O faturamento gerado pelos procedimentos de enfermagem em uma unidade de terapia intensiva. / Turnover generated by nursing procedures at a intensive care unit.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Every country, no matter the health assistance model adopted, has been sharing a common problem: high costs facing limited resources and budgets. Thus, growing and high costs of health services have been affecting all public or private service providers. In the current financial health reality, hospitals will have to adopt a system to get a better control of work processes and precise information to make possible to evaluate the Hospital’s financial results. Nurse managers are even more involved in financial decisions, and budget institution planning and have to manager human, material and financial resources which sometimes are rare. Facing those considerations, the importance of the nurses is proven as income generator by actions prescribed to patients and as managers of activities held at their units, demanded by another professional, mainly at a private hospital, where major payer sources are medical health care. Thus, this study objects were: calculating incoming generated by nursing procedures at a intensive care unit and calculating percentage of incoming generated by nursing facing the total IUC incoming. It was an exploratory, descriptive, documental and quantitative approach research. It was held at a general ICU at a general private big hospital with 407 beds in the city of São Paulo. 159 patients were enrolled for the sample. Data sources were nursing prescriptions, medical prescriptions, patient’s invoice, permit to note in spreadsheet and quality procedures. Two data collection instruments were elaborated. We concluded nursing prescription procedures that contributed most were: verifying heart debt, installing VAMP, placing trackcare, changing humidifier filters, verifying pulmonary capillary pressure and plastering and nursing medical prescription procedures that contributed most were: enteral diet, parenteral diet (NPP) and dialysis. As an average, incoming received from each patient was R$8.918,30; nursing procedure incoming, from nursing prescription was R$1.230,33 and those from medical prescription was R$508,57. Nursing prescription incoming was 11,3%, that means, nursing prescription incoming was higher than the medical prescription one; nursing prescription turnover was higher than medical prescription turnover; it was 5,4% with workforce and 5,9% with materials, and 3,8% of each patient turnover was from medical prescription; of these, 1,4% was with workforce and 2,4% with materials. We concluded that nursing procedures were responsible for 15,1% of total ICU incoming. This approach represented a great challenge due to the lack of specific literature, and it is an almost new reality for nurses considered managers of their business unit today.

ASSUNTO(S)

custos hospitalares nursing services custo e análises de custo serviços de enfermagem cost and cost analysis hospital costs

ACESSO AO ARTIGO

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