' (' "+i)') e# e+6re*'* e

i#*tit&"i#e* e)&"'ti9'*3 "# e( %i# )e "'6'"it'r e# (' "')e#' )e *"rr ' (*6ri+er* re*6#)ie#te* )e (' "+i)').

I+6(e+e#t'r '"ti9i)')e* ')+i#i*tr'ti9'* "+ )i*e )e 6rt"(* 6re*6it'('ri* 6'r' +'#e8 )e )e*e"*3 )e 9i-i('#"i' e6i)e+i(,-i"'3 6r6e#)er

6r +e)i)'* )e *'(&) e i-ie#e "&6'"i#'( )i*e )e 6rt"(* )e6r"e)i+ie#t* )e e#%er+er='.

Vi-i('r 6r (* i#*&+* > e7&i6*. M'#e8'r (' )e*i#%e""i,# )e e7&i6*. P'rti"i6'r e# (' "')e#' )e *"rr

4. EN LAS CENTRALES DE RADIO O EN LOS CENTROS DECOORDINACIN EL PROFESIONAL DE ENFERMERA ESPECIALISTAEN URGENCIAS EMERGENCIAS Y DESASTRES ESTAR8 FACULTADOPARA:

Ser re-&(')r > "r)i#')r )e (' '>&)' )e6e#)ie#) )e (' +'-#it&) )e ('*it&'"i,# 7&e ri-i#, (' (('+')'. Di*e'r )e *i*te+'* )e re-i*tr 7&e 6er+it'#:

' C&'#ti%i"'r e( #+er )e 'te#"i#e* C#"er "*t e#e%i"i" Se-&i+ie#t )e ('* (('+')'* )e "#*&(t' > 'te#"i#e* e%e"ti9'*.) Per%i( e6i)e+i(,-i" 7&e 6er+it' i+6(e+e#t'r '""i#e* 6re9e#ti9'* e#

"iert'* "+i)')e*. O%re"er i#*tr&""i#e* > "#*e8* *'#it'ri* 6re9i* ' (' ((e-')' )e( e7&i6

*'#it'ri. Cr)i#'r (' re) )e re%ere#"i'.

L* C&i)')* )e E#%er+er=' e# Ur-e#"i'*3 E+er-e#"i'* > De*'*tre* e'#"i'#*3 "'t*tr%e*3 'te#"i,# 6ri+'ri'3 #"i#e* )e *'(9'+e#t > re*"'te3(e-i*('"i,# > i!ti"'3 '*6e"t* *i"(,-i"*3 *e-&ri)') e# 'te#"i#e* )e '""i)e#te*)e tr#*it 'te#t')* terrri*t'*.

L'* "+6ete#"i'* 6r6i'* )e( e#%er+er )e &r-e#"i'* > e+er-e#"i'*3 )e%i#i)'* e#

e*te )"&+e#t3 # '-t'# e( "+6r+i* )e *& )e*'rr(( 6r%e*i#'( > 6r ( t'#te*t'* *e '# )e ir ')'6t'#)3 e# e( tr'#*"&rrir )e( tie+63 ' (* '9'#"e* e# *'(&)3

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te"#(-=' > "&i)')* 7&e +'r"'# "#ti#&'+e#te e( 6r-re* 6r%e*i#'(. A t'( %i# ('Fe)er'"i,# Ier'+eri"'#' )e E#%er+er=' e# Ur-e#"i'* > E+er-e#"i'*?IBAMEUE 9e('r 6r (' 6&e*t' '( )=' )e( "'t(- )e "+6ete#"i'*.

". ROL DE LA ENFERMERA EN LOS SERVICIOS DE URGENCIAS

Di'-#*ti"'r3 tr't'r > e9'(&'r )e %r+' e%i"'; > r6i)' ('* re*6&e*t'* &+'#'*7&e *e -e#er'# '#te (* 6r(e+'* )e *'(&) re'(e* >5 6te#"i'(e* 7&e '+e#';'#(' 9i)' # 6er+ite# 9i9ir(' "# )i-#i)').

Uti(i;'r "# )e*tre;' > *e-&ri)') (* +e)i* ter'6!&ti"* > )e '6>)i'-#,*ti"* 7&e *e "'r'"teri;'# 6r *& te"#(-=' "+6(e8'.

E*t'(e"er ' re('"i,# ter'6!&ti"' e%i"'; "# (* &*&'ri* 6'r' %'"i(it'r(e* e('%r#t'+ie#t ')e"&') )e ('* *it&'"i#e* 7&e 6')e;"'#.

Fr+&('r3 i+6(e+e#t'r > e9'(&'r (* e*t#)'re*3 -&='* )e "&i)') > 6rt"(*e*6e"=%i"* 6'r' (' 6r"ti"' )e (' E#%er+er='

Ge*ti#'r (* re"&r** '*i*te#"i'(e* "# "riteri* )e e%i"ie#"i' > "'(i)').

Pr6r"i#'r e)&"'"i,# e# *'(&) > '&t "&i)') ' (* 6'"ie#te*3 '*= "+'*e*r'r '( e7&i6 )e *'(&) e# t)* (* '*6e"t* re('"i#')* "# *& re' e# ('e*6e"i'(i)').

A*&+ir ('* "+6ete#"i'* e# +'teri' )e %r+'"i,# )e (* %&t&r* e*6e"i'(i*t'*. I+6&(*'r (=#e'* )e i#9e*ti-'"i,# 7&e *e'# re(e9'#te* 6'r' (* )i'-#,*ti"*3 ('*

i#ter9e#"i#e* > (* re*&(t')* e# (' "(=#i"' '9'#;')' e# &r-e#"i'* >e+er-e#"i'*.

Re'(i;'r e( 6r"e* )e Ate#"i,# )e E#%er+er='3 "+ +!t) "ie#t=%i" )e ('6r%e*i,#.

C&i)'r (' *'(&) )e( i#)i9i)& e# %r+' 6er*#'(i;')'3 i#te-r'( > "#ti#&'3

t+'#) e# "&e#t' *&* #e"e*i)')e* > re*6et'#) *&* 9'(re*3 "*t&+re* >"ree#"i'*. I+6(e+e#t'"i,#3 )e*'rr(( > e9'(&'"i,# )e( "+it! 6'r' ",)i- ';&( > ('

'te#"i,# )e( 6'"ie#te e# 6'r "'r)=rre*6ir'tri.

$. RECEPCIN ACOGIDA Y CLASIFICACION DE LOS PACIENTES ENURGENCIASE# 'r'* )e ' 6riri;'"i,#3 > r)e#'"i,# e%i"';3 )e (' 'te#"i,# *'#it'ri' > )e (*"&i)')* e#%er+er*3 '"r)e "# (* re"&r** +'teri'(e* > &+'#* )i*6&e*t* 6r(' e#ti)') re*6#*'(e > 6re*t')r' )e (' '*i*te#"i'3 > )i*6#i(e* e# e( ++e#t'*i*te#"i'(3 "#*i)er'#) ')e+* ('* e*tr&"t&r'* %=*i"'* > e*6'"i'(e* e# )#)e *e

'6(i7&e# )i"' '*i*te#"i' > "&i)')* e# (* Ser9i"i* )e Ur-e#"i'*3 e( e#%er+er5're'(i;'r (' Re"e6"i,#3 A"-i)' > C('*i%i"'"i,# )e (* 6'"ie#te* 7&e '"&)' e#)e+'#)' )e '*i*te#"i' *'#it'ri'. Y e*t e# %"i,# )e (* 6r(e+'* )e (*

6'"ie#te*3 +'#i%e*t'"i#e*3 re*6&e*t'* &+'#'* > #e"e*i)')e* )eri9')'* >3e *& %'+i(i'3 >5 )ete"t')'* 6r e( 6r6i 6r%e*i#'( )eE#%er+er='.

E# e( /re' )e Re"e6"i,#3 A"-i)' > C('*i%i"'"i,#3 e( Pr%e*i#'( )e E#%er+er='6)r:

Or)e#'r )e +'#er' e%i"'; (' )e+'#)' +e)i'#te 9'(r'"i,# e#%er+er' i#i"i'(. C('*i%i"'r > )i*tri&ir (* 6'"ie#te* "# '*e e# *&* #e"e*i)')e* '*i*te#"i'(e*

*e-# (' r-'#i;'"i,# > e*tr&"t&r' )e (' U#i)').


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A6(i"'r3 *i 6r"e)e3 "iert'* t!"#i"'*3 i#i"i'(e* > *i"'*3 6r6i'* )e( e8er"i"i6r%e*i#'(.

Pre*t'r ' (* 6'"ie#te*3 > ' *&* %'+i(i're* '"+6''#te*3 ' '6r e+"i#'( > '>&)' 6*i"(,-i"'3 6'r' )i*6#er '( 6'"ie#te '"i'

' '"tit&) ter'6!&ti"' 6*iti9'3 te#ie#) '*= e( +* '(t =#)i"e )e "'(i)')6*i(e e# e( "#8t )e ('* 6re*t'"i#e* *'#it'ri'*.

7. ACTIVIDADES DEL PROFESIONAL DE ENFERMERIA EN URGENCIASEMERGENCIAS Y DESASTRES

7.1. ASISTENCIALES Re"i > e#tre-' )e t&+.

Deter+i#'r ('* 6riri)')e* e# (' 'te#"i,# )ire"t' )e( 6'"ie#te &r-e#te$"r=ti". O%re"er '*i*te#"i' )ire"t' ' (* 6'"ie#te* )e '"&er) ' ('* #e"e*i)')e*. E9'(&'"i,# > re"#"i+ie#t )e( e*t') )e( 6'"ie#te > 6('#e'"i,# )e (*

"&i)')* )e e#%er+er='. E9'(&'r e( e%e"t )e (* "&i)')* )e e#%er+er='. Re-i*tr'r e# (' i*tri' "(=#i"' t)' (' i#%r+'"i,# )i*6#i(e )e (*

6r(e+'* i)e#ti%i"')* e# (* 6'"ie#te*. D'r 'te#"i,# )ire"t' e# 6r"e)i+ie#t* "+:

. C&r'"i#e* +'>re*

@. T+' )e "#*t'#te* "(=#i"'* > *& e9'(&'"i,# ?TA3 FC3 FR3 T3 St0@ >)i&re*i*. Re'(i;'"i,# )e t!"#i"'* # i#9'*i9'* ?G(i"e+i' "'6i('r3 ECG3 et".. T+' )e -'*e* 'rteri'(e*.H. I#*t'('r *6rte 9e#ti('tri. I#*t'('"i,# )e +#itre e+)i#+i".. C'teteri*+* 9e*i"'(e*3 -*tri"* >5 9e#**.J. Ote#er '""e** 9'*"&('re* e# 6'"ie#te* )e )i%="i( 6"i,#.. E8e"&t'r (' 6re6'r'"i,# > ')+i#i*tr'"i,# )e %r+'"* 6r )i%ere#te*

9='*.0. I)e#ti%i"'r re'""i#e* 6r)&"i)'* 6r (* %r+'"* > tr'* *&*t'#"i'*3

"+i"'r( > "&+6(ir '""i#e* i#)i"')'*.. F'"i(it'r #e"e*i)')e* +=#i+'* ?i#-e*t'3 e(i+i#'"i,#3 "#%rt3 et".@. Te#er '( )=' (' i#%r+'"i,# )e )i*6#ii(i)') )e "'+'* e# (* *er9i"i*

)e *6it'(i;'"i,# > U#i)')e* )e Cr=ti"*. Cr)i#'r (' re"e6"i,# )e 6'"ie#te* e# )i"* *er9i"i* > 9e('r 6r 7&e

e*te *e re'(i"e )e %r+' 6rt' > -i(.. Ui"'"i,#3 re&i"'"i,# > rt'"i,# )e "'+i(('* *e-# ('* )e+'#)'* )e(

*er9i"i.H. G'r'#ti;'r ('* "#)i"i#e* ,6ti+'* 6'r' (' re"e6"i,# > tr'*(') )e(

6'"ie#te.. I#ter9e#"i,# )e "ri*i* ' 6'"ie#te* > %'+i(i're*.. I#%r+'"i,#3 '6> > "+i"'"i,# "# 6'"ie#te > %'+i(i'.

@


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J. A)7&i*i"i,# )e e7&i6 > +'teri'( 6'r' (' i)')3 6'rti"i6' e# ('*Re'(i;'r "&i)')* "# e( %'((e"i)

. E8e"&t'r '"ti9i)')e* )e "&r'"i,# > "&i)')* 6'(i'ti9* '( i#)i9i)&.@0. I#ter9e#"i,# e# e9e#t* e# +'*'@. S(i"it&) )e '6> ?"'+i((er*3 e#%er+er'*3 '& rei#*er"i,# *"i'( '

i#)i9i)&* > %'+i(i'*. A"t&'r "+ '*e*r > "#*&(tr e# +'teri' )e *'(&) )e (* i#)i9i)&*3

%'+i(i'* > "+i)')e*.

7.!. ADMINISTRATIVAS C#"er > )'r ' "#"er (' %i(*%='3 +i*i,#3 9i*i,#3 +et'*3 8eti9*3 >

'"ti9i)')e* )e (' i#*tit&"i,# > )e( *er9i"i )e &r-e#"i'*. Ve('r 6r e( "&+6(i+ie#t )e ('* 6(=ti"'* > #r+'* )e (' i#*tit&"i,#. M'#te#er i#%r+') '( )e6'rt'+e#t )e e#%er+er=' *re ('* #9e)')e* >

*it&'"i#e* '#r+'(e* e*6e"i'(e* )e( *er9i"i. P'rti"i6'r e# ('* rei#e* 6r-r'+')'* 6'r': E( *er9i"i > e( )e6'rt'+e#t

)e e#%er+er=' E9'(&'r e( 6er*#'( ' "'r-

Re'(i;'r *e-&i+ie#t )e 6er*#'( 6eri,)i"'+e#te. E('r'r "&')r )e t&r# 1'"er "&+6(ir ('* +e)i)'* 7&e *e t+e# e# e( "+it! )e i#%e""i#e*3

i*tri' "(=#i"'3 %'r+'"i'3 "+6(i"'"i#e*3 e+er-e#"i' > )e+* -r&6* )e9i-i('#"i' > "#tr(

Di(i-e#"i'r ,r)e#e* )e +'#te#i+ie#t > 9e('r 6r e( *e-&i+ie#t )e *&e*t').

Re'(i;'r (' '*i-#'"i,# )e re'* 6r"e)i+ie#t* *e-# ('* #e"e*i)')e* )e(*er9i"i.

Re'(i;'r i#%r+e* e*t')=*ti"* > 6('# )e '""i,# *e-# e( '#(i*i* )e (*i#)i"')re* 7&e '6(i"'# '( *er9i"i )e &r-e#"i'*


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M'#te#er "+i"'"i,# e%e"ti9' "# (* *er9i"i* )e '6> 7&e 6re*t'#*er9i"i* ' &r-e#"i'*.

Cre'"i,# > '"t&'(i;'"i,# )e -&='* > 6rt"(*. C#tr('r 6eri,)i"'+e#te e( *t" )e +'teri'(3 r6'3 +e)i"'+e#t* e

i#9e#t'ri* e# -e#er'(.

7.4. INVESTIGATIVAS O INVESTIGADORASP'rti"i6'r e# ('* i#9e*ti-'"i#e* 7&e *e )eter+i#e# 6r e( *er9i"i e()e6'rt'+e#t )e e#%er+er=' Pr-r'+'r '"ti9i)')e* 7&e %'"i(ite# (' i#9e*ti-'"i,#. Re'(i;'r (' i#9e*ti-'"i,# > *e-&i+ie#t )e (* "'** re6rt')* )e( *er9i"i

)eri9')* )e (' 'te#"i,# )ire"t' i#)ire"t' )e 6'"ie#te*. I)e#ti%i"'r 6r(e+'* )e e#%er+er=' 7&e *&8et* ' i#9e*ti-'"i,#. Re"(e""i,# )e )'t* 6'r' e( )e*'rr(( )e 6r>e"t* )e i#9e*ti-'"i,# Me8r'r (* "&i)')* )e e#%er+er=' +e)i'#te (' *&*te#t'"i,# "ie#t=%i"' I#ter6ret'"i,# > '6(i"'"i,# )e e*t&)i* e# (' 6r"ti"' )e e#%er+er=' Or-'#i;' "+it!* > 6r>e"t* 7&e '6>e# (' 6r"ti"' )e e#%er+er=' > )e(

e7&i6 )e *'(&) A#'(i;'r (* )'t* re"-i)* 6'r' e( e*t&)i 8et )e (' i#9e*ti-'"i,# P&(i"'r (* re*&(t')* )e (' i#9e*ti-'"i,#

. RE#UISITOS INDISPENSABLESP'r' 6)er )e*'rr(('r ('* %"i#e* 6r6i'* )e (' E#%er+er=' e# Ur-e#"i'*3E+er-e#"i'* > De*'*tre*3 e( 6r%e*i#'( )eer reir ' *erie )e re7&i*it*3e*t'(e"i!#)*e "+ i#)i*6e#*'(e*3 (* *i-&ie#te*:

.1. PERFIL EDUCATIVO:A6r'r "&r* '9'#;') '"re)it') 6r "&'(7&ier i#*tit&"i,# e)&"'ti9're"#"i)' 6r ('* i#*t'#"i'* #'"i#'(e* i#ter#'"i#'(e* "# +=#i+ )e 0+e*e* )e )&r'"i,# >5 00 r'* >5 6r ( +e#* J0 "r!)it* e)&"'ti9* > 7&e''r7&e ('* *i-&ie#te* re'* "#*i)er')'* e# (' 6r"ti"' )e e#%er+er=' e#&r-e#"i'*: V'(r'"i,#3 )i'-#,*ti" > "&i)') )e i#)i9i)&* )e t)'* ('* et'6'* )e ('

9i)'3 e# *it&'"i#e* )e &r-e#"i'*. ?C&i)') (=*ti"3 E+er-e#"i'*#e&r(,-i"'*3 "'r)i'"'*3 re*6ir'tri'*3 -'*tri#te*ti#'(e*3 +*"&(e*7&e(!ti"'*3 -i#e"$*t!tri"'*3 &r(,-i"'*3 +' 6'"ie#te* 6e)itri"* ?ACLS3PALS.

I#ter9e#"i#e* e# "ri*i*. F)'+e#t* )e e#%er+er=' %re#*e ?(e-i*t'. Pr9i*i,# )e "&i)')* e# e#tr#* i+6re9i*i(e* e i#"#tr(')*. M'r"

(e-'( 6'r' (' 'te#"i,# )e 6'"ie#te* e# &r-e#"i'*. E)&"'"i,# 6'r' (' *'(&). Bi!ti"'


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Met)(-=' )e (' i#9e*ti-'"i,#. Pr"ti"' "(=#i"' 6'r' e( )e*'rr(( )e 'i(i)')e* > )e*tre;'*.

.2. CARACTERSTICAS PERSONALES: C'6'"i)') re*(&ti9'3 I##9')r' C'6'"i)') )e ')'6t'"i,# ' *it&'"i#e* )e e*tr!* C'6'"i)') )e (i)er';- C#t'r "# '+6(i "riteri E e# e( 6('# )e "&i)')*3 re*6et' ('*)e"i*i#e* )e( 6'"ie#te > %'+i(i' > *ir9e "+ i#ter+e)i'ri "# tr*+ie+r* )e( e7&i6 +&(ti)i*"i6(i#'ri. Uti(i;' 8&i"i "(=#i" "riti" L'&ti(i;'"i,# )e( +i*+ '&+e#t' *& 'i(i)') )e i)e#ti%i"'r > ')e('#t'r*e ' ('*#e"e*i)')e* )e (* 6'"ie#te*3 E* ' "+i#'"i,# )e (' &ti(i;'"i,# )e"#"i+ie#t*3 i#t&i"i,#3 (,-i"'3 *e#ti) "+# > e re*6et'r ('* "ree#"i'* > tr')i"i#e* 6er+ite "re'r ('; )e "#%i'#;' e#tre (' e#%er+er' ?3 e( 6'"ie#te > (' %'+i(i'3 )e e*t'%r+' e* 6*i(e i#te-r'r %'"tre* "&(t&r'(e* '( 6('# )e "&i)')* "&(t&r' e*)e%i#i)' "+ (' %r+' e# 7&e (' -e#te 9i9e > ",+ *e "+6rt' e# -r&6**"i'(e*.

J. 8REAS DE RESPONSABILIDAD

J.1. ASISTENCIALre'(i;' 9'(r'"i#e* "(=#i"'*3 6('#e' e i+6(e+e#t'r 6('#)e "&i)')*3 6r6r"i#' "&i)')* e*6e"=%i"*3 re'(i;' *er9'"i#e* "(=#i"'* >e8e"&t' i#ter9e#"i#e*3 ')+i#i*tr' +e)i"'+e#t* > tr't'+ie#t*3

J.2. EDUCADOR A9 9'(r' ('* #e"e*i)')e* )e '6re#)i;'8e "# re('"i,# '"&i)')* ' (' *'(&) )e (* &*&'ri*3 6('#e' e i+6(e+e#t'r e*tr'te-i'* )ee#*e'#;' 6'r' "&rir e*'* #e"e*i)')e*3 "r)i#' 6r-r'+'* )e e)&"'"i,#"#ti#&' 6'r' e( 6er*#'( > tr* "(e-'*.

J.!. GERENTE EFE DE SERVICIO SUPERVISOR '"t' "+re6re*e#t'#te ')+i#i*tr'ti9 )e (' i)')3 "r)i#' > e9'(' (' "'(i)') )e (**er9i"i*3 e* re*6#*'(e )e (* re"&r** &+'#* e# t)* (* '*6e"t*3

H


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6'rti"i6' e# ('* )e"i*i#e* )e "+6r' 8t'* )e tr''8 )e( e7&i6+&(ti)i*"i6(i#'ri.

J.4. INVESTIGADOR A9 re"(e"t' i#%r+'"i,#3 re'(i;' > "#)&"e e*t&)i* )ei#9e*ti-'"i,# "# re('"i,# ' (' 'te#"i,# )e &r-e#"i'*3 *e '"t&'(i;' e# (iter't&r'

)e i#ter!* e# '( re' )e e#%er+er='3 '"e ('* %"i#e* )e "#*&(tr ?'.

J.". ENFERMERA DE TRASLADO A@REO O TERRESTRE re'(i;'6r"e)i+ie#t* '9'#;')* e*6e"=%i"* e# (' e*"e#' 6re *6=t'('ri' "# *i#*&6er9i*i,# +!)i"' )e '"&er) ' (* 6rt"(* 6ree*t'(e"i)*3 6'rti"i6' e# (*tr'*(')* )e &r-e#"i' *(i"it')* 7&e re7&ier'# )e 'te#"i,# e*6e"i'(i;')' e#tr' i)').

J.$. ENFERMERO A9 EKAMINADOR A9 EN CASOS DE ABUSOSEKUAL e* e( ?(' re*6#*'(e )e (' 9'(r'"i,# i#i"i'(3 re"(e""i,# )ee9i)e#"i'*3 ((e#'r (* %r+'t* e*6e"=%i"* > )'r '9i* ' ('* '&tri)')e*3

'"+6'' ' (' 9="ti+' )&r'#te t) e( 6r"e*3 6&e)e te*ti%i"'r '#te ('*'&tri)')e* )e (* '((';-* e#"#tr')* )&r'#te *& 9'(r'"i,#.

J.7. ENFERMERO A9 CERTIFICADO EN TRAUMA *e &i"' e*e#"i'(+e#tee# ('* re'* )e tr'&+'$"7&e > e* 6'rte i#)i*6e#*'(e )e( e7&i6 )e tr''8 e#e*t' re'3 re'(i;' (' 9'(r'"i,# i#i"i'( > ('* '#t'"i#e* 6erti#e#te*3 6r6r"i#'"&i)')* e*6e"=%i"* ' 6'"ie#te* "# tr'&+'ti*+*3 ')+i#i*tr' tr't'+ie#t* >+e)i"'+e#t* i#)i"')* 6r e( +!)i" tr't'#te3 6'rti"i6' e# ('* +'#ir'* )ere'#i+'"i,#3 +'#tie#e e*tre"' "+i"'"i,# "# t)* (* )e6'rt'+e#t*i#9(&"r')*3 +'#tie#e '"t&'(i;')' (' i#%r+'"i,# > e*t')=*ti"'* )e (* "'** )etr'&+' e# e( *er9i"i.

ACTIVIDADES EN LA ATENCIN DE ENFERMERA EN EL

8REA DE EMERGENCIA

SEGN TPICO DESIGNADO Re"e6"i,# )e( t&+. C#tr( )e +'teri'(3 re9i*'#) 6er'ti9i)') > %"i#'+ie#t )e (* +i*+*. C#tr( )e *i-#* 9it'(e*. A)+i#i*tr'"i,# )e +e)i"'"i,# r'( > 6're#ter'(. Re'(i;'"i,# )e 6r"e)i+ie#t* e*6e"i'(e* "+:

Ne&(i;'"i#e* O


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T+' )e +&e*tr' 6'r' AGA. 1e+-(&"te*t E('r'"i,# )e 1i*tri' C(=#i"' > re'(i;'r ('* #t'* )e e#%er+er=' *e-# +)e(

)e e+er-e#"i'.

ACTIVIDADES EN OBSERVACIN DE EMERGENCIA

1. OBSERVACIN NIOS: Re"e6"i,# )e t&+. C#tr( )e +'teri'( re9i*'#) 6er'ti9i)') > %"i#'+ie#t )e (* +i*+*. E*t'r 6re*e#te e# (' 9i*it' +!)i"' re6rt'#) i#%r+'"i,# > re"e6"i#'#)

i#)i"'"i#e*. A)+i#i*tr'"i,# r'( > 6're#ter'( )e tr't'+ie#t +!)i" "# (' e#%er+er' )e(

*er9i"i. I)e#ti%i"'r > *'ti*%'"er #e"e*i)')e* )e (* 6'"ie#te*. 1'"er #t'* )e e#%er+er=': B'('#"e =)ri" > tr* re-i*tr* )e *&* 6'"ie#te*. I#%r+'r ' (' e#%er+er=' )e( *e"tr3 '""i#e* re'(i;')'* > "#)i"i#e* )e (*

6'"ie#te*. Re'(i;'r e( i#-re* > e-re* )e( 6'"ie#te 6e)itri". Tr+ite A)+i#i*tr'ti9 Re"e6"i,# )e( t&+ 8t "# (' e#%er+er' )e( *e"tr "#tr( )e +'teri'(3 Pre6'r'r ""e* )e 9i*it' +!)i"'. Se6'r'r i*tri'* "(=#i"'*3 6('"'* )e R3 TAC3 *e-# e*6e"i'(i)'). P'*'r 9i*it' +!)i"' *e-# e*6e"i'(i)') 7&e ( re7&ier'.

Re-i*tr'r e# e( "&')er# )e tr't'+ie#t (' ter'6!&ti"'. Re6rt'r ' (' e#%er+er' )e( *e"tr t)'* ('* i#)i"'"i#e* +!)i"'* re"ii)'* )e

(* 6'"ie#te*. Re'(i;'r e( i#-re*3 '(t'3 *6it'(i;'"i,# Y50 tr'#*%ere#"i' )e (* 6'"ie#te*

')&(t* Tr'+it'r i#ter"#*&(t'*. Tr'+it'r e 6('# )e "&i)')*. Veri%i"'r 6er'ti9i)') )e "')' )e (* e7&i6* i+!)i"*. C#tr('r > 9eri%i"'r (* +e)i"'+e#t* e i#*&+* 7&e *e re7&iere# e# *"

tr'&+' > e7&i6'r ( %'(t'#te. Bri#)'r 'te#"i,# i#te-r'( '( 6'"ie#te "r=ti". Re'(i;'r +#itre )e( 6'"ie#te > e%e"t&'r (* re-i*tr* re*6e"ti9*. Re'(i;'r (' ')+i*i,# > '(t' )e( 6'"ie#te e# (' i)') )e *" tr'&+' > tr*

6r"e)i+ie#t* ')+i#i*tr'ti9*. A)+i#i*tr'r (' ter'6!&ti"' 6re*"rit'. P'rti"i6'r > re'(i;'r 6r"e)i+ie#t* )e '>&)' '( )i'-#,*ti" > tr't'+ie#t.

Veri%i"'r i#-e*t'3 e


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C&+6(ir "# ('* #r+'* )e i*e-&ri)'). Tr'*(')'r '( 6'"ie#te "riti" ' e -'r'#ti;'#) +e)i)'*)e *e-&ri)').

E#9i'r '( 6'"ie#te 7&e re7&iere i#-re*'r ' *'(' )e 6er'"i#e* >X tr* e*t&)i*

)ei)'+e#te 6re6'r')*3 "# (' )"&+e#t'"i,#3 +e)i"'+e#t* > i+6(e+e#t*re7&eri)*.

Cr)i#'r '""i#e* "# (* +ie+r* )e( e7&i6 +&(ti)i*"i6(i#'ri. Bri#)'r "&i)')* i#+e)i't* '( 6'"ie#te e# *it&'"i#e* )e e+er-e#"i' >5

&r-e#"i'. Bri#)'r 'te#"i,# 6*t +rte# "# '>&)' )e( t!"#i" )e e#%er+er=' > e#9i'r e(

"')9er '( +rt&ri3 )ei)'+e#te i)e#ti%i"'). C#tri&ir "# e( +'#te#i+ie#t3 (i+6ie;' > r)e# )e (' i)'). A( %i#'(i;'r (' 'te#"i,# '( 6'"ie#te re6#er t) ( &ti(i;').

!. EN LA UNIDAD DE CUIDADOS INTERMEDIOS DE EMERGENCIAUCIE9 Re"e6"i#'r e( *er9i"i3 6'"ie#te 6r 6'"ie#te e*t'(e"ie#) e( )i'-#,*ti" )e

e#%er+er=' > 6('# )e "&i)')*. C#tr('r > 6re6'r'r e( +'teri'( > e7&i6* )e (' e*6e"i'(i)') &ti(i;')*3 )&r'#te

e( t&+. Re'(i;'r 6r"e)i+ie#t* )e ' )e e*6#8' ' 6'"ie#te* )e (' i)')3 ri#)'r

"+)i)') > "#%rt. Bri#)'r 'te#"i,# i#te-r'( > )e (' e*6e"i'(i)') '( 6'"ie#te "r=ti" )e( *er9i"i. C#tr('r > 9eri%i"'r (* +e)i"'+e#t* e i#*&+* )e( ""e )e Dr. Pr#t >

+'#te#er( e7&i6'). Re'(i;'r +#itre )e( 6'"ie#te "riti" *e-# 6rt"(3 e%e"t&'#) (* re-i*tr*

"rre*6#)ie#te*. P'rti"i6'r e# (' 9i*it' +!)i"' > e('r'r P('# )e Tr't'+ie#t M!)i". C&+6(ir

"# (* e*t#)'re* )e "'(i)') )e (' 6re*t'"i,# )e *er9i"i* )e e#%er+er=')e%i#i)* 6'r' 6'"ie#te* "r=ti"*.

Re'(i;'r (' ')+i*i,# > '(t' )e 6'"ie#te "r=ti" )e (' i)') )e '"&er) '6rt"( > tr* 6r"e)i+ie#t* ')+i#i*tr'ti9*.

A)+i#i*tr'r ter'6!&ti"' 6re*"rit'. P'rti"i6'r > re'(i;'r 6r"e)i+ie#t* )e '>&)' '( )i'-#,*ti" > tr't'+ie#t.

Veri%i"'r i#-e*t'3 e tr't'+ie#t

"# e( *6rte #e"e*'ri > -'r'#ti;'#) +e)i)'* )e *e-&ri)'). L(e9'r (* 6'"ie#te* 6r-r'+')* )e e+er-e#"i' ' (' *'(' )e 6er'"i#e* >

tr* e*t&)i* )ei)'+e#te 6re6'r')* "# (' )"&+e#t'"i,#3 +e)i"'+e#t*>5 i+6(e+e#t* re7&eri)*.

Bri#)'r "&i)')* i#+e)i't* '( 6'"ie#te e# *it&'"i#e* )e e+er-e#"i' >5&r-e#"i'.

Bri#)'r 'te#"i,# 6*t +rte# "# '>&)' )e( t!"#i" )e e#%er+er=' > e#9i'r '("')9er '( +rt&ri3 )ei)'+e#te i)e#ti%i"').

J


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C#tri&ir "# e( +'#te#i+ie#t3 (i+6ie;' > r)e# )e (' i)') > '+ie#te* )e(re'.

4. OBSERVACIONES: CIRUGA Y MEDICINA Re"e6"i#'r e( *er9i"i3 6'"ie#te 6r 6'"ie#te e*t'(e"ie#) e( )i'-#,*ti" )e

e#%er+er=' > 6('# )e "&i)')*. C#tr('r > 6re6'r'r e( +'teri'( > e7&i6*. Re9i*'r ""e )e e+er-e#"i'

+'#te#ie#) e( *t" 9i-e#te. Re'(i;'r 6r"e)i+ie#t* )e ' )e e*6#8' ' 6'"ie#te* )e -r') )e

)e6e#)e#"i' ri#)'r "+)i)') > "#%rt. Bri#)'r 'te#"i,# i#te-r'( ' (* 6'"ie#te* )e( *er9i"i. C#tr('r > 9eri%i"'r (* +e)i"'+e#t* e i#*&+*. O*er9'r3 e9'(&'r > re-i*tr'r (* *i-#* > *=#t+'*3 re'""i#e* )e( 6'"ie#te3

+#itre )e %"i#e* 9it'(e* e i#%r+'r "&'(7&ier '(ter'"i,# '( +!)i" )e-&'r)i' ret!#.

P'rti"i6'r e# (' 9i*it' +!)i"' > e('r'r 6('# )e tr't'+ie#t +!)i". A)+i#i*tr'rter'6!&ti"' 6re*"rit'.

Re'(i;'r 6r"e** )e ')+i*i,#3 '(t' > tr'#*%ere#"i' )e 6'"ie#te* > tr*6r"e)i+ie#t* ')+i#i*tr'ti9*.

P'rti"i6'r > re'(i;'r 6r"e)i+ie#t* )e '>&)' '( )i'-#,*ti" > tr't'+ie#t. Veri%i"'r i#-e*t'3 e tr*

e*t&)i* )ei)'+e#te 6re6'r')* "# (' )"&+e#t'"i,#3 +e)i"'+e#t* >5i+6(e+e#t* re7&eri)*.

Bri#)'r "&i)')* i#+e)i't* '( 6'"ie#te e# *it&'"i#e* )e e+er-e#"i' >5&r-e#"i' > re'(i;'r 6re6'r'"i,# %=*i"'3 6*i"(,-i"' > e*6irit&'( )e( 6'"ie#te.Bri#)'r 'te#"i,# 6*t +rte# "# '>&)' )e( t!"#i" )e e#%er+er=' > e#9i'r e("')9er '( +rt&ri3 )ei)'+e#te i)e#ti%i"').

I#%r+'r ' (' e#%er+er' re*6#*'(e "&'(7&ier *&"e*.

". TPICO MEDICINA E#tre-'r > re"e6"i#'r e( *er9i"i3 e*t'(e"ie#) e( )i'-#,*ti" )e e#%er+er='. C#tr('r > 6re6'r'r e( +'teri'(3 i#*tr&+e#t* > e7&i6* 6'r' 'te#"i,# )e(

"#*&(tri > +'#te#er *t" )e +e)i"'+e#t* )e &r-e#"i'. Re"e6"i#'r '( 6'"ie#te3 re'(i;'r ' e9'(&'"i,# i#i"i'(3 ri#)'r 'te#"i,# )ire"t'

)e e#%er+er=' > t+'r )e"i*i#e* 6rt'* > ri#)'r "&i)')* i#+e)i't* e#*it&'"i#e* "riti"'*

A)+i#i*tr'r tr't'+ie#t i#)i"'). Re'(i;'r #t'* )e e#%er+er=' *e-# 6rt"(*. Tr'+it'r > "r)i#'r ('* i#ter"#*&(t'*3 e"-r'%='*3 r'>* < > tr* e


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Bri#)'r 'te#"i,# i#te-r'( '( 6'"ie#te e i#ter9e#ir e# 6r"e)i+ie#t* e*6e"i'(e*)e '"&er) ' 6rt"(.

Tr'#*6rt'r '( 6'"ie#te ' *er9'"i,#3 ' UCI3 > tr'* re'* "# e( *6rte#e"e*'ri3 -'r'#ti;'#) +e)i)'* )e *e-&ri)')3 e#tre-'#) re6rte )e( 6'"ie#te"# +e)i"i#'* > )"&+e#t* re*6e"ti9*.

PROPUESTA FINAL DE FUNCIONES DE LA ENFERMERAESPECIALISTA #UE LABORAN EN LAS UNIDADES DE

EMERGENCIAS YO CUIDADOS INTENSIVOS.

ENFERMERA ESPECIALISTA

FUNCIONES ASISTENCIALES: C&i)'r (' *'(&) )e( i#)i9i)& e# %r+' 6er*#'(i;')'3 i#te-r'( > "#ti#&'3

re*6et'#) *&* 9'(re*3 "*t&+re* > "ree#"i'*. Re'(i;'r > "#tr('r e( 6r"e* )e Ate#"i,# )e E#%er+er='3 "+ +!t) "ie#t=%i"

)e (' 6r%e*i,# Re-i*tr'r e# (' i*tri' "(=#i"' t)' (' i#%r+'"i,# )i*6#i(e )e (* 6r(e+'*

i)e#ti%i"')* e# i#)i9i)&*3 %'+i(i' > "+i)'). V'(r'r (' i#%r+'"i,# re"-i)' 6'r' re'(i;'r '""i#e* )e E#%er+er='3 re-i*tr#)(*

e# (' 1.C. E9'(&'r ('* re*6&e*t'* )e( i#)i9i)& > re-i*tr' e# (' 1.C G'r'#ti;'r ('* "#)i"i#e* ,6ti+'* 6'r' (' re"e6"i,# > tr'*(') )e( 6'"ie#te Re'(i;'r > "#tr('r (' re"e6"i,# )e( 6'"ie#te re9i*'#) (' i*tri' "(=#i"'. C#tr('r > re'(i;'r (' 6re6'r'"i,# %=*i"' 6re6er'tri' )e( 6'"ie#te *i e( "'* (

'+erit'3 *e-# e( ti6 )e i#ter9e#"i,# > ('* #r+'* )e( *er9i"i. C#tr('r e( "&+6(i+ie#t )e( tr't'+ie#t 6re '#e*t!*i" I)e#ti%i"'r3 "+i"'r > e8e"&t'r '""i#e* '#te re'""i#e* 6r)&"i)'* 6r (*

'-e#te* '#e*t!*i"* > tr* %r+'"* I)e#ti%i"'r > "+i"'r *i-#* > *=#t+'* )e e+er-e#"i' 7&irr-i"'3 t'(e* "+

e9i*"er'"i,#3 *'#-r'+ie#t3 *" i69(!+i"3 )ei*"e#"i' )e (' eri)'... Pre6'r'r3 "#e"t'r > "#tr('r %"i#'+ie#t )e( e7&i6 )e *e(( )e '-&' > tr*

)re#'8e* 6(e&r'(e* C#tr('r3 t+'r )e"i*i#e* > ri#)'r 'te#"i,# ' 6'"ie#te* "# 6(e&rt+='3

"(*t+='3 tr'7&et+='3 ')+e# 'iert > tr* 6r"e)ere* )e '(t' "+6(e8i)'). De%i#ir ('* *(&"i#e* > tr* e(e+e#t* ' &ti(i;'r )&r'#te ('* "&r'* )e eri)'*. E9'(&'r3 "#tr('r > re'(i;'r "&r'* +e)'* > *e"'*3 i#"(&>e#) ('* )e '(t'

"+6(e8i)') "+ 6r e8e+6( ')+e# 'iert. I#)i"'r3 e8e"&t'r3 i#ter6ret'r > "#*&(t'r i#9e*ti-'"i#e* "(=#i"'* )e ('r'tri

?e+-r'+'3 -(i"e+i'3 e+"&(ti93 ECG3 ri#'3 e"e* %e"'(e*3 "&(ti9 )e*e"re"i#e*3 e e8e"&t'r tr't'+ie#t e#6'"ie#te* "# *i-#* > *=#t+'* )e '(ter'"i#e* )e( e7&i(iri "i) *i".

I#ter6ret'r3 6'rti"i6'r e# (' 9'(r'"i,# > t+'r )e"i*i#e* 8t "# e( +!)i" >e8e"&t'r '""i#e* *e-# e( "'*3 '#te i#9e*ti-'"i#e* "(=#i"'* "# '(ter'"i,#

?-'*+etr='3 e+-r'+'3 -(i"e+i'3 e+"&(ti93 ECG.3 ri#'3 e"e* %e"'(e*3 "&(ti9)e *e"re"i#e*3 e


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I)e#ti%i"'r3 t+'r )e"i*i#e*3 "#tr('r > e8e"&t'r "&i)')* )e e#%er+er=' '#te6'"ie#te* "# *i-#* > *=#t+'* )e "+6(i"'"i#e*3 E8.: 1i6 e i6er-(i"e+i'3*"3 "#9&(*i#e*3 *'#-r'+ie#t*...

I)e#ti%i"'r > t+'r )e"i*i#e* e# 6'"ie#te* "# '(ter'"i#e* e# (* 6'r+etr*9it'(e*.

T+'r )e"i*i#e*3 "#tr('r > e8e"&t'r (' ')+i#i*tr'"i,# )e '#'(-!*i"* >'#ti6ir!ti"*.

E9'(&'r *&*6e#)er > "+e#;'r 9=' r'( e# "'* )e *=#t+'* > *i-#* )e( *i*te+')i-e*ti9.

De"i)ir > e8e"&t'r "("'"i,# )e *#)' #'*-*tri"' *i '> 6re*e#"i' )e 9,+it*. E8e"&t'r e( +'#e8 )e +'* 6er%&*r'*. E8e"&t'r '""i#e* '#te (' 6re*e#"i' )e *e"re"i#e* #'*%'r=#-e'* > e#)tr'7&e'(e*. E8e"&t'r %i8'"i,#3 +'#te#i+ie#t > "#tr( )e )re#'8e* 7&irr-i"* > e9'(&'r e(

++e#t 6rt 6'r' retir'r(*. E8e"&t'r (' 6re6'r'"i,# > ')+i#i*tr'"i,# )e %r+'"* 6r )i%ere#te* 9='*. E8e"&t'r '""i#e* *e-# e( "'* > t+'r )e"i*i#e* 8t "# e( +!)i" e# ('

9'(r'"i,# e(e"tr"'r)i-r%i"'. P('#i%i"'r3 "#tr('r > e8e"&t'r (' 6re6'r'"i,# )e( 6'"ie#te e# i#9e*ti-'"i#e*

"(=#i"'* e*6e"i'(e* ?"(# 6r e#e+'3 tr'"t &ri#'ri *i+6(e3 R< )e "(&+#'3re"t*i-+i)*"6='3 "(#*"6='3 +ie(-r'%='*3 ('6'r*"6i'3 'rteri-r'%='3

6"i,# (&+'r. P('#i%i"'r3 "#tr('r3 > e8e"&t'r (' #e"e*i)') )e (' '(i+e#t'"i,# )e( 6'"ie#te 6r

)i%ere#te* +!t)* ?-'9'8e3 -'*tr*t+=' > >e>*t+='. De"i)ir > e8e"&t'r (' "("'"i,# > 6er+'#e#"i' )e *#)' 9e*i"'(. E8e"&t'r > e9'(&'r (' ')+i#i*tr'"i,# )e #&tri"i,# 6're#ter'(. I)e#ti%i"'r3 6'rti"i6'r e# (' 9'(r'"i,# > t+'r )e"i*i#e* 8t "# e( +!)i" >

e8e"&t'r '""i#e* e# 6'"ie#te* "# *i-#* > *=#t+'* )e '(ter'"i,# )e( e7&i(irii)r+i#er'(.

I)e#ti%i"'r3 6'rti"i6'r e# (' 9'(r'"i,# > t+'r )e"i*i#e* 8t "# e( +!)i" >e8e"&t'r '""i#e* e# 6'"ie#te* "# '(ter'"i#e* )e( e7&i(iri "i) *i".

I)e#ti%i"'r3 t+'r )e"i*i#e*3 "#tr('r > e8e"&t'r (' #e"e*i)') )e ')+i#i*tr'r'er*(.

I)e#ti%i"'r3 t+'r )e"i*i#e* 8t "# e( +!)i"3 "#tr('r > e8e"&t'r '""i#e**e-# e( "'* e# 6'"ie#te* "# *i-#* > *=#t+'* )e i#t e8e"&t'r )eri)'"i,# )e ('* ("er'* 6r 6re*i,#. De *er #e"e*'ri "#*&(t'r

"# e*6e"i'(i*t'*. De"i)ir ')+i#i*tr'r 6'rti"i6'r e# (' RCP *i"' > '9'#;')'.


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I#ter'"t&'r e# (' i+6('#t'"i,# )e +'r"'6'*. C#tr('r %"i#'+ie#t )e 9e#ti(')re* +e"#i"*. Dete"t'r > "#*&(t'r i#t&'"i,# *e(e"ti9'. E('r'r > e8e"&t'r t!"#i"' )e "+i"'"i,# e )e"i)ir "#)&"t' "# e( +!)i" %re#te ' re'""i#e* ')9er*'* )&r'#te >

)e*6&!* )e (' ')+i#i*tr'"i,# )e )r-'* 9'* '"ti9'* ?"+ )6'+i#'3 )&t'+i#'3)i-it(i"*3 tr+(=ti"* > #itr6r&*i't.

V'(r'r > t+'r )e"i*i#e* 8t "# e( +!)i" '#te e+er-e#"i' 7&irr-i"' >6(itr'&+' ?eri)' "# 'r+'* ('#"'* e# t,r'< "# "+6r+i* re*6ir'tri. >e8e"&t'r '""i#e* *e-# e( "'*.

De"i)ir > t+'r "#)&"t' 8t "# e( +!)i" '#te i#t "#tr('r (* "&i)')* )e E#%er+er='. P'rti"i6'r e# e( 6('#e'+ie#t )e '""i#e* i#ter)i*"i6(i#'ri'* e i#ter*e"tri'(e* e# (*

)i%ere#te* #i9e(e* )e 'te#"i,# )e *'(&). A*e*r'r e# +'teri' )e 6('#i%i"'"i,# *'#it'ri' e# (* +it* i#*tit&"i#'(3 )e

*er9i"i3 +i"i6'(3 6r9i#"i'( > #'"i#'(. A*e*r'r e# +'teri' )e e#%er+er=' e# (* +it* i#*tit&"i#'(e*3 )e *er9i"i3

+i"i6'(3 6r9i#"i'( > +i"i6'(. A)+i#i*tr'r i)')e* >5 *er9i"i* )e *'(&)3 e# (* )i*ti#t* #i9e(e* )e 'te#"i,# Diri-ir e( e7&i6 )e e#%er+er=' e# i)')e* re*6e"ti9'*. Di*e'r3 i+6(e+e#t'r3 e9'(&'r > 6'rti"i6'r e# 6r-r'+'* )e e9'(&'"i,# )e (' "'(i)')

)e (' '"ti9i)') )e e#%er+er='. E*t'(e"er 6(=ti"'* )e 'te#"i,#3 e)&"'"i,# e i#9e*ti-'"i,# e# e#%er+er='. Ve('r 6r (' r-'#i;'"i,# )e (' e*t'"i,# )e tr''8 )e( 6er*#'( )e e#%er+er='. C#tr('r > "&+6(ir (* 6ri#"i6i* )e '*e6*i' > '#ti*e6*i'. C#tr('r e( "&+6(i+ie#t )e (* 6ri#"i6i* !ti"* > i!ti"*. De*'rr(('r '"ti9i)')e* ')+i#i*tr'ti9'* e# )e6e#)e#"i' )e (' "+6*i"i,# )e( E7&i6 )e Tr''8 )e E#%er+er='. P'rti"i6'r >5 )iri-ir ('* rei#e* )e( *er9i"i )e e#%er+er=' 7&e *e'# 6r-r'+')'*

*e-# 6ir+i)e )e( E7&i6 )e Tr''8 )e E#%er+er='. P'rti"i6'r e# ('* t!"#i"'* ')+i#i*tr'ti9'* > "ie#t=%i"' )e e#%er+er='. S&6er9i*'r e( re' )e )e*e+6e )e e#%er+er=' 6'r' +'#te#er > +e8r'r (*

*er9i"i*. P'rti"i6'r e# (* 6'*e )e 9i*it'* "#8t )e +!)i"* > )e e#%er+er='. P('#i%i"'r3 "#tr('r > *&6er9i*'r (* 6'*e* )e 9i*it'* )e e#%er+er='. Diri-ir3 "#tr('r > *&6er9i*'r (' e#tre-' > re"i )e( *er9i"i.

@


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FUNCIONES DOCENTES Di*e'r3 6('#i%i"'r > 6'rti"i6'r e# 6r-r'+'* )e e)&"'"i,# "#ti#&' 6'r' e( 6er*#'(

)e e#%er+er=' > tr* 6r%e*i#'(e* )e (' *'(&). P('#i%i"'r e8e"&t'r > "#tr('r e( 6r"e* )e e#*e'#;'$'6re#)i;'8e e# (' %r+'"i,#

)e( 6er*#'( )e E#%er+er='. A*e*r'r e# +'teri' )e 6('#i%i"'"i,# e)&"'"i#'( e# (* +it* )e *& "+6ete#"i'

' #i9e( +i"i6'(3 6r9i#"i'(3 #'"i#'( e i#ter#'"i#'(. De*e+6e'r %"i#e* )ire"ti9'* > )"e#te* e# "'rrer'* e*"&e('* i9er*it'ri'*

#'"i#'(e* e i#ter#'"i#'(e*. I#te-r'r (* tri'(e* )e "'+i )e "'te-r=' )"e#te. De*e+6e'r %"i#e* +et)(,-i"'* e# i#*tit&"i#e* )"e#te* #'"i#'(e* e

i#ter#'"i#'(e*. Cr)i#'r "&r**3 e*t'#"i'*3 6'*'#t='*3 )i6(+')* > +'e*tr='* t'#t #'"i#'(e*

"+ i#ter#'"i#'(e*. I+6'rtir )"e#"i' i#"i)e#t'( e# e( *er9i"i )e tr''8. I+6'rtir )"e#"i' e# 6re-r') > 6*t-r'). Re'(i;'r >5 6'rti"i6'r e# i#9e*ti-'"i,# e# e#%er+er=' > tr'* re'* "# e( 8et )e

"#tri&ir '( )e*'rr(( 6r%e*i#'( > +e8r'+ie#t )e (' *'(&) )e (' 6('"i,#. Di9&(-'r > '6(i"'r (* re*&(t')* )e ('* i#9e*ti-'"i#e* ' %i# )e "#tri&ir ' +e8r'r

(' 'te#"i,# )e *'(&)3 (' 'te#"i,# )e e#%er+er=' > e( )e*'rr(( 6r%e*i#'(. Cr)i#'r3 "#tr('r (' e8e"&"i,# )e "'** "(=#i"*. P'rti"i6'r e# (' e8e"&"i,# )e e#*'>* "(=#i"*. I#te-r'r (* "#*e8* "ie#t=%i"* e# (* )i%ere#te* #i9e(e* )e( Si*te+' N'"i#'( )e

S'(&).

TAREAS ASISTENCIALES #UE PUEDE REALIZAR Re'(i;'r e 'rteri'(e* +e)i'#te 6"i,# )ire"t'.


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Fi8'"i,#3 +'#te#i+ie#t > "#tr( )e )re#'8e* 7&irr-i"*. Fi*iter'6i' re*6ir'tri'. Re'(i;'r Di(i*i* Perit#e'(3 6re9i' 6"i,# 6r e*6e"i'(i*t'. 1e+)i(i*i*. I#+9i(i;'"i,# )e %r'"t&r'*3 e*-&i#"e*3 (& )e+* +e)i* )e *&t&r' 7&irr-i"'. Retir'r "'t!tere* "e#tr'(e* > 'rteri'(e*. M#itri;'"i,# "(=#i"' > e(!"tri"' ?i#9'*i9' > # i#9'*i9'. L(e9'r 8' )e '('#"e =)ri" Re'(i;'r +rt'8'.

TRASLADO DEL PACIENTE CRTICO

1. DEFINICINE* '7&e( tr'*(') 7&e *e re'(i;' '( 6'"ie#te "r=ti" e#tre: Di*ti#t* "e#tr* *6it'('ri*. De#tr )e( +i*+ *6it'( C# "&i)')* e*6e"=%i"*.

2. CLASES Tr'#*6rte terre*tre ?'+&('#"i'. Tr'#*6rte '!re3 ?'9i,#3 e(i",6ter.

!. AREAS DEL TRASLADO DEL PACIENTE CRTICO

.. E


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De#tr )e (' "i&)'). A tr' "i&)')

.@. I#tr'*6it'('ri Pr (* *i-&ie#te* +ti9*: C# %i#e* )i'-#,*ti"* ?TAC3 e"-r'%='3 et".. Ter'6!&ti"* ?7&ir,%'# 1*6it'(i;'"i,# ?UCI3 tr* *er9i"i*.

4. PREPARACIN PARA EL TRASLADO A)+i#i*tr'ti9'. M'teri'(e* > e7&i6 C# e( 6'"ie#te

A. PREPARACIN PARA EL TRASLADO

Pre6'r'"i,# A)+i#i*tr'ti9'

O%(, 3*&+/.1*6it'(i;'"i,#3 6e)i) )e R3 TAC3 et". Cr)i#'"i,# C&'#) *e re'(i;' "# %i#e* )e )i'-#,*ti": E8. TAC. Se "r)i#' "# e( 6er*#'( 7&e ('r' e# t+-r'%='3 *re:

OE7&i6 )e '*6ir'"i,# )e *e"re"i#e*.Ve#ti(')r )e tr'#*6rte P&(*


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Te#*i,+etr.E*tet*"6i.P'*t' e(e"tr(=ti"'.

C'8' "# +e)i"'"i,# )e &r-e#"i'

Se re"+ie#)' te#er '+6. )e "')' +e)i"'+e#t e# 8eri#-'.A)re#'(i#' 0H '+6.Atr6i#' 0H '+6.i("'=#' 0 %e.Bi"'r#'t )e *)i 0@ A+6.G(&"#'t )e "'("i 0@ A+6.1i)r"rti*#' 0@ Fe.Di';e6# 0@ A+6.Dr+#i) 0@ A+.Dt'+i#'0@ Ar#6.

S(&"i#e*1'e+'"e( 0 Fe.CIN' K < 000 "" 0 Fe D< HK < 000 "" 0 Fe.E*6'r')r'6G&'#te*3 +*"'r'3 +'#)i(,#C'+i((' "# *6rte 6'r' *(&"i#e* > 0@.

C. PREPARACIN CON EL PACIENTE

Pre9i' '( tr'*(') Or)e# +!)i"'

V='* '!re'* 6er+e'(e* A*6ir'"i,# )e *e"re"i#e*. C("'r t& )e M'>. V'(r'r

)i*. De 6re%ere#"i' e# MSI ?'#ter';. C# *(&"i,# CIN' '( < 000 "" (' 7&e i#)i7&e e( +!)i". Te#er '( '("'#"e "'8' )e +e)i"'+e#t*.


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Veri%i"'r 6er+e'i(i)') )e S.V. S#)' Ve*i"'( Me)ir )i&re*i*. E(i+i#'r('. Re-i*tr'r "'#ti)') > "'r'"ter=*ti"'*.

Si e( 6'"ie#te re7&iere SNG )ee ir "# (*' )e )re#'8e. Si e( 6'"ie#te tie#e (*'* )e )re#'8e ')+i#'(. Me)ir. E(i+i#'r. Re-i*tr'r "'#ti)') > "'r'"ter=*ti"'*.

Si tie#e (*'* )e )re#'8e )e t,r'< C('+6'r (* t&*. Ui"'r(* e# (' "'+' )e( 6'"ie#te.

E 7&e )'r(e 6re6'r'"i,# 6*i"(,-i"' > '6>

e+"i#'( Re'(i;'r re-i*tr* re*6e"ti9* ?*6it'(i;'r ')8t'#): 1i*tri' "(=#i"'. E '*i*tir %"i,# 9e#t=('tri'. V'(r'r %"i,# e+)i#+i"'. Veri%i"'r i#%&*i,# )e (=7&i)* > +e)i"'+e#t*. E*t'r '(ert' %re#te ' "&'(7&ier *it&'"i,# )e e+er-e#"i' 6'r' '"t&'r

6rt' > e%i"ie#te+e#te. L' e#%er+er' 6er+'#e"er '( (') )e( 6'"ie#te. A( ((e-'r '( )e*ti# '>&)'r e# e( tr'*(') Re6rt'r '( e*t') )e( 6'"ie#te3 ( '"#te"i) )&r'#te e( tr'*('). 1'"er e#tre-' )e i*tri' "(=#i"'3 +e)i"'"i,#3 6('"'* )e R3 T/C e

i#%r+'r ( 6e#)ie#te. E# "'* )e ir ' e"-r'%='3 R3 > ' t+' )e t+-r'%=' '"+6''r '(

6'"ie#te )&r'#te e( 6r"e)i+ie#t 6'r' ri#)'r(e (* "&i)')*e*6e"=%i"*.


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M'#te#er +e)i)'* )e i*e-&ri)') E( tr'*(') *e re'(i;' "# +!)i"3 e#%er+er' > t!"#i" )e e#%er+er='.

TRANSPORTE ASISTIDO: AMBULANCIAS

1. CONCEPTOE* '7&!( 7&e *e re'(i;' 6'r' e( )e*6(';'+ie#t )e 6er*#'* e#%er+'*3 '""i)e#t')'*

6r '(-' r';,# *'#it'ri'3 e# 9e="&(* e*6e"i'(+e#te '"#)i"i#')* '( e%e"t.

1.1. TIPOS DE TRANSPORTE

A. SEGN EL TIPO DE ENFERMO:

Cr=ti": E#%er+* "# rie*- '"t&'( 6te#"i'( 6'r' (' 9i)' )e %r+'i#+e)i't' 6r(#-')'3 6r "+6r+i* )e ('* %"i#e* 9it'(e*?re*6ir'tri'3 "'r)i(,-i"' > #e&r(-i"'.

Gr'9e # "r=ti": E#%er+* "# 6r"e* 6't(,-i" 7&e # e#tr''rie*- 9it'(3 6er 7&e 6r)&"e )i*%"i,# r-#i"' i+6rt'#te "#

6e(i-r )e *e"&e('*. N -r'9e: E#%er+* "# 6r"e* 6't(,-i" 7&e # e#tr'' rie*- 9it'(

#i 6r)&"e i#*&%i"ie#"i' r-#i"' re(e9'#te.

B. SEGUN LA URGENCIA VITAL DEL ENFERMO: De e+er-e#"i': E*te ti6 )e tr'#*6rte tie#e 6riri)') '*(&t'3 )ee

re'(i;'r*e *i# )e+r' )ei) '( rie*- 9it'( 7&e *&6#e 6'r' e( e#%er+' )e+r' e# *& )i'-#,*ti" > tr't'+ie#t.

Ur-e#te*: P'r' e#%er+* "# 6*i(e rie*- 9it'( 6er "&>' '*i*te#"i'6&e)e )e+r'r*e +i#&t* & r'*.

De+r'(e*: N *e 6re"i*' )e ' '"ti9'"i,# i#+e)i't' > 6&e)e#6r-r'+'r*e.

C. SEGN EL MEDIO DE TRANSPORTE: Terre*tre: A+&('#"i'*. A!re: 1e(i",6ter M'r=ti+: E+'r"'"i,# r6i)'3 'r"$*6it'(.

D. SEGN EL E#UIPAMIENTO V LA MEDICALIZACIN: A36/,+&/ ,) /&'(,+&/(:)e*ti#')'* '( tr'#*6rte )e 6'"ie#te* e#

"'+i((' > # te#)r# 7&e e*t'r e*6e"=%i"'+e#te '"#)i"i#')'* #i)t')'* 6'r' (' '*i*te#"i' +!)i"' e# r&t'. Per*#'(: C#)&"tr "#%r+'"i,# e# tr'#*6rte *'#it'ri "# *i# '>&)'#te. A7&= *e i#"(&ir '('* '+&('#"i'* )e Cr&; R8' *i# 6er*#'( *'#it'ri.

E=&


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6'r' *&*6e#*i,# )e *(&"i#e* )e 6er%&*i,# i#tr'9e#*' > +'(et=# )e6ri+er* '& +e)i"'"i,#')e"&')'.

A36/,+&/ /&'(,+&/( ('&,// /


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T(%+&/%&): E* e( 7&e *e re'(i;' )e#tr )e( 6r6i "e#tr *6it'('ri.P'r' ' &e#' -e*ti,# )e( tr'#*6rte )ee# e '( 6r6ie#%er+. A)e+* ('* '+&('#"i'* )ee# te#er *i*te+'* )e *&*6e#*i,# e#

6er%e"t e*t').

!.!. EFECTOS DEL RUIDODe t)* (* r&i)* 6r)&"i)* e# ('* '+&('#"i'*3 (' *ire#' e* (' 7&e +*i#%(&>e e# (* e#%er+* 6r ( 7&e )ee &ti(i;'r*e #i"'+e#te *i e*i+6re*"i#)i(e.

!.4. EFECTOS DE LA TEMPERATURAE*t* e%e"t* *e 6&e)e# 6'(i'r +e)i'#te e( ')e"&') 'i*('+ie#t '*i*te#"i'3

&e# *i*te+' )e '"#)i"i#'+ie#t )e 'ire3 (' # e


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4.1. EFECTOS DE LA ACELERACIN-DESACELERACINE# e( tr'#*6rte '!re tie#e# +* i+6rt'#"i' ('* '"e(er'"i#e* 9erti"'(e* >tr'#*9er*'(e*3 7&e ('* (#-it&)i#'(e*. L* e%e"t* +* %re"&e#te* *#:'(ter'"i#e* e# (' PIC3 )e*6(';'+ie#t* )e (=7&i)* > +'*'* )e#tr )e(

r-'#i*+3 re'""i#e* 9-'(e*3 +'(e*t'r -e#er'(3 et".

4.2. EFECTOS DE LAS VIBRACIONESE( e*6e"tr )e ('* 9ir'"i#e* 6r)&"i)'* 6r e*te +e)i )e tr'#*6rte # *ee#"&e#tr' e#tre ('* i(,-i"'+e#te 6e(i-r*'*. I#%(&e#"i' e# (* tr'&+'ti*+*"r'#ee#"e%(i"*.

4.!. EFECTOS DE LOS RUIDOSE( #i9e( )e r&i)* 7&e *e 6r)&"e e*t '(re)e)r )e (* 0$ 0 )B. E# (*')&(t*3 *e 6r)&"e# '(ter'"i#e* )e( *&e "# #i9e(e* )e r&i) )e 0 )B >3 e#(* #e#'t* "'+i* e# (' %re"&e#"i' "'r)i'"' > 9'*"#*tri""i,# 6eri%!ri"'

"# #i9e(e* )e r&i) )e 0 )B *e 6&e)e 6r)&"ir t'+i!# *e#*'"i,# )e)i*"#%rt3 %'ti-' '&)iti9' e i#ter%ere#"i' e# (' "+i"'"i,#. Otr'*"#*e"&e#"i'* )e( r&i) 9'# ' *er (' i+6*ii(i)') )e '&*"&(t'"i,# "# +!t)*tr')i"i#'(e*3 )e e*"&"'r ('* '('r+'* *#r'*3 )e =r 6*i(e* %&-'* '!re'* e#e#%er+* "#e"t')* ' 9e#ti('"i,# +e"#i"'3 et". Pr t'#t3 )eer# t+'r*e+e)i)'* )e 6rte""i,# '"*ti"' 6'r' e( e#%er+ e i#*t'('r +e)i* )e )i'-#,*ti")i-it'(i;')* 6'r' "#tr('r ('* "#*t'#te* e+)i#+i"'*.

4.4. EFECTOS DE LA TEMPERATURAE*t* e%e"t* *e 6&e)e# 6'(i'r +e)i'#te e( ')e"&') 'i*('+ie#t '*i*te#"i'(3

&e# *i*te+' )e '"#)i"i#'+ie#t )e 'ire3 (' # e '( +'teri'( e# 6r>e"ti(e*3 )e # ir ')e"&')'+e#te%i8')* 6r "i#t&r#e* )e *e-&ri)').

4.$. EFECTOS DE LA ALTURAL* e(i",6ter* *&e(e# 9('r ' '(t&r'* i#%erire* ' ('* 7&e *e re('"i#'# "#'(ter'"i,# *i-#i%i"'ti9' e# (' 6re*i,# 6'r"i'( )e "# (' e e( tr'#*6rte e# '9i,#3 7&e e* re'(i;') ' '(t&r'* "#*i)er'(e*3 *&e(e6r)&"ir*e e# '6'r't* )t')* )e *i*te+'* )e 6re*&ri;'"i,#.

". CONSIDERACIONES GENERALES PROCEDIMIENTO DEL TRASLADOACTUACIN CON EL ENFERMO Y FINALIZACIN DEL TRASLADO

".1. CONSIDERACIONES GENERALES:E# t) ++e#t )eer=' +'#te#er*e ' "+i"'"i,# %(&i)' e#tre e( e7&i6'*i*te#"i'( > e( "#)&"tr 6i(t3 7&e )eer=' ')9ertir3 e# ( 6*i(e3 *re ('*+'#ir'* e' ' re'(i;'r.

E# "'*i#e*3 *i (' *it&'"i,# ( 6er+ite3 )eer='# e(e-ir*e r&t'* '(ter#'ti9'* "#+e#r i#te#*i)') )e tr%i" +e8r "'(i)') )e '*%'(t')3 '&e 6&)ier'

H


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*i-#i%i"'r ' 9e"e* '&+e#t'r (' )i*t'#"i' re"rri)'3 > e( 9e="&( *e )eer=')ete#er t'#t'* 9e"e* "+ *e "#*i)er'*e #e"e*'ri 6'r' '*e-&r'r ('6ti+i;'"i,# )e (* "&i)')* )e( e#%er+. E# tr'*(')* ' +&> '8' 9e("i)')3 e(e7&i6 )e ('* '+&('#"i'* terre*tre* )eer=' *(i"it'r e*"(t' 6(i"i'(.

E# e( "'* e*6e"=%i" )e tr'#*6rte '!re "# )e*%iri('"i,# e# 9&e(3 'r 7&e3"+i"'r3 '( 6i(t 7&e *e 9' ' )e*%iri('r ?6*i(e tr'#*+i*i,# )e (' e#er-=' i#ter%ere#"i'* e# ('* r')i"+i"'"i#e* > "("'r '( e#%er+ *&*"e6ti(e )e%iri('r3 6'r"e*3 6&e* 6r6r"i#'# +'>r *e-&ri)') > "+)i)'). I#te#t'r'terri;'r 6'r' re'(i;'r e*t' t!"#i"'.

E( tr'*(') e# ('* '+&('#"i'* )e %'+i(i're*3 '"+6''#te* # '*i*te#"i'(e*3*e )eer=' "#*i)er'r *,( )e %r+' e' e# #i#-# ++e#t e( #i9e( )e "&i)')*>' "#*e-&i). L' e(e""i,# )e +e)i & tr )e tr'#*6rte )e6e#)er )e(* *i-&ie#te* 6'r+etr*:

G%/(/ ? &'/+&, ( (,(%3):De6e#)er )e (' 6't(-=' )e( +i*+ (' +)'(i)') )e tr'#*6rte. E*t'+)'(i)') e*t )e%i#i)' e# "')' )e (* 6rt"(* '*i*te#"i'(e*.

C),&+&),( 6'r'e*t *e )ee# &ti(i;'r (* Ce#tr* Cr)i#')re*. Di*6#ii(i)') )ere"&r** *'#it'ri*:

E( e(i",6ter *'#it'ri e*t'r i#)i"') "&'#) e( tr'

TECNICAS DE VALORACION AL PACIENTE CRÍTICO

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