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. 2024 Aug 23;58:e20240107. doi: 10.1590/1980-220X-REEUSP-2024-0107en

Table 2. Frequency of items marked on the Nursing Activities Score for COVID-19 patients in the Intensive Care Unit – São Paulo, Brazil, 2021 (n = 3547).

NAS items (score) Total (%)
1. Monitorization and controls
1 a. Vital signs, calculation and recording of water balance (4.5 points) 122 (3.4)
1 b. Presence at the bedside and continuous or active observation for 2 hours or more on any shift for reasons of safety, severity or therapy, such as: NIMV, weaning, agitation, mental confusion, prone position, preparation and administration of fluids or medicines and assistance with specific procedures. (12.1 Points). 2876 (81.1)
1 c. Presence at the bedside and continuous or active observation for 4 hours or more on any shift due to safety, severity or therapy. (19.6 Points) 549 (15.5)
2. Lab tests: Biochemistry and microbiology. (0 and 4.3 Points)
Present 3530 (99.5)
Absent 17 (0.5)
3. Medication, excepted vasoactive drugs (0 and 5.6 Points)
Present 3534 (99.6)
Absent 13 (0.4)
4. Hygiene procedures
4 a. Normal (4.1 Points) 1680 (47.4)
4 b. Carrying out hygiene procedures lasting more than 2 hours in any shift (16.5 Points) 1728 (48.7)
4 c. Carrying out hygiene procedures lasting more than 4 hours in any one shift. (20 Points) 139 (3.9)
5. Care of drains. All except gastric tube (0 and 1.8 points)
Present 402 (11.3)
Absent 3145 (88.7)
6. Mobilization and positioning
6 a. Performing the procedure(s) up to three times in 24 hours. (5.5 Points) 362 (10.2)
6 b. Performing the procedure(s) more than three times in 24 hours or with 2 nurses at any frequency. (12.4 Points) 2877 (81.1)
6 c. Performing the procedure(s) with 3 or more nurses at any frequency. (17.0 Points) 308 (8.7)
7. Support and care for relatives and patients
7 a. Support and care for family members and patients who require exclusive dedication for around 1 hour on any shift, such as: explaining medical conditions, dealing with difficult family circumstances. (4.0 Points) 3458 (97.5)
7 b. Support and care for family members and patients who require exclusive dedication for 3 hours or more on any shift, such as: death, special circumstances (e.g. large numbers of family members, language problems and hostile families). (32.0 Points). 89 (2.5)
8. Administrative and managerial tasks
8 a. Carrying out routine tasks such as: clinical data procedures, requesting examinations and exchanging professional information (e.g. on call and clinical visits). (4.2 Points) 2742 (77.3)
8 b. Carrying out administrative and managerial tasks that require full dedication for around 2 hours on any given shift, such as: research activities, application of protocols, admission and discharge procedures. (23.2 Points) 799 (22.5)
8 c. Carrying out administrative and managerial tasks that require full dedication for around 4 hours or more on any given shift, such as: death and organ donation procedures, coordinated with other disciplines. (30.0 Points) 6 (0.2)
9. Respiratory support (0 and 1.4 points)
Present 3213 (90.6)
Absent 334 (9.4)
10. Care of artificial airways (0 and 1.8 points)
Present 2083 (58.7)
Absent 1464 (41.3)
11. Treatment to improve pulmonary function (0 and 4.4 points)
Present 3291 (92.8)
Absent 256 (7.2)
12. Vasoactive drugs (0 and 1.2 points)
Present 1491 (42)
Absent 2056 (58)
13. Intravenous replacement of major fluid losses (0 and 2.5 points)
Present 1242 (35)
Absent 2305 (65)
14. Left atrium monitoring. Pulmonary artery catheter with or without cardiac output measurements. (0 and 1.7 Points)
Present 18 (0.5)
Absent 3529 (99.5)
15. Cardiopulmonary resuscitation in the last 24 hours. Excludes precordial thump. (0 and 1.7 Points)
Present 11 (0.3)
Absent 3536 (99.7)
16. Hemofiltration techniques. Dialysis techniques (0 and 7.7 points)
Present 726 (20.5)
Absent 2821 (79.5)
17. Quantitative measurement of urine output (0 and 7.0 points)
Present 3194 (90)
Absent 353 (10)
18. Intracranial pressure measurements (0 and 1.6 points)
Present 18 (0.5)
Absent 3529 (99.5)
19. Treatment of metabolic acidosis/alkalosis. (0 and 1.3 Points)
Present 988 (27.9)
Absent 2559 (72.1)
20. Total Parenteral Nutrition (0 and 2.8 points)
Present 89 (2.5)
Absent 3458 (97.5)
21. Enteral feeding by gastric tube or other gastrointestinal route (0 and 1.3 points)
Present 2145 (60.5)
Absent 1402 (39.5)
22. Specific intervention(s) in the Intensive Care Unit.
Present 3213 (90.6)
Absent 334 (9.4)
23. Specific interventions outside the Intensive Care Unit (0 and 1.9 points)
Present 514 (14.5)
Absent 3033 (85.5)