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Theory and practice of using heparin flush
BAŠTÁŘOVÁ, Barbora
The bachelor thesis deals with recognition of theory and praxis of using the heparine flush in hospital establishments. The heparine, is currently registered as a risk medicament and more administration was added to it, which means that it is not used in praxis so much. These measures have been applied since after 2006, after the case which shocked the Czech Republic. Blood, blood clotting, heparine, heparine flush and venous ports in which it is or was used, are described in the theoretical part. The research part was implemented by quantitative method in the form of a survey of own creation, which was replied by 200 respondents. I chose 4 following departments for the research: internal department, department of surgery, department of oncology and department of paediatrics. The aim was to find out what is the standard of using the heparine flush in praxis. Following hypothesis were determined. Hypothesis n. 1, the frequency of using the heparine flush within 24 hours depends more on the doctor's office than on routine administering. Hypothesis n. 2, the way of solution dilution for the heparine flush depends rather on the doctor's office than on the department routine. Hypothesis n. 3, the way of administering the heparine flush by a nurse depends on nurse's experience with complication occurance. A non-standard survey was prepared to achieve the aim and to test the hypothesis. The survey was evaluated by means of graphical and statistical methods. The survey contained 25 questions. It was possible to state from the whole research, that the heparine flush has not been used so much and it is rather a risk than a benefit for a patient. An interesting information, which came up with the evaluation, was a fact, that nurses encountered the term heparine flush for the first time only at some of the departments where they begin to work. The outcomes can serve as materials for education of students at medical schools and they can improve the knowledge of the heparine flush, although it is not used so much.
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