Publicar

22 - DESAFIOS NA REALIZAÇÃO DE CURATIVOS DE CESÁREA: UM RELATO DE EXPERIÊNCIA NO ALOJAMENTO CONJUNTO

Doi: 10.47094/978-65-284-0427-8/22

PALAVRAS CHAVE: Enfermagem. Curativo. Ferida operatória

KEYWORDS: Nursing. Dressing. Surgical wound.

ABSTRACT:
INTRODUCTION: Postoperative wound care is one of the nurse's responsibilities. In the Rooming-In Unit (ALCON), where postpartum women after vaginal or cesarean delivery stay, the nurse's role becomes even more important in cases of infected surgical wounds. OBJECTIVE: To present an experience report on the performance of surgical wound dressings for cesarean sections from the perspective of a resident nurse. METHOD: This is a descriptive experience report, based on the experience of a resident in the Uniprofessional Program in Obstetric Nursing. The experience took place during the field practice in the ALCON of a public hospital in June 2025. The experience focuses on the care provided to a postpartum woman with an infected cesarean section surgical wound, in a context marked by challenges related to the difficulty of maintaining correct care continuity and the bureaucracy involved in requesting materials and the lack of supplies. The data presented were recorded through field notes and discussions with the program's preceptors working in the sector in question. RESULTS: During the practical fieldwork, the resident performed wound care for 3 days, alternating with other days where the dressing was performed by nurses in the sector. Several challenges were observed. First, there was bureaucracy and difficulty in requesting dressing materials, which was done exclusively through a complex system with a poorly intuitive and visually unappealing interface. Second, there was a lack of continuity and standardization in the dressing changes performed the previous day, or even in those that did not correspond to the specific characteristics of the wound. Furthermore, some professionals did not follow proper aseptic technique. The last challenge was inefficient communication and the absence of documentation of the dressing's progress in the patient's chart or nursing notes, hindering the continuity of appropriate care and assessment of wound progression. CONSIDERATIONS: Therefore, there is a perceived need for improved team communication, and for management or coordination to take responsibility and create methods of continuing education, such as Standard Operating Procedures or training, to ensure standardization of care in order to avoid and minimize complications in cesarean section surgical wounds.

Autores

  • Esdra Nogueira de Souza

  • Yasmin Eduarda Vaz do Nascimento

Download