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Venous blood taking - routine issue for nurses?
JELÍNKOVÁ, Petra
Venous blood taking belongs to frequent nursing procedures of a nurse. Venous blood is easily accessible biological material, whose valid result enables to specify the diagnosis of a disease and to begin appropriate treatment in an inpatient. At present the Health Service emphasises quality improvement of nursing care. There are executed standards of nursing procedures in hospitals and nurses are obliged to follow them. Venous blood taking is one of those procedures. There are two objectives of the thesis - to examine knowledge of nurses in the hospital of Tabor, Ltd. concerning the issue of venous blood taking and to research nurses? workplace and procedures during venous blood taking at sampling points. Quantitative and qualitative research was applied to achieve the above mentioned objectives. The questionnaires were distributed to nurses at standard hospital wards. Five respondents, working at sampling points in South Bohemian Region, took part in the interviews. The first hypothesis, whether nurses follow the standard nursing procedure when taking the venous blood, was proved. The second hypothesis, whether nurses are aware of the fact that they can influence the final analysis of the blood sample by the procedure itself, was proved. The third hypothesis, whether nurses are aware of the negative factors of pre-analytic variability, was also proved by the research. The last hypothesis, number four, whether nurses have the knowledge of the proper sequence of the sampling tubes, as the answers demonstrated, was not proved. Three research questions could be answered as follows. Nurses at sampling points do have adequate work background that provides calm and safe procedure of venous blood taking. Blood taking nurses follow the right procedure that guarantees a valid sample of blood taken. The respondents at sampling points know and follow elaborated standard nursing procedures. I find this procedure correct, safe and the only one that ensures quality samples taken. The research revealed that for nurses in hospitals, unlike nurses at sampling points, venous blood taking is a routine matter and that they have their own trained process to do that. On the grounds of both, the literature on this subject and the results of the research, I would like to suggest particular adjustments of the standard nursing procedure to the management of the hospital of Tabor. The nurses will have a manual drawn up by me available. The manual might serve as a proper routine procedure of venous blood taking.
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The preparation of a patient before parenteral aplication of an iodine contrast material
ŘÍHOVÁ, Veronika
This bachelor thesis is paid to issues of patient before examination iodine contrast agent on radiodiagnostic department and position and role of this department in this issue. Any diagnostic or therapeutic intervention is to exercise personal freedom and the majority of patients and to his physical integrity, and brings you a health risk to the investigated. It is impossible that such services are carried out without the knowledge and consent of the patient. For all examinations, when the patient is administered iodine contrast agent, according to Decree No 385/2006 Coll., The medical documentation required, signed by the patient, informed consent to the exercise. The patient has every right to refuse to exercise and choose a different procedure. Part of this work is also given informed consent forms with the performance of the various radiodiagnostic work and their mutual comparison and evaluation. Just completely and correctly filled out informed consent to the exercise leads to a successful beginning of each examination using iodine contrast agent. The final part of work is devoted to exploration of clarity, informed consent in patients investigated iodine contrast agent at five different medical services South Moravian Region.
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