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Complications of central venous catheters applications 2011 CDC guedelines
Šťastná, Monika ; Michálek, Pavel (advisor) ; Hocková, Jana (referee)
In the presented diploma thesis I deal with the issue of proper insertion of short-term central venous catheters, adherence to procedures by medical and non-medical staff according to CDC guidelines 2011 during insertion and subsequent treatment in intensive care in a faculty-type medical facility. The aim of the diploma thesis is to determine the occurrence of complications, especially infectious, the level of adherence to recommended procedures in practice according to 2011 CDC guidelines, central venous catheter manipulation, comparison of real activities with recommendations and mapping the level of knowledge of non-medical staff about short-term central venous catheters. The theoretical part deals with the importance of clinical guidelines, central venous catheter in general, complications associated with the central venous catheter and prevention of infectious complications of invasive inputs. For the empirical part of the diploma thesis, a prospective non- randomized observational study of cannulation and possible complications associated with a short- term central venous catheter according to CDC 2011 guidelines was chosen to determine real procedures for insertion, treatment and removal of a short-term central venous catheter. This was supplemented by an exploratory questionnaire survey of...
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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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Selected nursing procedures in the development context
TURHOBROVÁ, Adéla
The development of medicine and technology related to the level of healthcare as a whole is historically accompanied with changes in nursing practices that have increased their demands over the years. This caused a specific need for the diversification of nursing activities and their specialization. The aim of this work is to map out specialized nursing processes of the field of internal medicine from their formation to the present, showing healthcare as a progressive sector, where new knowledge and technologies induce the need for new activities that the medical nursing staff must manage for the benefit of the patient. This basic objective will be documented in selected specialized nursing care activities divided into three professional sections - development of oxygen therapy, catheterization of the bladder and venous blood collection. The basis for the diploma thesis is the development of specialization of nursing practices on the basis of economic, political, cultural or religious influence. The results of the research show that the development of nursing practices has been constantly changing since their inception, not only in connection with the development and availability of quality aids, but also by the effort to create the most effective nursing process with regard to the needs of the patient as well as the non-medical medical staff. The diploma thesis also shows the professional competencies that have been added to the general nurses in the context of time. In the first part, dealing with the development of oxygen therapy, there is considerable interconnection of this process with the war period. There was also a significant difference in the distinctions in competences in the provision of oxygen therapy to nurses in the Czech Republic and abroad. Despite the fact that the non-medical healthcare professionals is currently preparing and subsequently applying Oxygen treatment on their own, they can only do so on the basis of a doctor's office. In contrast, for example, in the 1930s, in the USA, the nurse was regulating the oxygen alone within its competencies. The second part of the diploma thesis was oriented on the characteristics of the development of bladder catheterization. Particularly in this section is the development of nursing competencies, as it was just bladder catheterization, which in history was the sole competence of an experienced physician. The diploma thesis demonstrates not only the development of the procedure, the aids, the reduction of risks accompanying this method, but also the gradual assistance of the non-medical medical staff until the definition of the period when they are fully competent to perform this task. The last part of the diploma thesis is focused on the development of venous blood collection in order to obtain sufficient quantity for blood analysis. In this area, is not onlz the development of the nursing process in connection with the technique or aids, but also the necessity of observing the aseptic approach. The result of the presented work represents a significant contribution, because only with the knowledge of nursing techniques in the whole range, people can avoid mistakes from history. Also, the view of the selected nursing practice in the context of time brings knowledge of the inactivity of development and is thus the undisputed motivation of non-medical health personnel to participate in the constant innovation of nursing practices and thus to deepen the specialization and level of nursing care.
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: Time Requirement for Basic Nursing Care Procedures
SOUMAROVÁ, Iveta
A large number of nursing procedures are carried out in each ward in every hospital every day. In its theoretical part, this Bachelor thesis presents twenty basic procedures. The goal of the thesis was to find out what the most used nursing procedures are and to map the time consumption for individual nursing procedures. The quantitative research method was applied in the Bachelor thesis. Data were collected by measurement of time consumption of ten individual nursing procedures. These ten procedures were selected from a list of most used nursing procedures. Performance of the procedures was observed at the internal and surgical wards of the Hospital in České Budějovice. Both wards were observed over a 3-day span. Ten most often used nursing procedures were selected from the total number of procedures identical for both wards. Correctness of inclusion of the procedures was evaluated by the chi quadrat test in a contingency table. In addition, each of the ten most used procedures was measured ten times at each ward, from the preparation to the clean-up of instruments. The individual time values were averaged and presented along with conclusive deviations. A conformity with or difference in the time consumed was tested statistically by using the F or T test, where the applied significance level equals 5%. The research group was composed of the nurses and ancillary nursing personnel. Results are presented in graphs and tables. The following procedures differed in the individual wards: administration of medicines per os, serving of meals, venous blood sampling and blood pressure measurement. The bachelor thesis is focused on the time consumption for individual nursing procedures. The time consumption and the frequency of the individual procedures can serve as a base of explanation of the number of employees to the nursing management.
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Adherence to Health and Safety Regulations on the Part of the Students of General Nursing during Nursing Procedures.
KUŘÍMSKÁ, Yvette
Occupational safety and health is a broad area which makes part of a state policy. The aim of OSH is to make a system of rules protecting students gaining working experience, employees and employers. It endeavours to limit all negative aspects related to work performance or occupation. Observance of OSH rules is an indispensable part of work performance of all medical workers. That also applies to students of the study field General Nurse while performing their practical training, thus practice. Students get acquainted with the OSH issues in the first grade of studying in a subject called treating / caring procedures. Before taking up practical training they should be able to follow the OSH rules and understand consequences linked to their non-observance. The aim of this diploma thesis is to chart how the students of the field General Nurse keep the OSH rules and find out students´ knowledge in this area. The empirical part was carried out in a form of quantitative investigation. A questionnaire was used as a method to collect data and was meant for students of the second and third grades of the General Nurse study field. Results were compiled into graphs. Results of survey confirmed that the students keep the OSH rules. However, in the area of personal hygiene they are considerably irresponsible. Their knowledge concerning OSH is very good and the students are informed well. Based on the results a leaflet has been created and may be used as study or information resource for students of medical fields of study.
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