Análisis de la aplicación de la clave roja por enfermería en gestantes que asisten a un hospital de la ciudad de Guayaquil.

Abstract

The obstetric red key is a protocol with comprehensive management for timely identification of obstetric hemorrhages in pregnant adolescents. Objective: To determine the analysis of the application of the red key by the nursing staff in pregnant women who attend a hospital in the city of Guayaquil. Methodology: descriptive, quantitative, prospective, crosssectional. Population: 55 nursing personnel who meet the inclusion criteria. Technique: Direct observation, Instrument: Direct observation checklist. Results: Among the characteristics, nursing personnel from 41 to 45 years old (36%), female (85%), who have a higher academic level (82%) with more than 12 months working in this area, predominated. As for the clinical parameters, they assess respiratory rate (27%); In relation to immediate activities, 91% are in charge of covering the patient to avoid hypothermia, they also replace the volume with crystalloid solution and prioritize the maternal condition over the fetal one. In compliance with the Red Code Protocol, 100% administer fluid, blood components, and medications ordered by the coordinator. Conclusion: It is highlighted that the activities are governed by the protocol of the area and in terms of the Mama Score of the Ministry of Public Health, but the nursing staff must continue to be trained in terms of the assessment of the parameters and the immediate activities in the cases red code emergency, to ensure patient care in emergency obstetric situations.