Cumplimiento de protocolos en el cuidado del catéter de hemodiálisis por el personal en una Institución Pública de Salud.

Abstract

The proper management of hemodialysis catheters has become a real challenge and a necessity for the nephrology nursing team. Proper care of the catheter prevents the appearance of complications and prolongs its survival. The main complications associated with catheters are dysfunction and infection, with the infection being the most serious. Therefore, our objective is to determine compliance with maintenance protocols in patients with a hemodialysis catheter in Guayaquil Hospital. The methodology used was descriptive, quantitative and for the collection of data, an indirect observation guide is applied, through eighteen items with dichotomous and multiple options. The universe consisted of 18 members of the nursing staff who are in charge of the hemodialysis unit of the Hospital Guayaquil. As a result it was evidenced that 56% have academic level of the third level, 61% have more than one year in the service, while 100% have received training, 94% indicate that they know and apply the protocols. In relation to the connection and disconnection of the catheter, 85% comply with the procedures, 93% comply with the use of protective barriers. As a conclusion it is evident that the nursing staff is trained on the procedures to be followed, but there are minority groups that do not fully comply with the protocol, for which it is necessary that they be oriented in their compliance to provide a quality care to the patients of the hemodialysis unit.