Sunday, October 24

Nursing professionals claim their role in vaccination against covid-19

They are teachers of Nursing in the UCH-CEU University, but they work on Emergencies, the FIA The Queries External, where the consequences of covid-19 are living. Hence, they claim the need to overcome doubts about vaccination “to achieve immunity, we are already late.” At the same time, these professionals Nursing vindicate their role in vaccination against covid-19 as they are the “most user-friendly” toilets. For these professionals, their closeness to society and the importance of health education are key in this health crisis.

This is the case of Alberto Rico, Supervisor of External Consultations, Day Hospital and Care Management at the Vinalopó University Hospital. For this teacher of Critical Patient Care and Life Support of the CEU of Elche, reluctance to vaccination should be overcome. «There are no more reactions or health problems than with other vaccines in the more than 1,000 cases we have, “he says. For Francisco Prats, a nurse in the ICU of the same Hospital, «We must all get vaccinated to achieve immunity. We are already late and it is not expected for this 2021 ».

From the same opinion on raise awareness a the society is Ana Belén Riera, a nurse in the Emergency Service of the Vega Baja Hospital in Orihuela. “There are many people who are gone, many who risk their lives every day trying not to increase losses,” he warns.

For this professional, with seventeen years of experience, it is necessary to continue insisting, because “this virus does not understand social class, gender, race or religion.” And he sends a message to those who doubt: «I would tell them to look around and think that that respirator that an unknown person wears today or those tears that another sheds for losing a loved one. Today it is not him, but tomorrow it may be.

Hence the role of Nursing in vaccination process, from management to administration, according to Inés González, from the General Hospital of Alicante. “We are professionals in constant training with the incorporation of all the updates of evidence from vaccine research that helps to configure vaccination schedules”, acknowledges this nurse from the Emergency Operating Room service.

The keys to the vaccination process is information to citizens.

Alberto Rico also highlights that knowledge and training in the vaccination process as a strong point of these toilets. «Nursing already carries out this work in the rest of the existing vaccinations: in children, in Emergencies, in the preventive and occupational health services, in influenza campaigns, pregnant women, allergies … ». All this knowledge would result, according to Ana Belén Riera, in greater profitability of time and performance if they left Nursing the management of administering the vaccine.

«It is the nurses who know their patient quotas, their pathologies, needs, the time necessary to allocate to one or another intervention, so that, if they could monitor vaccination, everything would go much more fluid, “he says.

In permanent update

For Maite Pinedo, nurse in the Department of Health and Public Health of the City of Elche, preparation is essential. «In addition to administering, managing and maintaining vaccines we have to be in permanent update on evidence that are generated around them. Everything to provide quality, effective and efficient care “, warns this professional, a member of the Academy of Nursing of the Valencian Community. “And because of its legal competence to administer invasive treatments”, Francisco Prats adds.

Based on this recognition, the health administration should take into account a fundamental issue, according to Inés González. “It is not just a matter of seeing how many professionals each Health department has to vaccinate, but of planning, managing and creating nursing teams to vaccinate taking into account the priority population to receive vaccines,…».

They defend that if they controlled the vaccination, everything would go more smoothly by knowing better the quotas of patients, their pathologies and needs

These professionals recognize that one of the keys to the vaccination process is information for citizens, which “could have been better,” warns Rico. For Pinedo, you have to educate and to convince, “do not force. The safety of anti – covid vaccines is assured, but it is necessary to explain and convince the population of its effectiveness». And also of the possible effects, such as fatigue, headache, dizziness, muscle pain, fever and joint pain.

In your opinion, nurses should be prepared to have a conversation about the adverse effects of the vaccine with patients. “Most people may experience one or more of these reactions. They are totally transient and indicate that it has an effective immune response, “he says.

“There are different vaccines and each one of them has efficacy and diverse effects that we must know and handle in order to eliminate doubts in our patients “, says Inés González. In his role as education for health“We contribute to the population being more predisposed to vaccination and not questioning it,” he emphasizes.

The management of covid-19 health crisis it is also affecting these professionals, regardless of the service in which they work. «The staff is exhausted. They are many months of struggle, of exposure to the virus, of uncertainty to think if one day it is our turn, of the consequences that this has for our families … », Riera acknowledges. His partner Francisco Prats also highlights the psychological wear. «It is more the mental and mental fatigue, which involves working with these patients, than the physical, which also. Imagine 12 hours of work wearing PPE … », he warns.

Day to day of a nurse in covid times

Alberto Rico. Supervisor of CCEE, Day Hospital and Care Management at Hospital del Vinalopó and professor of Critical Patient Care and life support at CEU-UCH

Alberto Rico.

“It depends a lot on the situation of the different services that I supervise. And the functions, apart from the Problem resolution that arise, is based on restructuring the care in the different services with the change in the management of covid patients and the intensity of their demand.

Ana Belén Riera. Emergency Service of the Vega Baja Hospital in Orihuela and Professor of Clinical Nursing at CEU-UCH

Ana Belén Riera.

«When I get to work, my colleagues tell me the status of the patients I have in the emergency room assigned to me that day and what are the indications to follow: treatments, complementary tests, destination of the patient … and also, you are at the expectation of what may come through the emergency room door: ambulant patients, basic life support ambulances, SAMU ambulances … without knowing the number of people or the severity of them … In Emergencies every day is different, and everything changes from one moment to another ».

Francisco Prats, Adult Intensive Care Unit of the Vinalopó University Hospital and professor of the Department of Nursing and Physiotherapy of the CEU-UCH

Francisco Prats.

«It must be taken into account that ‘ICU is life’ And that is our philosophy: facing a covid patient for the first time, what you saw so far in February or March 2020 and that you thought was not going to come is a challenge. In addition, I can assure you that you feel fear and you notice again ‘moths’ in your stomach or ‘a lump in your throat’. It is still a respiratory distress syndrome, and we treat it as such, like another patient, but with a very cool head, highly protocolized actions and strong decontamination when leaving. It is more the mental and mental fatigue, which involves working with these patients, than the physicist (which too). Imagine 12 hours of work with a PPE on … In my work I feel very comfortable, very safe and surrounded by colleagues, assistants, nurses, doctors and support personnel, in whom you feel safe. And when you leave work you try to disconnect, but I can assure you that it is very difficult … What defeats you about these patients is the slow forward and sometimes, in many cases, not as optimistic as you expected … ».

Inés González. Emergency Operating Room Service of the General University Hospital of Alicante and Professor of Clinical Nursing at CEU-UCH

Inés González.

«My day is rotating shifts in the morning, afternoon and nights. We attend all those situations whose acute pathology requires the performance of a surgical intervention to restore the health of the individual.

At the General Hospital of Alicante, in our operating room, we attend all medical specialtiesTherefore, nurses must know the particularities of each medical specialty (General Surgery, Neurosurgery, Traumatology, Gynecology, …), as well as within each specialty we must know the particularities of each pathology because, for example, it is not the same appendicitis as cholecystitis or hip fracture in an older person than a patient multiple trauma by an accident.

Therefore, we must always be prepared at the level of knowledge of evidence and updates of all the specialties that we deal with, as well as the management of stress that generates the situations of emergencies limits. Now with the situation of the pandemic we are operating on many patients with covid-19 ».

Maite Pinedo. Nurse of the Department of Health and Public Health of the City of Elche and professor of practices in Specialized Care at the CEU-UCH

Maite Pinedo.

«My day starts at 7.30 AM I work in an office, so the first thing I do when I enter is start the computer, open the mail and I dedicate approximately three hours to answering questions from citizens on health-related issues (in 2020 the main consultations have been on COVID-19 issues), but there are other issues that are also of concern, such as, for example, the area of ​​Youth (aspects related to the bottle and inappropriate behaviors for their health, for example); cyberadictions in educational settings, etc. My job is to plan Bells for the prevention Y promotion from behaviors and healthy behaviors. The approach to leisure and appropriate free time to avoid sedentary lifestyle in adults with chronic pathology is an issue that we address in this department (parallel interventions are designed with the Ministry).

Another service is defibrillators and the project «Lifeguard»(Automatic external defibrillators, defibrillator installation, training, regulations and maintenance). Elche seeks to become a cardioprotected city within five years. The idea of ​​the Department of Health is to install a large number of defibrillators in the different areas of the city during that time frame. There are currently a total of 54 DESA. The installation of defibrillators it will be accompanied by initiatives related to a training plan that will promote correct use of the devices among citizens.

I leave the office to visit public spaces where group activities and workshops are carried out with citizens.

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