MANCHESTER IN BASIC HEALTHCARE UNITS IN BELO HORIZONTE – EAST REGION

Introduction: The risk classification protocols are clinical management tools that guide the professional risk in collecting information and user data and standardizes the criteria for establishing the clinical priority. The Municipal Secretary of Health of Belo Horizonte began the implementation of the protocol spontaneous demand in the basic units using the Manchester protocol as a tool, and the east regional pilot. As the protocol was originally developed for the emergency services, it realized the need for adjustments to the use of it in Primary Health. Objective: To organize spontaneous demand in health centers to better organization of the work process at the local level . Methodology: Conduct situational diagnosis, sensitize professionals, training nurses and doctors, conduct audits and monitor the work process. Results / Conclusion: The process capabilities were standardized language in the various points of health care and between professionals, be subject to internal and external audit, provide referrals flows and bring security to the professional and users. Among the difficulties encountered is the fact that the contractors and managers are not trained professionals, units with attachments are not computerized and the weaknesses of the information management system. The challenges to be overcome are many, how to improve the organization of the planned schedule of care, standardize the agenda in teams of the same unit, improve infrastructure location structure, material and human resources.