Levantamento dos custos do dispositivo intravascular periférico na composição dos valores da internação em uma unidade pediátrica: um estudo quantitativo

Abstract

The venous puncture in pediatrics is for the child a painful and extremely stress procedure for the familiar companions. Observing in practical daily of the pediatric assistance the puncture of repetition for maintenance of a pérveo access in the medicine administration with drawn out period and knowing that the system of payment to the hospital for the Only System of Health is for pathology, it sharpened me the interest to develop a exploratory, descriptive research with quantitative boarding on the costs of Peripheral the Intravascular Device in the internment in Pediatrics. Objectives: To raise the costs of used Peripheral the Intravascular Device during the internment in a pediatric unit; To identify the causes of substitution of Peripheral the Intravascular Device in the venous accesses during the internment in a pediatric unit and To correlate the cost of Peripheral the Intravascular Device in the composition of the final remuneration of the paid pedia trics internments for the Only System of Health. The scene of the research was a Pediatric Infirmary of a University Hospital. Sample: nineteen children interned in the period of October of 2006 the April of 2007. The data had been analyzed and organized in three categories: I. Demographic profile and Epidemiologist of the Children interned in the Infirmary of Pediatrics of the HUAP; II The Costs of the DIP in the Process of Hospitalization in Pediatrics in the HUAP; e III. The Costs of the DIP in the composition of the final remuneration of the paid pediatrics internments for the SUS. In the first category they had been presented given that was capable to characterize and to trace the profile of the clientele interned in the Infirmary of Pediatrics. In the second category they had been presented given that they demonstrated the main causes of the loss of a peripheral access venous, thus tracing a parallel with the average of time of duration of a venous access, the places of effective venous puncture and the deriving costs of these infusionais imperfections. In the third category they had been presented given that showed to the paid time of permanence for the SUS for each pathology X the real time of permanence of each customer, the costs of the venous accesses during the period of each internment and the costs of the DIP when compared with the costs of the internment. What if it intended, in a research in which the conclusions had emanated of numerical data and percentages, were to the search of alternative (s) for the reduction of tangible and intangible costs with venous accesses. Therefore, it urges to continue investigating in this line theoretician-methodological to favor the process of consolidation of the nursing as profession recognized and sanctioned by its components (the professionals) and its dependents (the population).