Construção de protocolo assistencial: o farmacêutico clínico na otimização do uso de medicamentos em unidade de terapia intensiva neonatal (UTIN)

Abstract

In Brazil, the implementation of pharmaceutical clinical services hás benefited manypatients, including new borns in neonatal intensive careunits (NICU). How ever, a major current challenge is the harmonization of the work processrelated to the pharmacist'sclinical performance. The present work aimed to build a multidisciplinary clinical care protocol, with the participation of the pharmacist in the rational and safe use of medications in the Neonatal Intensive Care Unit in a reference hospital for child care located in the city of Quixadá/Ceará. The study was analytical, cross-sectional, predominantly quantitative and observational in nature. Data collection was carried out at Hospital Maternidade Jesus Maria José (HMJMJ) for a period of 6 months, January/2023 to June/2023, with a sample of 85 (53.12%) physical records of newborns produced during the period. The inclusion criteria for the study sample were patient records from the respective unit, which were duly completed and without erasures, from the first half of 2023. The research was submitted and approved by the Research Ethics Committee of the Centro Universitário Católica de Quixadá (Unicatólica) under number 5,587,607. Statistical analysis was performed using the GraphPad Prisma statistical software version 6.0. The results were expressed through graphs and figures and subdivided into stages. These were presented in a situational diagnosis referring to the existing medical records; comparison with reference centers; modern protocol construction; presentation and validation of the constructed protocol. The construction of a multidisciplinary clinical care protocol with effective participation of the pharmacist in the rational and safe use of medications in the Neonatal Intensive Care Unit (NICU) establishes a necessary standardization for patient safety in a specialized and non-segregated manner of care. The new physical record features a different layout and color (blue) for better visualization by professionals. It will be up to the hospital management to provide subsidies, supplies and training to the multidisciplinary team for the product to be implemented.