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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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Centralization of operating rooms from the perspective of nurses
DRAŽANOVÁ, Monika
The aim of the work: The aim of this thesis is to provide detailed information about organization and operation of today's operating rooms from nurse´s point of view. Operational treatment requires high demands on technical and material equipment, special staff training, perfect adherence to asepse, antisepsis, sterility as well as work organization. The thesis should also introduce the most urgent problems of the current situation of the operating rooms management. The most recent discoveries and proven methods are summarized in a simple and comprehensible form that will serve as a guide for perioperative nurses. Method: Qualitative research methods in the form of a semi-structured interview have been used. This thesis will use the qualitative survey method in the form of a semistructured interview along with snowball sampling. The research consists of respondents with finished specialization in instrumentation for the operating room who are still active in the given field. Current status: The organization and operation room management consists of two functional models. These are so called "sideline sterilization" versus central operating rooms. Both ways have their advantages and disadvantages related to workload, general nursing education, and operating rooms management. However, the least preferred option is a combination of both perioperative operations. Results: The results of the research focused on the centralization and operating rooms management show that "sideline sterilization" is considered an obsolete model of tool sterilization for operating rooms. The results also show that the model of central operating rooms with the combination of central sterilization is more modern and efficient both in terms of expenses and effort, not just for nurses but for all healthcare professionals. Conclusion: In accordance with the aim of this work the issue of centralization of operating rooms is pointed out, considering both the construction with the necessity to follow all known procedures in compliance with aseptic conditions, as well as the need of good management or nurse education. The results can be used for further research and as a further source of information for non-medical fields, mainly perioperative care.
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Skin lesions prevention in perioperative care
POHLOVÁ, Lucie
Thesis objectives: The diploma thesis deals with the issue of prevention of skin lesions in perioperative care. In the theoretical part, the current state of knowledge is presented concerning the pressure ulcers identification due to the persisting real problems in differential diagnostics in clinical practice. Further, the thesis deals with the issue of wet and thermal lesions, which occur also during the perioperative care. In the empirical part of the diploma thesis, the first objective was to find the frequency of documented occurrence of decubital lesions in connection with the surgery in Jihlava Hospital for a period of one year. The second objective of the thesis was to find out whether, and what barriers exist when using specific preventive measures. The last aim of the diploma thesis was to compare the efficiency of preventive measures from the point of view of perioperative nurses and nurses from service units. Three hypotheses were formulated to meet the objectives of the thesis. Method for achieving the objectives: The set objectives were achieved through a retrospective analysis of the hospital information system data and a quantitative questionnaire survey. The study included nurses working in surgery, orthopaedics, traumatology, intensive care units and perioperative nurses in Jihlava Hospital. The total number of respondents was 140. Scientific benefits of the thesis: The research implies that the use of prophylactic aids in pre-operative preparation contributes significantly to reducing the risk of skin lesions. The addressed set of nurses did not indicate any serious barriers to their application and, on the contrary, considered it to be very effective. The results of the thesis can be used in practice, especially in a specific health facility for further care improvement. The findings and conclusions: On the research group we have verified that the declared use of preventive strategies in the area of prevention of lesions in perioperative care differs according to the type and focus of the workplace; (p = 0.000) the least frequent use was declared by the general nurse from orthopaedics, however, the methods used did not differ (p = 0,220). In addition, we found out that there was a statistically significant difference in the opinion on efficiency of prophylactic covering in lesion prevention (p = 0.001, the worst evaluation was by the respondents from orthopaedics) but only 2 respondents stated negative experience with their use.
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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 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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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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Barrier nursing care for surgical operating theaters
BOŠKOVÁ, Marie
This work is focused on the principles and implementation of barrier nursing care in operating theaters. The theoretical part describes the principles of hygienic and aseptic principles during perioperative care, as well as the organization and coordination of work in the operating rooms, legislation, management, quality monitoring of perioperative care, a single barrier methods, in which there may be the most common errors made by nurses. In the second, empirical part of the work the compliance with the principles of hygiene regime for surgical operating theaters with perioperative nurses to determine their knowledge of the principles of barrier nursing care, and look for the most common causes of violations was verified. For the research portion the following objectives were provided: 1st to identify the knowledge and awareness of perioperative nurses in the principles of barrier nursing care in operating rooms 2nd at the selected sites to verify compliance with the principles of barrier nursing by perioperative nurses 3rd identifying potential problems in the principles of barrier nursing care from the perspective of perioperative nurses What conditions medical facilities are making for perioperative nurses to the principles of barrier nursing care and what is the impact of sociological data of individual nurses, especially the length of practice, qualifying and specialized education of errors in the observance of hygienic mode, we examined using qualitative research using participant, covert observation and semi-standardized interviews with nurses, which also formed the research group for covert observation. Using interviews we learned from individual nurses, how they perceive using of the principles of barrier nursing care, and how it may be affect by themselves. The results of the research point to the origin and the most common causes of errors in the principles of barrier nursing of perioperative nurses. The combination of both research methods allowed us a comparison between theoretical knowledge claims of individual nurses and their actual behavior while respecting the principles of barrier nursing care at work in the operating theater.
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Ventilation of a storey in a hospital building
Křenek, Ondřej ; Štětina, Josef (referee) ; Charvát, Pavel (advisor)
The diploma thesis is focused on the design of air-conditioning systems for two operating theatres and their auxiliary facilities. An introduction to ventilation of clean rooms and other indoor environments with special requirements on environmental conditions and air cleanliness is given at the beginning of the thesis. The thesis contains calculations and proposed design solution of the air-conditioning systems. The calculations include determination of the air flow rates of air supplied into the ventilated spaces, heating and cooling loads of the operation theatres, the psychometric calculations for summer and winter operational conditions and sizing of equipment, piping and ductworks. The design part also includes air distribution elements, pipeline and ductwork routing and packaged air-handling units. The complete drawing documentation is also included in the thesis.
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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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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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