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Application paramedic in a medical facility
ŠTĚPÁNEK, Marek
The title of the presented bachelor's thesis is: The application of paramedics in a medical facility. The theoretical part focuses on the possible employment of paramedics, i.e. in pre-medical and medical care. It then deals with the education, competences and lifelong learning of paramedics and nurses together with a mention of their motivation. The practical part employs the qualitative method of research. Data collection was carried out by means of a semi-structured interview. The researched group consists of 10 paramedic graduates from selected hospitals. The interviews were focused on the motivation for entering the medical facility, the possibility of their employment and what problems they face upon arrival. The aim of this study was to ascertain what problems the newly-employed paramedics encounter, and how they can be utilized in the facilities. Another goal was to find out what motivated them to start working in a medical facility. It was discovered that the main motivation was the lack of job vacancies or it concerned less specialised paramedic services care. It emerged that the difficulty with the employment of paramedics is the preference of licensed practical nurses with a specialisation, even though a paramedic possesses more competences. However, this is understandable because of the greater versatility of nurses. Nevertheless, the paramedics concurred that, after their integration, the situation on their wards met with their expectations. The main problem, which this study attempts to point out, is connected with the lack of job vacancies in EMS. This was the reason for many paramedics to start working in a medical facility instead of EMS, just to find a job position.
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Effects of changes in the rates of value added tax on the management of hospitals
DOLEJŠÍ, Sandra
This bachelor thesis deals with the issue of percent changes in the rates of VAT on the management of selected state medical facility that have occurred between the years 2010 and 2013. This medical facility is a hospital called Nemocnice Jihlava, which is a state-funded organization in Jihlava. The hospital provided necessary documents and information for this thesis. The analysis focuses on impact of changes in the rates of VAT on purchase of medicines, medical supplies, food, books and magazines. The result is that the hospital lost millions of crouwns due to each increase of VAT. In the final part of the thesis I evaluated the results in individual areas of purchases and introduced a possible solution to the negative impact on the medical facility.
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The issue of communication between medical staff and the patient
Herodesová, Denisa ; Marádová, Eva (advisor) ; Kovaříková, Miroslava (referee)
The diploma thesis focused on the issue of communication between the medical staff and the patient deals with attitudes, knowledge and ethical isssues of communication between the doctor and the patient. The target group is the medical staff of the hospital ward and also the specialized outpatient service. The theoretical part explains the importance of communication between medical staff and the patient in a particular health care system. It also explains why ethics is important in relation to communication. All theoretical knowledge is based on available literary sources. The practical part describes the preparation, implementation and results of the research. Individual steps are taken to identify the current situaton in the issue. It has been found that attitudes and knowledge in patient communication vary. Furthermore, it was found that current educational programs and teaching plans of selected schools meet the level of school curriculum, but the practical teaching of communication skills is neglected. KEYWORDS: ethics, communication, patient, medical staff, medical facility
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Medical center
Tomíček, Dominik ; Benek, Adam (referee) ; Müller, Jan (advisor)
In my diploma thesis I drafted a layout of a medical facility of emergency care in the town Kravaře. I focus on a choice of an appropriate structural design and processing of the design documentation for the construction in accordance with the laws, bylaws and the technical standard. The building is a standalone three stories building without cellar and with a flat roof. There are 16 medical units, a pharmacy and an optician. The construction is based on reinforced concrete foundation slab and walled with sand-lime blocks. The ceiling is constructed from cast-in-place reinforced slab. The façade is made of combination of ventilated façade with fibre-cement board paneling, insulation system and a glazed area with sunscreen. The construction is roofed with a warm flat roof. The openings in the external walls are designed as aluminum infills.
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František Čermák - Gustav Paul. Medical facilities from 30's - to 60's
Kopecká, Kristýna ; Biegel, Richard (advisor) ; Halík, Pavel (referee)
The subject of the present thesis is the architectural aspect of healthcare facilities with a focus on the work of the architects František Čermák and Gustav Paul. The initial part outlines the general classification and development of the building system of these facilities - ranging from the "pavilion" type to the extensive hospital blocks - illustrated by examples. The next part describes types of hospitals and their designs, especially after 1948. It includes a brief overview of both Czech and foreign projects that are of significance. The subsequent part introduces the life and oeuvre of the architects František Čermák and Gustav Paul, detailing several particular projects and realizations. Among those chosen for further elaboration are the projects of the Municipal Infectious Diseases Hospital in Bratislava, Clinical and Foundation Hospital in Zagreb, Tuberculosis Sanatorium in Vyšné Hágy and the Hospital in Prague-Motol; and further their realizations including the Sanatorium in Vráž u Písku, Provisional Hospital in Prague-Motol, completion of the main pavilion of the Hospital in Litomyšl and finally the Hospital in Chrudim.
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Analyse of financial policy of medical facility
Fuxa, Radek ; Pospíšil, Jiří (advisor) ; Vomáčková, Hana (referee)
This bachelor thesis is focused on the accounting policy of Czech medical facilites. The main purpose of this thesis is to analyze accounting policy of medical facilites on particular case of hospital. The work is devided into three parts. In the first part are described rules of czech financial accounting, the second part is focused on the specific rules of business in the healthcare in the Czech republic and in the thrid part is shown the practical example of accounting policy of medical facility.
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Medical staff´s awareness of emergencies in selected health care facilities
DVOŘÁK, Ladislav
The aim of this bachelor thesis is to evaluate the extent to which health care personnel from selected South Bohemia region health care facilities is prepared to emergency situation. The research has been conducted in 7 largest health care facilities in South Bohemia region at Hospital České Budějovice, Plc., Hospital Tábor, Plc., Hospital Jindřichův Hradec, Plc., Hospital Český Krumlov, Plc., Hospital Strakonice, Plc., Hospital Písek, Plc., Hospital Prachatice, Plc.. Since within these health care facilities, there are present thousands of patients on daily basis, there is, without any shadow of doubt, need for each member of health care personnel to be well informed not only about possible emergency situations but also about how general public is warned when an emergency situation takes place and also how to behave when these emergency situations happen. The theoretical framework focuses on emergency situations. It contains the definition of emergency situations as it is defined by Act 239/2000 Coll., on Integrated Rescue System, where the emergency situations are outlined and there are also mentioned the causing factors. Based on the information from Regional emergency plan there are described some emergency situations in further detail. For example these emergency situations can be floods, that are one of the most common emergency situation from the past years in South Bohemia region, emergency situations caused by radiation, conflagrations, leakage of dangerous chemical substances, disease outbreaks or terrorism, which is the threat that is to be taken more and more seriously based on current development in Europe. The theoretical framework also describes health care facilities. There is described the term of "health care facility" as defined by Act 372/2011 Coll., on Health Care Services Quality. In order to emphasize the importance of public protection in health care facilities, there is also a summary of the number of health care facilities in the Czech Republic. The next chapter of theoretical framework mentions more detailed information about individual hospitals selected for the research on health care personnel knowledgeableness. To answer the research question "How familiar is health care personnel from selected health care facilities from the area of South Bohemia region with the cause of emergency situation?" a large questionnaire study has been conducted from each of the 7 selected hospitals. The results have been evaluated and depicted using Microsoft Excel software. The statistical evaluation has been done by using ANOVA method that compared the relation between respondents' final score and individual criteria (gender, age, highest educational level within hospital where respondent worked). The results of the survey show that the average familiarity of health care personnel is capped at 72.74 %. The researcher set 80% passing limit which means that the level of familiarity is unsatisfactory. The questions category, with the lowest score (59.24%), is population protection. Since 79.5 % of respondents do not know what the warning signal "General warning" sounds like, there is a need for regular training of health care personnel on Public protection. In the areas where there are regular trainings provided by law there are significantly better results. To give an example, in the area of fire protection, there have been 74.37 % of questions answered correctly on average. Whilst this is still below the passing rate (80%), as defined by researcher, the results are significantly better when compared with other question areas, which shows that regular training increases employees´ knowledge. Other results showed the correlation between individual characteristics and overall performance. In conclusion, the health care personnel does not have satisfactory amount of information, which means that there is a need to set rules and framework for regular trainings on public protection for health care professional.
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The provision of fire protection in selected hospitals of the Capital City of Prague.
ČAPEK, Martin
The aim of this work is to map fire safety in selected hospitals in the capital city of Prague. The main aim is to answer whether is the fire protection by the corporate fire brigade unit considering the vastness of the area and the number of beds measurable benefit for the fire safety of medical facility. Custom work is also examined whether the unit is reduced by the presence of the corporate fire brigades in the hospital requirements for fire protection using dedicated kinds of firefighting equipment. Another part of the research is dedicated to the fact whether is the load of the fire rescue service (FRS) of the capital city of Prague reduced by the presence of the corporate fire rescue service in the hospital and thus has to adjust the area coverage? In the first part of the thesis is summary of the regulations in the area of fire prevention. Above the Law on Fire protection and the Ministry of Interior Decree on fire prevention. There are described in detail obligations of legal entities and individuals, competence and training of fire protection. From the perspective of repression is described by the distribution of fire protection units, and also their rights and obligations. For purposes of this thesis is defined by the fire and method of propagation of fire. This will take the necessary measures to prevent its spread. Solution is also the fire safety of buildings according to the CSN 73 0802 Fire protection of buildings - nonproductive objects. Specifically resistance of structures and the use of fire safety equipment. It is important to define the hospital as a medical facility and its basic characteristics and distribution. They are described in detail in terms of medical facilities and fire safety through technical standard CSN 73 0835 Fire safety of buildings - Buildings for health care facilities. Rated objects are the Motol University Hospital, the University Hospital of Royal Vinohrady and Thomayer Hospital, all with headquarters in Prague. The main criteria for the selection of the hospital's number of beds, number of patients treated and the site area. Another criterion is the number of employees and the difficult conditions for intervention. At first, the comparison parameters hospitals for fire prevention, such as the number of professionally qualified persons, the number of trainees, preventive fire patrols. In the Motol University Hospital are installed sprinkler system and a special spraying equipment and also there is an entity of its own corporate fire rescue brigade. The next section analyzes the number of incidents in each hospital complexes or the number of fires. We found a relatively large number of fires in the Motol University Hospital. And with an average of 5.7 fires per year in the past decade, compared to 0.3 fires in the Thomayer Hospital and 1.0 of fire in the University Hospital of Royal Vinohrady. Space is analyzed with the most complex variant of fire, especially the requirements for forces and resources. The results are compared to their inclusion in areal coverage depending on the degree of danger cadastral municipality. In all three cases, these conditions suit. The result of the research is that the selected areas of hospitals in the capital city of Prague in terms of fire protection are at a very high level. Whereas there is the unit with its own fire protection or not. Its presence is a matter of fire protection concepts during the design of the hospital complex. Establishment of fire protection units in hospitals, where it currently is, would only increase the comfort of visitors and hospital patients on the one hand and financial wastage on the other. Functioning FRS in the Motol University Hospital is an objective benefit for the fire safety of the hospital complex. Analyses of the current state of the recommendation by the FRS of the capital of Prague conduct more tactical exercises, mainly in the hospital where they have their own fire protection unit.
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Planning of evacuation, like a part of crisis preparedness Hospital České Budějovice, a. s.
POSPÍŠILOVÁ, Michaela
The goal of bachelor thesis was to assess a current state of preparedness in Hospital České Budějovice, jsc for dealing with an extraordinary event. The stress was put on potential evacuation of the hospital. Next thing to assess was awareness of employees of Hospital České Budějovice, jsc about knowledge of recommended behaviour when an extraordinary event occurs. The emphasis was put on evacuation. The goal of the practical part was to answer formulated research questions. For assessment of first research question "How is the Hospital České Budějovice, jsc prepared for potential evacuation of the building?" and for answer of hypothesis no. 1 "Preparedness of Hospital České Budějovice, jsc for potential evacuation of the building meets the current requirements, following from applicable legislation", were chosen 3 criteria (chapter 2.2). For assessment of the second research question "How are the employees of Hospital České Budějovice, jsc informed about recommended behaviour during the extraordinary event with emphasis on evacuation?" and hypothesis no. 2 "Awareness of the employees in the Hospital České Budějovice, jcs about recommended behaviour during the extraordinary event with emphasis on evacuation come up to 80 % correct answers" and Hypothesis no. 3 "Awareness of the employees in the Hospital České Budějovice jcs, about recommended behaviour during the extraordinary event with emphasis on evacuation is not dependent on type of department" was chosen 1 criterion (chapter 2.2). The analysis of internal documents and the survey were done. These things were done for answer of research questions. The research using surveys was done among employees of the Hospital České Budějovice, jsc. The detailed description is stated in chapter 2.2. Questionnaire was consisted from 4 parts. The first part consisted of 6 question, which should characterize a respondent (workplace, sex, age, job categorization, length of practice, highest education level).Second and third part of questionnaire included 29 thematic questions, which deal with problems of protection of population, with evacuation and staff training. The questions of the fourth part of the questionnaire are for completion of these issues. These questions point out to self-evaluation of respondents and especially point out to opinions in these problems. Respondents answered for question, if they study in section of protection of the population alone, if they were acquainted with documents of medical facility, which is redestined for solution extraordinary event and if they consider this documents as sufficiently intelligible. Next respondents appraised own knowledge in part of protection of the population and attention, which is dedicated issues evacuation from side of Hospital České Budějovice, jsc. These question do not serving for answer to research questions, but for complex and unification of this issuess only. The results of the bachelor thesis will be used for preparation of employees in Hospital České Budějovice jsc for evacuation, including deepening their awareness about these problems.
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Learning Management System in medical facility
Škoda, Jiří ; Potančok, Martin (advisor) ; Vencovský, Filip (referee)
This bachelor thesis is focused on Learning Management Systems and use of e-learning in a medical facility as a tool for education. The aim of this thesis is the definition of Learning Management Systems and e-learning, mapping needs of a medical facility in education of employees and necessary aspects for choice and implementation of a learning management system in the facility. Practical part of the thesis is focused on analysis of recently implemented LMS Moodle in the Vysočina region and developing a manual for creation and administration of electronic courses. The aims are achieved by using available relevant sources, consulting in respective institutions and using LMS Moodle. My own contribution in this work is the manual for creation and administration of electronic courses and transformation of a mandatory training course at the Jihlava hospital to electronic form using LMS Moodle.
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