Desenvolvimento de protocolo de alta segura para Recém-nascidos

Abstract

The safe discharge of the newborn is configured in the construction of therapeutic assistance, based on guidelines directed to home care, by the multidisciplinary team. In this sense, it is necessary to take into account the particular needs of each newborn and their family arrangements, their complexity, and possible complications after hospital discharge. Professionals working in neonatal units must be able and sensitized to observe the criteria listed in the scientific literature for qualified discharge of newborns, in order to reduce the rates of readmissions of this population and consequent neonatal morbidity and mortality. Dialogue with the family is necessary, inserting them as active agents in the care of newborns, in what concerns the preparation for hospital discharge, making them safe and empowered. Thus, care protocols are characterized as a means of spreading information that consolidate these criteria. Goals:To develop a protocol for safe discharge of newborns, to identify in the scientific literature the guidelines for safe discharge of newborns, and to describe the stages in the development of technologies for safe discharge of newborns. Metodology:This is an exploratory-methodological study of educational technology development, aimed at building a safe discharge protocol for newborns, carried out from January to December 2022. Results: A safe discharge protocol for newborns, two scientific articles in the form of an integrative and narrative literature review were prepared. Conclusion: Safe discharge of neonates admitted to the birthing unit requires accuracy and attention to the following listed criteria: biophysiological (sleep, rest, feeding, vaccination, hygiene, breathing, vital signs, bathing, normal eliminations, anthropometric data, normal laboratory and bioimaging tests, safety, skin care, hydration, diaper changing, effective suctioning, management of the umbilical stump) effective communication (general guidelines on RN care at home, recognition of health worsening) and follow-up network (follow-up of the newborn in basic health unit). It is up to the multidisciplinary team, especially the nursing team, in the category of neonatal nurse, to act constantly in the evaluation of these criteria, in order to avoid the return of these neonates with significant health problems.