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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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Airconditioning in hospital
Minář, David ; Ell, Jiří (referee) ; Rubina, Aleš (advisor)
This bachelor thesis is focused on a proposal of air conditioning for clean spaces and their hinterlands, as well as for the hinterlands of laboratories, operating rooms, waiting rooms and X-rays. The devices are designed according to hygienic, operational and functional requirements of microclimates of buildings. The theoretical part deals with the issue of heat recovery systems. The calculation and the proposal part consist of three air conditioning devices for hot air heating and air conditioning of clean spaces and warm air ventilation of hinterlands of operating rooms, waiting rooms, X-rays, etc. The result of the thesis is detailed design of these devices.
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The workload of nurses in perioperative care
POLÁKOVÁ, Ivana
The basic theoretical background: It is known that the profession of nurses is very physically and mentally challenging. Otherwise, it is not even for nurses in the operating room. The work of nurses in operating rooms is highly specialized and demanding profession that requires specific skills and knowledge primarily because the operating rooms is very specific and puts high demands on the technical and material equipment, flawless organization work and to perfect the principles of antisepsis and asepsis. It's about challenging, diverse activities, including the preparation of operating material, devices, apparatus, instruments and sterilization. The correct execution of all these activities, the profession ranks between occupation with time pressure, physical stress and irregular rhythm of life and professions, in which psychological and physical depletion of reserves means not only a danger to themselves, but also the health of the patient. The objectives of the work: To meet the main intent of the work were established two objectives. The first goal is to find out what type of workload for nurses in perioperative care predominates. The second goal is to compare the differences of the workload for novice and long - term working nurses in perioperative care. Hypothesis: Depending on the set objectives have been identified four hypotheses. H1: the incidence of psychological burden for nurses in perioperative care predominates over the occurrence of physical exertion. H2: for nurses working less than three years in perioperative care is the presence of psychic load higher than for senior sisters. H3: for nurses working for more than three years in perioperative care is the presence of physical load higher than the sisters with less length of practice. H4: the workload of nurses in perioperative care does not differ from the standard, based on the Meister´s method of assessing workload. Methodology: Research method of quantitative inquiry of research using the techniques of a standardised questionnaire, supplemented by their own questions. The questionnaire was completely anonymous and respondents ' participation in the research was voluntary. Were used two standardized questionnaires. The first questionnaire was elected from Maister, which assesses the impact of work on the psyche of the individual. The second questionnaire was used as a working activity from Baecky, which is used to measure physical activity. The target group were the nurses working in the perioperative care. In total, were interviewed across nine hospitals of the Czech Republic. All selected Hospital have agreed to perform the research investigation to this thesis. The results obtained were statistically processed. Conclusion: The work provides information about what type of workload predominate for nurses in perioperative care and about the differences of the workload for starting and working nurses in perioperative care. The results of the thesis can be used by medical facilities to identify the workload for nurses in perioperative care and by the perioperative nurses. From the above results, it is clear that the issue of mental and physical loads primarily nurses in the operating room is a very current topic, and it is important to deal with manifestations of this load. In addition to this thesis was created, information material on the prevention of the workload and the methods of its elimination.
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Dog Shelter with Veterinary Facilities
Hulenková, Barbora ; Oravec, Pavel (referee) ; Fišarová, Zuzana (advisor)
The aim of this diploma thesis is the design of this closed area of the shelter dogs with veterinary facilities and administration shelter in a specific location in the outskirts of Bystřice pod Hostýnem, street Meziříčská. It is a building amenities. In addition to the project itself is part of the job specialization - health and technical installations and connections. The work was developed in response to a bachelor thesis. The intention is to create a functional device with everyday hour, which will be provided by 7 employees. Given that the region is not represented such a device, its implementation will meet the requirements and demands of citizens of the town but also surrounding communities. The capacity of the shelter is designed based on the client's requirements with the possibility of placing domestic animals in max. Of 50 dogs, 50 cats and 16 small animals. Unless capacity is full, the device can be used as an animal hotel. In its own proposal, the emphasis was on the overall architectural character and design solutions. Structures in the area are designed from the structural system KM BETA with a contact system.The aim of this diploma thesis is the design of this closed area of the shelter dogs with veterinary facilities and administration shelter in a specific location in the outskirts of Bystřice pod Hostýnem, street Meziříčská. It is a building amenities. In addition to the project itself is part of the job specialization - health and technical installations and connections. The work was developed in response to a bachelor thesis. The intention is to create a functional device with everyday hour, which will be provided by 7 employees. Given that the region is not represented such a device, its implementation will meet the requirements and demands of citizens of the town but also surrounding communities. The capacity of the shelter is designed based on the client's requirements with the possibility of placing domestic animals in max.
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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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Preventing misconduct in the operating room from the perspective of nurse anesthetist
FRANTOVÁ, Lenka
This thesis deals with often discussed issue and that is patient´s safety. The topic of the thesis is Error prevention in an operating theater from the nurse anesthetist´s perspective. The current findings show that errors in the operating theater are a big problem in which the patient´s but also the medical staff´s health is threatened. The theoretical part is devoted to the issue of misconducts, the most common mistakes that can occur, which mostly occur by the medical staff in the operating theater. This part is also devoted to the monitoring of emergencies, whether an extraordinary event is an educational element to prevent misconducts. It also looks at the sources of errors. The practical part is processed by a qualitative research made in the ARO department. The interviews are processed by open coding technique, using pencil and paper. In the interviews, the respondents answered questions directly about their work in the operating theater. The interviews are focused on possible risks which a patient may be exposed to from the transfer to the operating theater until the end of the surgery. The respondents also mention error prevention possibilities in the operating theater. The aim of the thesis was to find out which are the most common mistakes made by nurse anesthetists; how the nurses prevent errors and how they perceive misconduct by themselves. The results should show some gaps in preventive measures in the operating theaters.
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Nursing Care for Children´s Patients with Injuries with Stress on Perioperative Nurse
TRINKBAUEROVÁ, Eva
"Injury is defined as any unintentional or intentional damage to the body, which resulted from acute exposure to thermal, mechanical, electrical or chemical energy and the subsequent lack of necessary vital energy elements or variables, such as oxygen or heat" In everyday life we often encounter with slight injuries, but few of us are aware that accidents are not just fractures or bruises. The fact is, however, that accidents are annually responsible for three hundred of children's lives and are traditionally the most common cause of child deaths. One of the key persons involved in the rescue of handicapped children is a perioperative nurse. She fulfills the role of a provider of nursing care and the role of an educator, who has a crucial function in the child injury prevention programs, which can significantly influence the rate of child injuries in future. Field surveys were carried out with an objective to map current state of a perioperative nurse role and injured children treated in the operating room. This research results should lead to the minimization of discomfort and reduced perception of negative feelings experienced by children in the operating room plus to the introduction of this nursing process in the operating rooms, where this practice is not currently used.
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Psychosocial support of children around the surgery planned operations
BLÁHOVÁ, Ilona
The study is focused on sufficient psychosocial support for children before and after planned surgical operations. This area of nursing has been still underestimated although medicine and nursing has been developing very fast in the Czech Republic. The importance of this support is often forgotten even if the contact between a child and his mother [parent] in such a difficult situation can definitely bring many positives. Unfortunately, children indicated for an operation are separated from their parents just at the hospital receptions or entering the operating room. The following preoperative preparation usually miss any psychological aspects and satisfactory explanation to children. They are often frightened and cry so it becomes very difficult for a nurse anesthetist to calm them down. Therefore the premedication and anesthetics have to be much stronger. Furthermore the psychic burden and total discomfort can cause many complications during the operation itself or in the postoperative care. The aims of this work was to find out if parents are interested in active attendance in preoperative preparation and postoperative care of their children, map out anaesthetist opinions on the fact that parents can accompany their children up to the operating room and compare advantages and disadvantages of it. In addition I tried to compare the occurrence of postoperative complications with children they have psychosocial support of their parents and those who are unaccompanied. This work was also focused on international comparison of the level and range of psychosocial care of children surgical patients among the Czech Republic, Hungary and Austria. All aims stated at the beginning were fulfilled. Within quantitative research five hypotheses were stated: 1/ Parents are interested in active attendance in preoperative preparation of their children indicated for operations. 2/ Parents are interested in taking part in postoperative care of their children. 3/ Anaesthetist nurses prefer children accompanied by their parents to the operating room. 4/ There are much less operative and postoperative complications if children are supported by their parents. 5/ Other countries (Austria, Hungary) encourage parents to accompany their children for operations much more than it is in the Czech Republic. Two research questions focused on the comparison of the level and range of psychosocial support of children surgical patients in the Czech Republic and abroad were defined for qualitative data analysis. 1/ Are there big differences in psychosocial care of children surgical patients in the Czech Republic and abroad (Austria, Hungary)? 2/ Are there good conditions for solid psychosocial care of children patients in the Czech Republic?
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Operation specialization of perioperational nurse and her influence on the nurges regime.
ROUŠALOVÁ, Vladana
This bachelor{\crq}s thesis deals with the work load of perioperative nurses. It is performed in very specific conditions of operating rooms. The work of the nurses in operating rooms is indispensable. It is both mentally and physically tiring. They work under time pressure and at forced pace. Perioperative nurses have to be qualified theoretically, they have to know the instrumental technology, they must be manually skilled and, most of all, emotionally stable. All this reflects in the feelings and mental health of the nurses. The aim of this work was to study the lifestyle of perioperative nurses and find out whether they know the principles of healthy living and comply with them. We have further focused on the physical and mental strain of these nurse specialists. We were trying to learn whether perioperative nurses suffer from the burnout syndrome and how they relax. For the purposes of reaching the above goals, we have used a quantitative research in the form of questionnaires. We received the total of 142 questionnaires form perioperative nurses. The questionnaires have been processed in the form of descriptive statistics with the help of graphs and tables. The investigation shows that the nurses know the principles of healthy living but do not observe them. It confirmed the fact that perioperative nurses smoke and drink a lot of caffeine drinks. It was also revealed that nurses do not observe the drinking regime although they are aware of its importance for their health. In addition to their work, they have obligations towards their families. As such, they have very little time for themselves and they fail to rest and relax. The research shows that they do not observe the lunch breaks during their working hours. It is alarming that nurses working in operating rooms are often tired, do not sleep well and suffer from backaches and headaches. Their working environment is stressful. It is, however, good to hear that these nurses are interested to know what is new in their field of work and do not plan to change their jobs. The study shows that the profession of perioperative nurses affects the lifestyle of these specialist nurses.
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