20.500.12556/DKUM-9865 Vloga medicinske sestre pri triaži pacientov v splošni nujni medicinski pomoči ROLE OF NURSE AT TRIAGE OF PATIENTS IN GENERAL URGENT MEDICAL V prvem delu smo predstavili organizacijo službe nujne medicinske pomoči (NMP) ter pravne osnove za organizacijo in izvajanje le-te. Ambulanta zagotavlja neprekinjeno zdravstveno dejavnost na nivoju osnovne zdravstvene službe v času, ko redne ambulante ne delajo, izjemoma pa tudi izven tega časa, če pacientov izbrani zdravnik ni dosegljiv, bolezen ali poškodba pa je takšna, da mora biti oskrbljena še isti dan. Triaža je ena pomembnejših in zahtevnejših nalog medicinske sestre v ambulanti NMP, saj je v večini primerov prav medicinska sestra tista, ki prva stopi v kontakt s pacientom. Predstavili smo nekaj najpogostejših nujnih zdravstvenih stanj, s katerimi se medicinske sestre srečujejo v ambulanti NMP. Raziskava je potekala na dva načina. V prvem delu raziskave, kjer nas je zanimal vzrok obiska ambulante NMP, smo podatke dobili iz zapisov v ambulantno knjigo. V drugem delu, ki je potekal v obliki ankete prehospitalnih enot (PHE) v Sloveniji, pa nas je zanimalo, kdo od zaposlenih opravlja triažo, kako pridobivajo dodatna znanja iz nujnih stanj in katere ukrepe bi izvajali pri življenjsko ogroženih pacientih. V prvem delu je raziskava pokazala, da so infekcije vodilni razlog obiska, sledijo poškodbe, patologija ostalih organskih sistemov je bistveno redkejša. V drugem delu raziskave smo ugotovili, da se zaposleni v zdravstveni negi redno izobražujejo in si želijo kontinuiranega izobraževanja, pri svojem delu pa večkrat prekoračijo kompetence. Pri anketi je sodelovalo 149 anketirancev iz devetih od enajstih PHE in iz treh od štirih C enot. Na koncu smo vse podatke analizirali s programom Microsoft Office Excel in prikazali z grafikoni. In first part we introduced organization of emergency medical care (EMC) service and basic regulations for organization and execution of it. Emergency clinic assures 24-hour medical service at primary care level in time, when regular medical clinics don't work, exceptionally also outside of this schedule, if the patients personal doctor is not available and the nature of disease or trauma implicate instant care. Triage is one of more important and pretentious tasks of a nurse in EMC, because in most cases it is the nurse who first steps in contact with the patient. We introduced some most frequent and urgent medical conditions, which nurse has to cope with in EMC. In the first part of the research we were interested in causes for visiting EMC, in the second part of the research , which took part in prehospital units (PHU) across Slovenia, we were interested in who of the employees performs triage, how they gain additional knowledge in emergency conditions and what measures they would use on emergency patients. The first part the research showed, that infections are the leading cause of visit, then follow injuries, other pathology is less frequent. The second part of the research showed, that employees in nursing care regularly educate and they desire continuous education. It also revealed that their professional competences are frequently overwhelmed.149 participants of nursing pesonnel of PHU were included in the survey, the results of which were analysed with Microsoft Office Excel software and presented with diagram displays. Ključne besede: triaža medicinska sestra nujna medicinska pomoč nujna stanja. Key words: triage nurse emergency medical assistence emergency conditions. true false false [C. Hlačer] Slovenski jezik Angleški jezik Diplomsko delo 2009-02-27 11:18:14 2009-03-27 14:39:18 2022-04-11 15:49:04 2022-04-15 03:26:14 2009 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083.98:614.253.5 1454500 URN:SI:UM:DK:ST5GKGBD VS_Hlacer_Cecilija_2009.pdf VS_Hlacer_Cecilija_2009.pdf 1 87DE9C48078F4CAC608419401E30C884 7e4755bb4379c68669b209c4970daf53412d82e03c5fd5c7806e113165152403 a6604fc8-7c02-11eb-bb7a-00155d0001ca 20.500.12556/dkum/d1ae7b2e-f6b3-468d-b496-f523e51cd775 https://dk.um.si/Dokument.php?lang=slv&id=7575 Fakulteta za zdravstvene vede 0 0 0