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Revista Cuidarte
versão impressa ISSN 2216-0973versão On-line ISSN 2346-3414
Resumo
FRANCO, Andrezza Serpa et al. Safety in the Rapid sequence intubation recommended in COVID-19: Experience report. Rev Cuid [online]. 2020, vol.11, n.2, e1260. Epub 04-Nov-2020. ISSN 2216-0973. https://doi.org/10.15649/cuidarte.1260.
Objetive
To describe the experience regarding the strategy implemented to enhance safety during the administration of hazardous drugs recommended for rapid sequence intubation in patients with COVID-19.
Materials and Methods
A descriptive experience-reporting study was conducted based on the principles of the National Patient Safety Policy, which describe the adequacy of color-coded trays for administering hazardous drugs during the rapid sequence intubation. According to the sequence of drug administration, drugs are classified into their therapeutic class in color-coded trays. The strategy was implemented in partnership with the ICU multidisciplinary team from a public cardiovascular hospital in Rio de Janeiro.
Results
Color-coded trays were used three times during the rapid sequence intubation. A table was prepared based on this strategy which contained pharmacological and nursing care characteristics of hazardous drugs available in the medication preparation room for consultations. Medication Without Harm is included in the third WHO Global Patient Safety Challenge. Among the factors that contribute to the incidence of adverse effects is the use of hazardous drugs. The application of safety barriers is the strategy outlined in this report, which is necessary for the prevention of adverse effects.
Conclusions
The use of color-coded trays set up barriers to the occurrence of possible incidents derived from the use of hazardous drugs during the rapid sequence intubation in patients with COVID-19.
Palavras-chave : Coronavirus Infections; Rapid Sequence Induction and Intubation; Potentially Inappropriate Medication List; Evidence-Based Nursing; Patient Safety.