{"id":5028,"date":"2019-02-25T14:13:49","date_gmt":"2019-02-25T12:13:49","guid":{"rendered":"http:\/\/www.easistent.ro\/?p=5028"},"modified":"2019-03-29T13:27:17","modified_gmt":"2019-03-29T11:27:17","slug":"metodologia-de-elaborare-a-procedurilor-operationale-de-practica-medicala-pentru-asistenti-medicali-generalisti-moase-si-asistenti-medicali","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=5028","title":{"rendered":"Metodologia de Elaborare a Procedurilor Opera\u021bionale de Practic\u0103 Medical\u0103 pentru Asisten\u021bi Medicali Generali\u0219ti, Moa\u0219e \u0219i Asisten\u021bi Medicali"},"content":{"rendered":"

Din seria de lucr\u0103ri prezentate \u00een cadrul celei de-a XV-a edi\u021bii a Conferin\u021bei Na\u021bionale \u0219i a IV-a Conferin\u021b\u0103 Interna\u021bional\u0103 OAMGMAMR <\/em><\/strong><\/p>\n

\u00a0<\/em><\/strong><\/p>\n

Lansat\u0103 public \u00een cadrul celei de-a XV-a edi\u021bii a Conferin\u021bei Na\u021bionale \u0219i a IV-a Conferin\u021b\u0103 Interna\u021bional\u0103 OAMGMAMR, public\u0103m aici prezentarea lucr\u0103rii \u201dMetodologia de Elaborare a Procedurilor Opera\u021bionale de Practic\u0103 Medical\u0103 pentru Asisten\u021bi Medicali Generali\u0219ti, Moa\u0219e \u0219i Asisten\u021bi Medicali\u201d<\/em><\/p>\n

 <\/p>\n

Coordonator<\/strong><\/p>\n

Mariana Zazu<\/strong><\/em><\/p>\n

As. Med. Princ. Master, Drd.<\/p>\n

Ordinul Asisten\u021bilor Medicali Generali\u0219ti, Moa\u0219elor \u0219i Asisten\u021bilor Medicali din Rom\u00e2nia Filiala Bucure\u0219ti, Departamentul Profesional \u0218tiin\u021bific, de Cercetare \u0219i Dezvoltare a Profesiei<\/p>\n

 <\/p>\n

Coautori <\/strong><\/p>\n

Viorica Nedelcu<\/strong><\/em><\/p>\n

OAMGMAMR Filiala Bucure\u0219ti<\/p>\n

 <\/p>\n

Carmen Mazilu<\/em><\/strong><\/p>\n

Pre\u0219edinte OAMGMAMR Filiala Bucure\u0219ti<\/p>\n

Universitatea de Medicin\u0103 \u0219i Farmacie \u201eCarol Davila\u201d Bucure\u0219ti, Rom\u00e2nia<\/p>\n

 <\/p>\n

Introducere <\/strong><\/p>\n

\"proiect\"<\/a>Activitatea de \u00eengrijiri de s\u0103n\u0103tate reprezint\u0103 un proces complex care trebuie documentat etap\u0103 cu etap\u0103, \u00een baza legisla\u021biei specifice, a ghidurilor interna\u021bionale de bune practici bazate pe dovezi, precum \u0219i a recomand\u0103rilor din standardele de calitate na\u021bionale \u0219i interna\u021bionale. Aceast\u0103 activitate trebuie procedurat\u0103, astfel \u00eenc\u00e2t s\u0103 reflecte practica real\u0103 de \u00eengrijire, deoarece poate expune asistentul medical generalist, moa\u0219a \u0219i asistentul medical la numeroase vulnerabilit\u0103\u021bi \u0219i riscuri profesionale. Printre avantajele elabor\u0103rii procedurilor opera\u021bionale de practic\u0103 medical\u0103 (POPM) pentru asisten\u021bi medicali \u0219i moa\u0219e se pot enumera: minimizarea variabilit\u0103\u021bii practicii medicale, reglementarea legislativ\u0103 a activit\u0103\u021bii, dezvoltarea propriilor instrumente de prevenire a situa\u021biilor de r\u0103spundere juridic\u0103, documentarea activit\u0103\u021bii profesionale, con\u0219tientizarea propriei identit\u0103\u021bi profesionale.<\/p>\n

 <\/p>\n

Material \u0219i metod\u0103<\/strong><\/p>\n

\"proiect1\"<\/a>\u00cen ianuarie 2017, Ordinul Asisten\u021bilor Medicali Generali\u0219ti, Moa\u0219elor \u0219i Asisten\u021bilor Medicali din Rom\u00e2nia (OAMGMAMR) Filiala Bucure\u0219ti a ini\u021biat Proiectul pilot \u201eRevizuirea \u0219i actualizarea procedurilor opera\u021bionale de practic\u0103 medical\u0103 \u0219i elaborarea protocoalelor de practic\u0103 medical\u0103 \u0219i a ghidurilor de bune practici bazate pe dovezi pentru asisten\u021bii medicali generali\u0219ti, moa\u0219e \u0219i asisten\u021bi medicali\u201d. \u00cen cadrul acestui proiect \u00ee\u0219i desf\u0103\u0219oar\u0103 activitatea 25 membri ai grupului de lucru \u201eProceduri\u201d care au dezvoltat instrumentele de elaborare \u0219i redactare a POPM: template, ghid de elaborare, opis POPM. Acest proces a fost interactiv, extrem de dinamic \u0219i de durat\u0103, iar \u00een aceast\u0103 prim\u0103 etap\u0103 (2017-2018) au fost elaborate POPM care vor fi aplicate \u00een toate tipurile de sec\u021bii, indiferent de specificul acestora: administrarea medicamentelor, monitorizarea func\u021biilor vitale, alimenta\u021bia pacientului, igiena \u0219i confortul pacientului etc.<\/p>\n

 <\/p>\n

Rezultate<\/strong><\/p>\n

\"proiect2\"<\/a>Conform Ordinului nr. 400\/2015 pentru aprobarea Codului controlului intern managerial al entit\u0103\u0163ilor publice cu modific\u0103rile \u0219i complet\u0103rile ulterioare \u0219i a recomand\u0103rilor interna\u021bionale de bune practici bazate pe dovezi, template-ul de POPM cuprinde urm\u0103toarele sec\u021biuni: scop, domeniu de aplicare, defini\u021bii, abrevieri, documente de referin\u021b\u0103, responsabili de proces, resurse, descrierea procedurii, identificarea riscurilor opera\u021bionale \u0219i stabilirea m\u0103surilor de limitare a acestora, indicatori de monitorizare, bibliografie, anexe. Identificarea riscurilor, m\u0103surile de limitare a acestora, precum \u0219i lista indicatorilor de structur\u0103, de proces \u0219i de rezultat care constituie punctele tari \u0219i elementele de noutate ale POPM. Rezultatul secundar al acestui Proiect \u00eel reprezint\u0103 elaborarea unui Manual de riscuri clinice de \u00eengrijiri de s\u0103n\u0103tate \u0219i a unui Ghid de practic\u0103 privind Auditul clinic al serviciilor de \u00eengrijire.<\/p>\n

 <\/p>\n

Concluzii <\/strong><\/p>\n

\"proiect3\"<\/a>Standardele practice ale activit\u0103\u021bilor asisten\u021bilor medicali \u0219i moa\u0219elor trebuie s\u0103 cuprind\u0103 toate procesele opera\u021bionale din institu\u021biile sanitare, s\u0103 fie documentate corespunz\u0103tor pentru a ob\u021bine servicii de calitate \u0219i performan\u021b\u0103 \u00een procesul de \u00eengrijire al pacien\u021bilor, dar \u0219i pentru a reprezenta un instrument de ap\u0103rare \u00een cazul eventualelor litigii.<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

The Development Methodology of Medical Practice Operating Procedures for General Medical Assistants, Midwives and Nurses<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

Coordinator<\/strong><\/p>\n

Mariana Zazu<\/em><\/strong><\/p>\n

RN, MSc, PhD student<\/p>\n

The Order of Nurses, Midwives and Medical Assistants of Romania, Bucharest branch, Scientific Professional Research and Development of Profession Department<\/p>\n

 <\/p>\n

Co-authors<\/strong><\/p>\n

Viorica Nedelcu<\/em><\/strong><\/p>\n

The Order of Nurses, Midwives and Medical Assistants in Romania, Bucharest Branch<\/p>\n

 <\/p>\n

Carmen Mazilu<\/strong><\/em><\/p>\n

President, The Order of Nurses, Midwives and Medical Assistants in Romania, Bucharest Branch<\/p>\n

The \u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest<\/p>\n

\u00a0<\/strong><\/p>\n

Introduction <\/strong><\/p>\n

The health care activity represents a complex process which must be recorded at every stage based on specific legislation, international evidence-based best practice guidelines and recommendations of national and international quality standards. This activity must be performed so that it would reflect real nursing practice because it can expose medical assistants, nurses and midwives to many vulnerabilities and professional risks. Among the advantages of developing medical practice operating procedures (MPOP) for nurses and midwives, we can mention the following: reducing the medical practice variability, legislative regulation of the activity, developing their own prevention tools of legal liability situations, recording the professional activity, awareness of their own professional identity.<\/p>\n

Material and method <\/strong><\/p>\n

In January 2017, The Order of Nurses Midwives and Medical Assistants in Romania (OAMGMAMR), Bucharest Branch, initiated the Pilot Project: Reviewing and Updating the Medical Practice Operating Procedures and Developing Medical Practice Protocols and Evidence-based Best Practice Guidelines for General Medical Assistants, Midwives and Nurses\u201d. Within this project, there are 25 members of the \u201cProcedures\u201d working group who created MPOP tools: templates, developing guidelines, MPOP register. This process was interactive, extremely dynamic and long, and in this first stage (2017-1018) MPOPs were developed, which will be further applied in all types of hospital departments, regardless of their specialty: drug administration, vital signs monitoring, patient nutrition, patient hygiene and comfort, etc.<\/p>\n

Results <\/strong><\/p>\n

According to the Order no. 400\/2015 for the approval of the managerial internal control code of the public entities with the ulterior changes and completions and to the international recommendations of evidence-based practice, the MPOP template contains the following sections: objective, applicability domain, definitions, abbreviations, reference documents, process responsible, resources, procedure description, identifying the operating risks and determining the measures for limiting them, monitoring indicators, bibliography, appendixes. Identifying the risks, the measures for limiting them and the list of structure, process and result indicators represent the strong-points and the novelty elements of MPOP. The secondary result of this project is represented by the development of a Manual of Clinical Risks in Health Care and of a Practice Guideline Regarding Clinical Audit of Health Care Services.<\/p>\n

Conclusions <\/strong><\/p>\n

The practical standards of the nurses\u2019 and midwives\u2019 activities must encompass all the operating processes of medical institutions, they must be appropriately recorded in order to ensure performant health care services, but also to represent a defensive mechanism in case of litigation.<\/p>\n

Link to presentation: <\/strong><\/p>\n

http:\/\/www.easistent.ro\/new\/wp-content\/uploads\/documente\/LucrareaPOPM.pdf<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Din seria de lucr\u0103ri prezentate \u00een cadrul celei de-a XV-a edi\u021bii a Conferin\u021bei Na\u021bionale \u0219i a IV-a Conferin\u021b\u0103 Interna\u021bional\u0103 OAMGMAMR \u00a0 Lansat\u0103 public \u00een cadrul celei de-a XV-a edi\u021bii a Conferin\u021bei Na\u021bionale \u0219i a IV-a Conferin\u021b\u0103 Interna\u021bional\u0103 OAMGMAMR, public\u0103m aici prezentarea lucr\u0103rii \u201dMetodologia de Elaborare a Procedurilor Opera\u021bionale de Practic\u0103 Medical\u0103 pentru Asisten\u021bi Medicali Generali\u0219ti, […]<\/p>\n","protected":false},"author":3,"featured_media":4999,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,155],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5028"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5028"}],"version-history":[{"count":4,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5028\/revisions"}],"predecessor-version":[{"id":5036,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5028\/revisions\/5036"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/4999"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}