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Monitoring of hemodynamics in the departement of Anesteziology and Intensive Care
ZMEŠKALOVÁ, Marie
Monitoring the haemodynamics serves for monitoring and evaluation of data from patient's cardiovascular system by using various technology. At the department of anaesthesiology and resuscitation, it is primarily a nurse who observes the monitoring of the haemodynamics, since she is present at the patient's bed for the whole time of the work shift. She operates and calibrates the invasive monitoring of the haemodynamics. I focused on this department to get the information straight from paramedical staff, about their awareness, abilities to solve the problems related to the haemodynamics and overall orientation. It is the mapping of knowledge of paramedical staff, about the monitoring of the haemodynamics at the department of anaesthesiology and resuscitation. It means to find out the difficulties of monitoring the haemodynamics at the department of anaesthesiology and resuscitation. The hypotheses: The knowledge of paramedical staff about the monitoring of the haemodynamics at the department of anaesthesiology and resuscitation is influenced by the length of professional experience. The knowledge of paramedical staff about the monitoring of the haemodynamics at the department of anaesthesiology and resuscitation is influenced by the education. The research question: What are the difficulties of monitoring the haemodynamics at the department of anaesthesiology and resuscitation? The group of respondents (105) and informants (5) consists of paramedical staff which works at the A&E. In the period between 20.4. - 15.5. 2020. The respondents were not limited neither by the age nor by the professional experience, except for the place of work. There will be used a qualitatively quantitative strategy of the research survey in the empiric part of the diploma thesis. All the research questions and hypothesis were answered by making and processing the research survey. Most of the questions were answered correctly and most of the paramedical staff have sense of their work in the area of the haemodynamics and they understand gained information, which they evaluate in favour of patients. This diploma thesis is dedicated to nurses within the examination of monitoring of the haemodynamics at the department of anaesthesiology and resuscitation. A handbook for newly arrived staff focusing on the monitoring of haemodynamics will be created based on the results of the research. This material will be suggested as a part of basic data for adaptation process.
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The problematics of securing airways of a patient with an acute respiratory disease
BABOUČKOVÁ, Martina
The topic of our Bachelor's thesis is "Problematics of securing airways of a patient with an acute respiratory disease". The aim of this thesis is to map the issue. The thesis contains the theoretical part and the research part. The theoretical part focuses on anatomy and physiology of the respiratory tract, monitoring of respiratory system, monitoring of consciousness, securing of the respiratory system and caring for the patient connected to the artificial pulmonary ventilation. Furthermore, this work also deals with nosocomial and professional infection and especially with acute respiratory disease. The research was conducted through qualitative research using a semi-structured interview with 10 qualified specialists and paramedics working at the department of Anaesthesiology and Resuscitation and at Emergency Medical Services. To designe researche were chosen for these research questions: 1. How do the paramedics protect themselves when securing the airways of a patient with acute respiratory disease? 2. How often do paramedics encounter the activity of securing airways of a patient with acute respiratory disease? 3. What is the attitude of paramedics in practice when it comes to securing the airways of a patient with acute respiratory disease? The purpose of this Bachelor's thesis is to find out how the paramedics proceed in securing the airways and how they react when they encounter the acute respiratory disease. This Bachelor's thesis serves as a material that points to the correct use of barrier protection. The result of the research shows that the paramedics meet with the respiratory disease only rarely. The questions were also aimed at the compliance with barrier protection. The main benefit of this Bachelor´s thesis should be the awareness of non-compliance with barrier protection and subsequent use of protection against respirátory disease.
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Attitude between paramedic and nurse in the prehospital urgent care and hospital urgent care
GRÜNN, Jan
The title of the bachelor?s thesis at hand is the Relationship between paramedics and general nurses during pre-hospital emergency care and hospital emergency care. The objective of the thesis was to find out how the general nurses and paramedics perceive the process of getting further education needed for work in the pre-hospital emergency care and hospital emergency care. The theoretical part deals with the current state of the Emergency Medical Service (EMS), its organisation, funding, and division. Next, the thesis provides characteristics of the professions of paramedic and general nurse, especially with regard to their educational background, how they get their qualifications, their competences, and with regard to legal relations these professions enter into. The practical part employed the method of quantitative research. Anonymous questionnaire was used as the method for collecting data. The target research group comprised of paramedics and general nurses that work at EMS Dispatch Centres of the Region of South Bohemia or at the Departments of Anaesthesiology and Resuscitation in the hospitals based in the Region of South Bohemia. This bachelor?s thesis introduces two hypotheses. The first one reads: ?University-educated paramedic needs more work experience for work at a Department of Anaesthesiology and Resuscitation than a general nurse with ARIC (Anaesthesiology, Resuscitation and Intensive Care) education.? The second one is as follows: ?General nurse education is more suitable for work in pre-hospital emergency care than that of paramedic.? At the beginning of writing this thesis, the competences of paramedics and general nurses were completely different. Due to the changes in laws and amendments to the law which defines these competences that came into effect in the meantime, the possibilities of getting further education have seen changes, too.
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