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The role of the nurse in perioperative nursing care.
RŮŽIČKOVÁ, Anna
The bachelor thesis focuses on the importance of nurses in nursing care during the perioperative phase, which is one of the main parts of the surgical process. The aim of this thesis is to explore the roles of perioperative nurses and to clarify the motivation for their profession. The data was collected by questionnaire method, semi-structured interview technique. The research sample consisted of ten perioperative nurses working in central operating rooms. The results of the interviews showed that the instrumental nurses carefully prepare for each surgical procedure, ensure hand hygiene and disinfection, prepare the necessary instruments and assist in the preparation of the operating team. During the operation, they administer the instruments, assist the surgeon and check the progress of the procedure. After the operation, they check the instruments and clean up. The circulating nurses are involved in preparing instruments and supplies, checking the patient's condition, assisting with drape fitting and providing documentation. They work with the team during the procedure, completing paperwork and replenishing supplies. After the procedure, they check documentation, perform housekeeping, and ensure that instruments are dispatched for sterilization. The sterilization nurse position has been moved from the operating room to the central sterilization area, which is part of the central operating rooms and specializes in sterilizing and disinfecting surgical instruments and supplies. Nurses defined motivation in terms of positive factors (teamwork, safe surgery, high nursing proficiency, successful outcome, modern equipment, and the opportunity to help patients) and negative factors (sudden complications, stress, long standing procedures, excessive paperwork, negative physician reactions, and burnout syndrome). The survey also revealed that a love of the field, a passion for patient care, and the opportunity to help others are essential for doing this work. The results of the research point to the possibility of implementing a structured mentoring programme in perioperative care, through regular meetings and mutual sharing of experiences, to enable nurses to act as mentors to younger colleagues. The aim is to promote a supportive working environment and professional development. The work has the potential to motivate and inspire students in their choice of future careers and can contribute to the optimization and coordination of work in the operating room through practical recommendations and suggestions.
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Medical center Hlinsko
Pilný, Ondřej ; Burianová, Lenka (referee) ; Kacálek, Petr (advisor)
This diploma thesis deals with the design and elaboration process of a project documentation of medical center in city Hlinsko. New building is situated in the northern part of the city in the area determined for constructions of public infrastructure. It´s a four-floor object with partial basement and slant mansard and flat vegetative roof.Object is based on foundation strips and footings made from reinforced concrete.The bearing and internal walls are designed from KALKSANDSTEIN lime sand blocks.The beams and collums are used in the placed designed with open disposition.The ceiling in 1.PP is designed as reinforced concrete for securing fire safety.The rest od ceiling constructions is designed from prestressed concrete panels SPIROLL,with exception in 4.NP,where the ceiling constructions are made from solid roof system YTONG KOMFORT,which is layed on frame system made of steel and reinforced concrete.The peripheral walls of 1.PP are made from lost formwork, which is insulated with extruded polystyrene.The walls in floors above ground are insulated with combination of external thermal insulation system (ETICS) and ventilated facade with CEMBRIT SOLID and PATINA facade cladding panels. The building is functionally divided into several part.Cafe, pharmacy, ambulance and medical center, each with it´s own entrance.Pharmacy is equipped with shop, medicine mixer and storage.Ambulance is equipped with garage slots, background for employees, room of crisis preparedness and operating center.Medical centrum is equipped with emergency, RTG, operating theater, rehabilitations and other types of examination rooms.Each examination room is equipped with waiting room.For more comfort the center has a background for employees.The whole object is designed with forced air exchange. Designed object is barrier-free.In front of the building is situated parking slots for cars, motorbikes and ambulances.Total number of slots is 74 places, which 5 is designed for disabled people.
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Airconditioning system for intensive care unit
Bosák, Jan ; Tesař, Zdeněk (referee) ; Rubina, Aleš (advisor)
The brachelor's dissertation deals airconditioning system, that operate clean spaces in the hospital. System is divide for two separate working unit. The first system operate surgical intesive care unit and next near spaces. The second system operate bed's rooms and their near spaces. The first systém shoulds smother thermal load operate's rooms in summer time and hot air ventilation in winter time. The second system does hot air ventilation whole year and It is refill fan-coils for smother thermal load. Both of them can adjust air humidity. Theory part of dissertation deals clean spaces with specialization on hospitals, for example operating theatre and intensive care unit.
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Medical Robotics
Herman, Michal ; Rujbrová, Šárka (referee) ; Ellederová, Eva (advisor)
Lékařská robotika je oblast robotů používaných v medicíně a jejím hlavním účelem je poskytovat pomoc a rozšiřovat možnosti zdravotnického personálu. Dále se používá pro pomoc a asistenci pacientům a starším osobám, kteří jsou závislí na pomoci druhých. I když je to stále velmi mladý obor, lékařská robotika změnila způsob, jakým je medicína vnímána v posledních několika desetiletích. Díky jeho vysoké přesnosti a schopnosti pomáhat lidem je jeho potenciál obrovský. Specialisté a vývojáři se proto snaží tuto oblast dále rozšiřovat a zlepšovat. Cílem této práce je poskytnout komplexní přehled vývoje robotů používaných v medicíně, uvést konkrétní příklady robotů, které se v této oblasti používají, a vysvětlit, jak jednotliví roboti fungují a jak jsou někteří z nich naprogramováni.
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Airconditioning of surgeries
Znebejánek, Jiří ; Andrys, Petr (referee) ; Rubina, Aleš (advisor)
The subject of this bachelor thesis is the design of air-handling equipment of surgeries, consisting of three air-conditioning units. The equipment is designed to meet hygienic, operational and functional requirements for indoor cleanroom environments. Air handling equipment provides air exchange, heat loss coverage, heat gain removal, humidification and, in the case of one unit, dehumidification of the air. The theoretical part is focused on ways of regulation in air conditioning.
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Airconditioning in the clean space
Faltys, Michal ; Ell, Jiří (referee) ; Rubina, Aleš (advisor)
The bachelor´s thesis deals with the designing of air conditioning system for clean spaces of operating rooms and spaces which are necessary for assuring of operation these operating rooms. The system is proposed to meet hygienic, operational and functional requirements for indoor microclimate of clean spaces. The task of this system is the transport of fresh air to interior, the covering of the heat looses during the winter and the covering of heat gains in summer. The equipment is also designed for regulation of air humidity in the interior. The theoretical part devotes to the issue of air conditioning of clean spaces generally, calculating and project´s parts devote of the concrete concept of two air conditioning equipments for the serving of clean spaces in the specified building. The result of this work is the detailed design work of these equipments.
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Airconditioning of surgeries
Stojanová, Barbora ; Andrys, Petr (referee) ; Rubina, Aleš (advisor)
This bachelor´s thesis deals with the designing of air-conditioning on surgeries and spaces which are necessary for the operation of this surgeries. Air-conditioning equipment is proposed to meet hygienic and operational requirements. Computational part is designed on im-plementation project level. The theoretical part is focused on clean spaces, commissioning and final validation.
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Aerosol and microbial microclimate of clean rooms
Stojanová, Barbora ; Andrys, Petr (referee) ; Rubina, Aleš (advisor)
Master´s thesis deals with the issue of internal microclimate of clean rooms. The experimental part focuses on aerosol and microbial microclimate. Different operating and intervention rooms were measured and then evaluated whether the cleanroom would comply with the standard cleanliness class even in normal operation after previous validations. The microbial examination of different clean spaces investigated the extent to which the exact passive fall method and its evaluation were time-dependent. From the data the correct desing of the air-conditioning system and its subsequent realization and regultion were verified. The theoretical part describes requirements for clean rooms according to SÚKL-LEK 17 and ČSN EN ISO 14644-1. In addition, a detailed methodology of the procedure of air-conditioning implementation is elaborated to the final validation and testing of clean rooms.
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HVAC systems for sustainable buildings
Švub, Oldřich ; Rubina, Aleš (referee) ; Rubinová, Olga (advisor)
Diploma thesis deals with relationship between the sustainability of buildings and indoor climate. The aim of the diploma thesis was to design the air conditioning system for operating theaters. In the experimental part the aim was to provide total microorganisms counts and total count of micromycetes on samples taken from filters. The work is divided into three parts: theoretical, design and experiment.
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