Patient Vehicle Extrication at the Entry Door of an Emergency Care: An Analysis of Nursing Activity

The research was carried out in the Emergency Room of a private hospital in the city of São Paulo, Brazil. This addressed the activity of mobilizing and removing patients from inside the car, when they arrive at the service. The nursing team presented complaints regarding the lack of standardization and institutional guidelines for practice, which support safety and injury prevention for patients and professionals. The study then sought to carry out an evaluation of the nursing work activity in the vehicular extrication of the patient to identify conditions of the activity, barriers, facilitators and variability. The methodology was an exploratory study with the application of a questionnaire to approach and analyze the characteristics of the population and the vision of the nursing professionals, in complementarity with a structured guided observation of the simulation of the activity by 4 different work teams. As a result, a description of the activities was obtained concerning to: the principle of scene safety, classification of severity according to the patient's assessment, the postures and positioning of the professional's body and the use of equipment. The reflection on this theme points to the need for the development of institutional training and care flows, mentioned as being of importance by the professionals participating in the activity. As a conclusion, it was possible, through concrete data, to dialogue in order to seek new options for modes of operation, as well as to promote future comparisons with other reference centers in the world.