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Insertion of a peripheral venous cannula and intravenous injection application - evidence-based practise
Múdrá, Michaela ; Mádlová, Ivana (advisor) ; Tomová, Šárka (referee)
Peripheral venous cannulas are an indispensable part of clinical practice and their insertion is one of the most common nursing interventions. Review Articles show that peripheral vein cannulation is a risky procedure and carries a number of complications. The most common complications in the literature are phlebitis, paravasation, infiltration, and the nurse has an irreplaceable role in the prevention and early detection of these complications. The aim of the bachelor thesis is to present expert knowledge from Czech and foreign literature regarding Evidence-Based Practice in the insertion and care of peripheral venous cannulas. The empirical part uses a questionnaire survey to investigate the knowledge of Registered Nurse and students respondent regarding the introduction, treatment and prevention of complications. The data collected compares the responses in terms of educational attainment and completion of a professional course or training related to peripheral venous catheter insertion. 86 respondents participated in the questionnaire survey at the Motol University Hospital. The questionnaire investigated, for example, the most common complications, the use of protective personal equipment, the duration of cover change and peripheral venous cannula retention, and the prevention of embolism...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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Emergency vascular acces in pediatric patients
Dvořák, Vít ; Sentivanová, Lenka (advisor) ; Hocková, Jana (referee)
Vascular access in pediatric emergency patients is essential with no doubt. This thesis is based on many scientific publications and studies focused on intravenous and intraoseal access and their aplication in pediatric emergency patients undergoing pre-hospital or hospital treatment. First part is theoretical and is concerned about technique of insertion and post-procedure care. The next part is about comparing different techniques and their successful inserting for the first attempt. The last part is aimed at research with predefined goals. The main goal of this thesis is to give a summary of available knowledge about the peripheral intravenous access and intraoseal access in pediatric emergency patients. The research is aimed at selected group of respondents and their knowledge of techniques and treating of intravenous and intraoseal access. The last goal is to find out which access is preferable in sudden cardiac arrest in children. Data obtained from different groups of respondents approved that none of the groups have sufficient knowledge in inserting and carrying the intravenous and intraoseal access in pediatric emergency patients. In an analysis of data the best results gain paramedics. The majority of respondents would prefer intravenous access in case of sudden cardiac arrest. As a...
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Influence of Midline and PICC catheters use on frequency of complications associated with venous lines in hospitalised patients
Hromádková, Jaroslava ; Hocková, Jana (advisor) ; Kordulová, Pavla (referee)
Presented dissertation deals with the problematics of optimal choice of venous access for each hospitalized patient at standard internal wards. Introduction of vascular access must be safe for the patient and must allow the fulfillment of all the goals for which it was indicated. In recent years, in addition to peripheral cannulas and non-tunneled central catheters, introduction of midline catheters and PICC gets into everyday practice. The choice of optimal vascular access device since adminition can bring benefit to the patients in the form of decline of complications. Goal: The goal of master thesis was to prove that the use of new types of vascular access devices has influence on the decline of vascular access devices related complication occurence. Methods: To reach the goal we used a quantitative method of data collection during certain time period using created collection protocols. Research investigation took place from November 2017 to February 2018 at two standard wards of Department of Internal Medicine FN Motol. Results: A total of 350 venous access devices (271 peripheral cannulas, 54 midline catheters, 35 PICC) in 187 hospitalized patients was monitored. Prevalence of complications, average length of placement and reasons for extraction of individual vascular access devices was...
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A nursing issue: peripheral venous catheter
TOMÁNKOVÁ NOVÁKOVÁ, Monika
Peripheral venous catheter is used to access the venous system. It is one of the most commonly used invasive procedures in health care facilities. This procedure falls within the competence and daily tasks of nurses. Therefore this type of nursing care is susceptible to risk of proceeding routinely which might result in conscious or unconscious errors. Peripheral venous catheter needs to be introduced into the patient's vein in the following cases: planned parenteral nutrition, infusion or transfusion therapy, application of intravascular medication or contrast media, rehydration, blood sampling (which can be performed immediately after introducing the peripheral venous catheter and before administrating medication) and also during an emergency care for critically ill (such as cardiopulmonary resuscitation). Nurses should be as knowledgeable as possible about this issue so that the peripheral venous catheter can be introduced well and fulfil its purpose. It is important to ensure that nurses obtain all the necessary information about their patients before inserting the catheter and that they are able to properly inform the patients about the procedure and to communicate with them. Next, nurses should be familiar with the correct procedure for inserting catheters, they should be informed about possible contraindications and know how to choose the correct type of catheter as well as where to place it. Furthermore, nurses should care for this vascular access correctly and provide the patient with enough information about taking care of the catheter after the procedure. Finally, nurses should be aware of their own potential errors and also of possible complications. Therefore they should employ aseptic technique so that they can eliminate nosocomial infections. The thesis is divided into a theoretical and an empirical part. The theoretical part focuses on the history of peripheral venous catheters and their types, indications and contraindications, necessary equipment, nursing care, complications, etc. The empirical part consists of a research. The aim of the thesis was to map the use of peripheral venous catheters in hospitals as well as to identify factors that may lead to problems among the patients with peripheral venous catheters. Four research questions were assigned to these aims. 1. What is the procedure prior to inserting a peripheral venous catheter? 2. What are the standards of caring for patients with an inserted peripheral venous catheter? 3. In which steps of caring for peripheral venous catheters do the nurses lack knowledge? What equipment do the nurses prepare in order to insert a peripheral venous catheter? The Bachelor's thesis was conducted using a qualitative research survey. The methods of collecting data included semi-structured interviews and participant observations. The research was carried out only in one hospital ward and it was anonymous. First, the data were collected by means of a semi-structured interview. The nurses were asked 14 questions (see Appendix 8). During this interview, several more subquestions were added. The results of the interviews were then grouped into several categories for the sake of clarity. The second method of collecting data was participant observation. The observed facts were recorded into an observation sheet (see Appendix 9). The same nurses who were interviewed were also observed. This Bachelor's thesis has been written in order to provide a basic overview of the peripheral venous catheters. It could be used as an information source for more experienced as well as novice nurses. The practical output of this Bachelor's thesis is a nursing care standard concerning peripheral venous catheters. This standard was missing in the hospital ward and could help the nurses to take care of these vascular accesses, to proceed correctly and eliminate possible errors (see Appendix10).
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