Background/rationale: There is an increase of spontaneous consultation and a need for effective management of it. For this reason we created the "High Resolution Nursing Consultation" (CIAR), giving nurses greater autonomy.
Objectives: We aim to demonstrate the ability of nursing in the resolution of spontaneous consultation as well as to know demands more frequent and what is more resolving and to find out the correlation between the reason for visit registered at admissions and real.
Description: Cross sectional study In CIAR, a primary care nurse serves adult patients who requested spontaneous consultation, without any preselection. We analyze results of eight months of consultation. The visits were performed according to protocols developed in the center.
Results: Nursing resolved 63% of them, 37% jointly Independent resolution increased to 75.7% in the last month. The most common reasons were: administrative, respiratory disease and otolaryngology. Nursing decided autonomously 98% of administrative visits, 80% of wounds/burns, 72% of the toothache and between 50% and 60% of GYN/emergency contraception, ophthalmology, internal medicine and digestive. With the implementation of the protocol of acute nasopharyngitis nursing resolution increased from 4.9% to 78.3%., the correlation between the reason for visit registered at admissions and real was 96%.
Conclusions: Nursing is highly qualified for the management of spontaneous consultation with excellent results. Protocols are of great help in the resolution of nursing and it improves with the experience acquired.
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