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Nursing care of vascular access focused to prevention of catheter sepsis
Prošková, Michaela ; Heczková, Jana (advisor) ; Chvojková, Kateřina (referee)
Ensuring the bloodstream is one of the most frequently indicated invasive procedures, especially in the pre-hospital emergency and intensive care. All invasive inputs are nowadays an integral part of intensive care. Despite careful daily care, vascular accesses are at risk of complications, which annually effects many patients institutionalized at intensive care units. Catheter sepsis is undoubtedly one of the most serious. Although a significant proportion of these infections are considered highly preventable, they still contribute to high morbidity and mortality among these patients. The aim of this diploma thesis is to analyse nursing care for vascular inputs. One of the partial goals is to evaluate and compare the relevance of the nursing standard of a medical facility with scientific knowledge and current recommendations of professional societies. The research method is a quantitative questionnaire survey focused on nursing staff working in the Department of Anesthesiology and Reanimation. The analysis of the vascular inputs re-dressings was performed in patients hospitalized in the same ward, where the research itself took place. The results of the research survey show a discrepancy between the given procedure in the nursing standard and common practice in the ward. In view of the...
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Treatment of Peripheral Venous Input
Černohorská, Jitka ; Hošťálková, Monika (advisor) ; Ulrych, Ondřej (referee)
The bachelor thesis deals with the treatment of peripheral venous catheters. The theoretical part is devoted to basic terms such as nursing care, peripheral venous catheter and complications associated with it. A lot of attention in this thesis is focused on nursing care prior to, during and after the application of the catheter. Furthermore, the thesis introduces us to complications of catheter sepsis resulting from nosocomial infections. In the practical part the quantitative method was used in the form of anonymous questionnaires and hidden observations. The survey was conducted at the Military University Hospital Prague at different intensive care units. The obtained results show that 50,00 % of the respondents use non-woven fabric for re-bandaging the peripheral venous catheter and 50,00 % of the respondents use a foil. Furthermore, it was found that 88,10 % of the respondents use gloves by the application of peripheral venous catheter and 82,14 % by re-bandaging.
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Nursing Care of Infusion Lines
Šulcová, Martina ; Hošťálková, Monika (advisor) ; Hocková, Jana (referee)
The bachelor thesis deals with issues of handling an infusion line. The thesis describes the infusion line, its components and an extra chapter is devoted needleless connectors. It also includes procedures of using infusion lines and needleless connectors which are recommended not only by The International Association of Infusion Nurses (INS), but also by The Centers for Disease Control and Prevention (CDC). The work also describes complications of nosocomial infections that are related to handling the infusion line. In the practical part, I have made the results of the survey, which was aimed at the servicing infusion lines. The questionnaire was completed by nurses and midwives at Podřipský hospital and the health centre in Roudnice nad Labem. From the obtained data, I have found out that 81.82% of respondents use when working with the infusion line needleless connectors. On the contrary bacterial filters in the catheter sepsis prevention are not used at all. Next I have found out that 98.18% of respondents carry out the hygienic disinfection of hands before using the infusion line.
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