Estrategias en atención primaria frente a la covid-19. Liderazgo y resolución enfermera / Strategies in primary care against covid-19. Leadership and nurse resolution

RESUMEN

La pandemia de la COVID-19 ha significado un reto para el sistema sanitario. La atención primaria ha tenido que reestructurarse para dar atención a los pacientes con sintomatología compatible con COVID-19 y al resto de patologías previas de siempre. Se han establecido estrategias con el objetivo de reducir el riesgo, para los pacientes y el personal, de la exposición innecesaria a posibles fuentes de infección por COVID-19. En el CAP de Can Trias (Viladecavalls), se optó por la creación de la consulta respiratorio-COVID enfermera de atención a los pacientes que presentan síntomas compatibles con COVID-19, donde la enfermera los valora y explora, y determina si resuelve el problema de salud o deriva al médico u otro dispositivo.Se evaluó la consulta respiratorio-COVID enfermera, mostrando una alta capacidad resolutiva y un bajo índice de reconsulta en la Gestión Enfermera de la Demanda (GED) de los pacientes con clínica compatible con COVID-19.La experiencia pone de manifiesto el gran potencial, autonomía y capacidad de adaptación de las enfermeras, siendo una oportunidad de consolidar y potenciar su valía y competencias. (AU)

ABSTRACT

The COVID-19 pandemic has been a challenge for the public health system. Primary care had to be restructured to treat patients with COVID-19 symptoms, as well as continue treating the usual pathologies. Strategies were set up in order to minimise risks of unnecessary exposure to possible sources of COVID-19 infection, for patients and health workers alike. In the primary care centre CAP de Can Trias (Viladecavalls), a special consultation of COVID-respiratory nurse care was put into place for patients with clinical symptoms compatible with COVID, where the nurse would observe, asses, and determine if the health issue can be resolved, or if they need further medical attention. This system was evaluated, which proved to have a high-resolution capacity, and a low rate of a second medical assessment in the Nurse Demand Management (GED) of patients with clinical symptoms compatible with COVID-19. Experience has proven the great potential, autonomy, and adaptability of the nursing team, having also become an opportunity to consolidate and boost their worth and proficiency. (AU)