[Nurse resolution for unscheduled consultations with acute minor illnesses in an emergency room in primary care].

Abstract

Introduction: The emergency centers for primary care (CUAP, for its acronym in Spanish) are created in order to address low and medium emergency pathologies. Nurses resolve low emergency acute minor illness, through performance algorithms which increase their resolutions.

Objectives: The main objective is to describe acute minor illness in adults solved by nurses at the Manso CUAP trough performance algorithms.

Justification: The involvement of nurses in the care for acute minor illness at the CUAPs strengthens their service portfolio and places them at the gateway of the health system. Performance algorithms provide nurses with the ability to manage up to the end the resolution of the user's demand.

Material and method: Data collection was carried out for 6 months, during increased pressure flows, analyzing the use of 20 performance algorithms. Data was extracted from computerized medical records.

Resutls: Health problems were solved in 1575 patients with an average age of 40 years. The consultations most frequently resolved by the nurses were: injuries (27%), application of techniques (20 %) and health education (13 %).

Conclusions: The use of performance algorithms for decision-making is effective for acute minor illness nurse care. Health education can solve a high performance of queries.