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Safe administration of injectable medications
VANÍČKOVÁ, Eliška
Introduction: Drug administration is an essential part of nursing practice. Following the example of other countries, the safety of drug administration is coming to the fore. Nowadays, patient safety is a key element in the provision of quality nursing care. The aim of this thesis was to map the procedure of drug administration by intramuscular and subcutaneous routes. Methodology and research sample: For the purpose of this thesis, the method of participant observation was chosen, which took place in the departments of internal medicine and surgery from August to October 2023. All observations were recorded in a pre-designed record sheet and the data were statistically analysed using SASD and SPSS software. The analysis was based on first and second level classification, contingency tables with absolute and relative frequencies and sign scheme were constructed. The results were then organised into graphs and tables. Results: The results of the thesis indicate that the nurses observed do not follow the labelling of injections to a considerable extent, which can lead to errors. Furthermore, in a significant number of cases the nurses do not take care to properly disinfect the injection site of the injectable drug, which leads to a higher likelihood of signs of inflammation at the injection site. A surprising finding was the precision in hand sanitation. This behaviour is very important because, in combination with careful disinfection of the injection site, it is more likely to prevent the introduction of infection into the patient's body. Conclusion: The thesis provides a comprehensive view on the issue of safe administration of injectable medicinal products. As a result of this work, it will be presented at a student conference and an article will be written on the subject.
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The role of nurses in the application of low molecular weight heparin
Kubátová, Lenka ; Křivková, Jana (advisor) ; Tomová, Šárka (referee)
The bachelor thesis "Role of a nurse in application of a low-molecular-weight heparin" focuses on the topic of application of a low-molecular-weight heparin. The aim of the research was to explore the correct technique of a subcutaneous application of a low- molecular-weight heparin and assess the role of nurses in educating patients about the application. The theoretical section provides a basic overview of the low-molecular-weight heparin and explains the principles of antithrombotic therapy. The research section was implemented using a quantitative research technique, interviews using a structured questionnaire. The survey included 130 respondents working at standard surgical, orthopaedic, internal medicine wards and intensive care unit in the University Hospital Motol. The results showed nursing problems in the technique of application of low-molecular-weight heparin. The same number of respondents report a correct application angle (62 %) and do not massage the injection site (63 %). One third of respondents remove air bubbles from a syringe, only 58 % of respondents keep the skin pinch throughout the application. The survey proved that nurses from standard wards and nurses with a University degree apply the correct technique of a low-molecular-weight heparin application better than nurses...
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