Analysis of process reorganization in the care of suspected covid-19 patients in an emergency care specialized in otorhinolaryngology and ophthalmology
DOI:
https://doi.org/10.37497/ijhmreview.v8i1.303Keywords:
SARS-CoV-2, COVID-19, Otorhinolaryngology, Ophthalmology, Contingency PlansAbstract
In December 2019, a new infection appeared, of unknown etiology and frighteningly contagious, caused by the SARS-CoV-2 virus. Given this scenario, otolaryngologists and ophthalmologists are at high risk of contagion and dissemination, as they perform procedures in direct contact with mucous membranes that generate aerosols and droplets. Possible manifestations of COVID-19, such as changes in the upper airways, loss of smell and taste, in addition to ocular changes, induce suspected individuals to seek these services. There are also asymptomatic patients who seek care due to complaints related to specialties, leading health professionals to occupational exposure. Thus, the World Health Organization (WHO), highlights the need for reorganization in health establishments, such as the creation of screening services, the use of PPE and training of health professionals. This study aimed to identify changes in emergency care specialized in otorhinolaryngology and ophthalmology, in the reevaluation and creation of new processes in order to demonstrate competence in work practice. To this end, a single case study was conducted, with a qualitative and descriptive approach, guided by semi-structured interviews with 21 health professionals, in addition to analysis of internal documents and an institutional video. As a result, 255 stretches of narratives were selected, linked to 21 codes, grouped into 7 categories. The study allowed the identification of combinations of evidence related to the flows of suspected patients, structural changes, training, dimensioning and use of Personal Protective Equipment (PPE), considered essential to reduce nosocomial transmission.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 International Journal of Health Management Review
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish in this journal agree to the following terms: The author(s) authorize the publication of the text in the journal; The author(s) guarantee that the contribution is original and unpublished and is not in the process of being evaluated by any other journal(s); The journal is not responsible for the opinions, ideas, and concepts contained in the texts, as these are the sole responsibility of their respective author(s); The editors reserve the right to make adjustments to the text in order to ensure that it adheres to the standards of the journal. Authors retain the copyrights and grant the journal the right of first publication, with the article simultaneously licensed under the Creative Commons Attribution License which allows the sharing of the article with the acknowledgment of authorship and initial publication in this journal. Authors are authorized to take additional contracts separately, for the non-exclusive distribution of the version of the article published in this journal (e.g. publication in an institutional repository or as a book chapter), with the acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (e.g. in institutional repositories or on their personal webpage) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of published work (See The Effect of Free Access at http://opcit.eprints.org/oacitation-biblio.html)
