Planejamento da assistência em enfermagem: proposta para implementação de um instrumento administrativo-assistencial

Abstract

Introduction: Based on rules and regulations governing nursing activity as well as the obligation of applying the Systematization of Nursing Assistance as part of care planning in conjunction with scientific knowledge and the need for organization, there was an elaboration of a tool capable of facilitating, optimizing and delivering relevant information towards the individual care in the Neonatal Intermediate Care Unit ‑ NICU. Also aiming its utilization as a base for statistical information and training indicators. Objective: Demonstrate the effect and improvement of the organization and planning of nursing services by making use of an administrative tool and healthcare guiding. Methodology: This is an experience report that discusses the setting up an administrative tool and healthcare guidance for customer care planning and its implementation in a neonatal unit. Conclusion: We conclude that after the implementation this instrument, time of visit the wards was optimized‑since data gathering went on to be directed; patient care has become more effective since the information contained a well‑documented and detailed physical examination according to the disorders and characteristics of each client. Providing a greater organization and planning care to be provided as well as the nursing procedures to be carried out within that period as well as the significant contribution of the worksheet as the data source for training.