Università degli studi di Modena e Reggio Emilia

Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

Abstract

The main object of this thesis is the analysis of nursing work in 118 area of Mirandola’s district in a descriptive retrospective study of patients with STEMI diagnosis in extra-hospital setting. The data collection considers the type of vehicle at the venue, the vital parameters detected, ECG transmission, the implementation of MANO protocol and the health care provider for haemodynamic centralization. Method: have been collected and analyzed all performance from March 2016 to March 2017. The aim of  thesis is to highlight qualitatively and quantitatively the word done by nurses, with evaluation of the professional autonomy of nurse, the management and implementation of emergency/urgency protocols. The analysis of data obtained indicates the nursing ambulance was sent to a STEMI patient in 79% of events. ECG transmission to cardiologist has been performed in 95% of the events and in 6 events that only nurse intervened the ECG has always been transmitted. In 32% of the events the health care center that centralized the patient in Hemodynamics at Baggiovara was composed only of nurse. In 72% of events the drugs of MANO protocol were administered in presence of physician 118, while in 28% of events drugs were administered in presence of only nurse. Conclusion: data analyzed show that nurse is able to handle a patient with STEMI, identifying STEMI patient, applying protocols and centralizing the patient in safety and autonomy.