Objective: to verify the correlation between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing instruments for assessing pressure ulcers in adults. Method: a cross-sectional study, carried out in the unit for patients with multidrug-resistant germs, in a Brazilian public hospital. Data collection took place in 2017, with a sample of 110 injuries, through direct inspection and application of the proposed instruments. The data were analyzed using descriptive and analytical statistics. Results: the study included 36 patients with a mean age of 45.4±21.3 years old; 23 (63.9%) were male, with higher frequency of involvement of the sacral region (35; 31.9%), with 43 Stage II pressure ulcers (39.1%). The mean score of the Bates-Jensen Wound Assessment Tool was 35.5±8.9, and that of the Pressure Ulcer Scale for Healing was 11.75±3.57 (r=0.74 and p<0.01). Conclusion: the study achieved its objective by verifying a strong correlation and a positive association between BWAT and PUSH. BWAT provides a thorough assessment of the injury while PUSH is easy and quick to apply. It is up to each Nursing service to decide which instrument is best suited to the reality regarding the work demand.

Background: Peripheral intravenous catheter (PIVC) insertion is the most common invasive procedure in the hospital setting. Ultrasound guided PIVC insertion in specific populations and settings has shown patient care benefits. Objective: To compare the success rate of first attempts of ultrasound guided PIVC insertion performed by nurse specialists with conventional PIVC insertion performed by nurse assistants. Method: Randomized, controlled, single-center clinical trial registered on the ClinicalTrials.gov platform under registration NTC04853264, conducted at a public university hospital from June to September 2021. Adult patients hospitalized in clinical inpatient units with an indication for intravenous therapy compatible with a peripheral venous network were included. Participants in the intervention group (IG) received ultrasound guided PIVC performed by nurse specialists from the vascular access team, while those in the control group (CG) received conventional PIVC by nurse assistants. Results: The study included a total of 166 patients: IG ( n = 82) and CG ( n = 84), mean age 59.5 ± 16.5 years, mostly women ( n = 104, 62.7%) and white ( n = 136, 81.9%). Success rate on the first attempt of PIVC insertion in IG was 90.2% and in CG was 35.7% ( p < 0.001), with a relative risk of 2.5 (95% CI 1.88–3.40) for success in IG versus CG. Overall assertiveness rate was 100% in IG and 71.4% in CG. Regarding procedure performance time, the medians in IG and CG were 5 (4–7) and 10 (6–27.5) min respectively ( p < 0.001). As for the incidence of negative composite outcomes, IG had lower rates compared to CG, 39% versus 66.7% ( p < 0.001), generating a 42% lower probability of negative outcomes in IG, 0.58 (95% CI: 0.43–0.80). Conclusion(s): Successful first-try insertion was higher in the group receiving ultrasound-guided PIVC. Moreover, there were no insertion failures and IG presented lower insertion time rates and incidence of unfavorable outcomes.

Objetiva-se descrever a elaboração de um protocolo para o atendimento de pacientes portadores de GermesMultirresistentes (GMR) em uma unidade de internação. Estudo de consenso entre especialistas, concebido em umhospital universitário. A amostra foi composta por enfermeiros do setor, pelos profi ssionais da Comissão de Controlede Infecção da instituição e por professores de uma universidade federal. As informações foram coletadas pormeio de registro de reuniões sistemáticas. Elaborou-se um protocolo para o atendimento dos pacientes portadoresatravés da defi nição de parâmetros para a área física, assistência em equipe multiprofi ssional, organização dotrabalho da enfermagem, indicadores à serem acompanhados, entre outros. Concluí-se que no Brasil, poucas são asinstituições que possuem características semelhantes para cuidados de pacientes portadores de GMR. A utilizaçãode um protocolo fornece elementos norteadores para a organização do atendimento, padronizando o cuidado equalifi cando a assistência.

Objetiva-se descrever a elaboração de um protocolo para o atendimento de pacientes portadores de GermesMultirresistentes (GMR) em uma unidade de internação. Estudo de consenso entre especialistas, concebido em umhospital universitário. A amostra foi composta por enfermeiros do setor, pelos profi ssionais da Comissão de Controlede Infecção da instituição e por professores de uma universidade federal. As informações foram coletadas pormeio de registro de reuniões sistemáticas. Elaborou-se um protocolo para o atendimento dos pacientes portadoresatravés da defi nição de parâmetros para a área física, assistência em equipe multiprofi ssional, organização dotrabalho da enfermagem, indicadores à serem acompanhados, entre outros. Concluí-se que no Brasil, poucas são asinstituições que possuem características semelhantes para cuidados de pacientes portadores de GMR. A utilizaçãode um protocolo fornece elementos norteadores para a organização do atendimento, padronizando o cuidado equalifi cando a assistência.Palavras-chave: Bactérias; Cuidados de Enfermagem; Precaução; Unidades de Internação; Infecção Hospitalar. ABSTRACTThe aim is to describe the protocol elaboration for the care of patients with Multidrug-Resistant Germs (MDR)in an care unit. Consensus study among specialists, conceived in a university hospital. The sample consisted ofthe sector nurses, the Infection Control Commission of the institution and professors from a federal university.The information was collected through systematic meeting records. A protocol was developed for the care of thepatients with parameters about physical area, assistance in multiprofessional team, nursing work organization,indicators to be followed, among others. It concludes that in Brazil, there are few institutions that have similarcharacteristics for the patients care with MDR. The protocol use provides guiding elements for the careorganization, standardizing care and qualifying care.Keywords: Bacteria; Nursing Care; Precaution; Care Unit; Cross Infection.