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This bachelor thesis deals with work of radiology assistant in different operating theatres in Nemocnice České Budějovice, a.s. History and the invention of X-ray radiation is summarised in theoretical part. Individual mobile C arms used in operating theatres are described here. Starting with construction, movement to skiassopic modes in which they can operate. A short description of operating theatres in which radiology assistant can work are described here as well. It is Accident and plastic surgery (hereinafter referred to as Traumatology), Neurosurgery, Orthopedic and Urology department. Radiation protection which is very important in protecting personnel from ionising radiation is summarised in the last part. The aim of the thesis was to describe the role of radiology assistant in chosen operating theatres of Nemocnice České Budějovice, a.s. This aim was fulfilled in practical part where procedures of radiology assistant during chosen operations were described. Practical part also includes individual analysis of number and types of most carried out procedures under skiassopic control in the year 2021 from chosen departments. And statistical comparison of increase of operating procedures carried out under skiassopic control in a period of five years. All according to increase of number of new types of operation procedures. The thesis in itself should, from my point of view, be used as an educational text mainly for students and future radiology assistants who will carry out work in operating theatre.

Thesis objectives: The diploma thesis deals with the issue of prevention of skin lesions in perioperative care. In the theoretical part, the current state of knowledge is presented concerning the pressure ulcers identification due to the persisting real problems in differential diagnostics in clinical practice. Further, the thesis deals with the issue of wet and thermal lesions, which occur also during the perioperative care. In the empirical part of the diploma thesis, the first objective was to find the frequency of documented occurrence of decubital lesions in connection with the surgery in Jihlava Hospital for a period of one year. The second objective of the thesis was to find out whether, and what barriers exist when using specific preventive measures. The last aim of the diploma thesis was to compare the efficiency of preventive measures from the point of view of perioperative nurses and nurses from service units. Three hypotheses were formulated to meet the objectives of the thesis. Method for achieving the objectives: The set objectives were achieved through a retrospective analysis of the hospital information system data and a quantitative questionnaire survey. The study included nurses working in surgery, orthopaedics, traumatology, intensive care units and perioperative nurses in Jihlava Hospital. The total number of respondents was 140. Scientific benefits of the thesis: The research implies that the use of prophylactic aids in pre-operative preparation contributes significantly to reducing the risk of skin lesions. The addressed set of nurses did not indicate any serious barriers to their application and, on the contrary, considered it to be very effective. The results of the thesis can be used in practice, especially in a specific health facility for further care improvement. The findings and conclusions: On the research group we have verified that the declared use of preventive strategies in the area of prevention of lesions in perioperative care differs according to the type and focus of the workplace; (p = 0.000) the least frequent use was declared by the general nurse from orthopaedics, however, the methods used did not differ (p = 0,220). In addition, we found out that there was a statistically significant difference in the opinion on efficiency of prophylactic covering in lesion prevention (p = 0.001, the worst evaluation was by the respondents from orthopaedics) but only 2 respondents stated negative experience with their use.

Now that the nursing process, along with good-quality nursing documentation, is being introduced into all areas of patient care, the need arises to document work of perioperative nurses in the operating theatre. Perioperative documentation is entirely different from nursing documentation, not only in terms of processing but also in terms of scope.This thesis consists of two parts: Theoretical and Empirical. The Theoretical focuses on the general issue of medical documentation used at the various hospital departments. The aim of the work was to (1) map current situation in the area of perioperative documentation at selected hospitals; (2) ascertain which components perioperative documentation is composed of; (3) find the opinion of nurses on the use of perioperative documentation; and (4) set up perioperative documentation. The research part of the thesis was a combination of quantitative and qualitative survey. For the quantitative survey, questionnaires were prepared and distributed to perioperative nurses working in operating theatres of hospitals throughout the Czech Republic. Two hypotheses were proposed. 1. Perioperative documentation is maintained at operating theatres. 2. Nurses consider perioperative documentation useful. Qualitative examination consisted in comparative analysis of perioperative documentation folders. The research set consisted of six perioperative documentation folders obtained from hospitals throughout the Czech Republic. Answers to the following three questions were sought: (1) Is perioperative documentation used at operating theatres? (2) Which parts is perioperative documentation composed of? (3) Does perioperative documentation comply with applicable legislation? The results were analyzed and processed into tables and graphs. The results show that nurses use perioperative documentation at operating theatres. From the research it follows that the processing of the perioperative folders is not fully compliant with applicable legislation. Although mandatory data are included in the vast majority of perioperative folders, the nursing process, as the information which is most important for nursing care, is missing from all of the perioperative folders analyzed. Despite this, nurses consider perioperative documentation useful, not only from the medical aspect but also from the legal, financial and informative aspects. The results of this research may stimulate creation of a unified model of perioperative documentation. This work may also serve as information material for students of medical disciplines.

The theme of the Bachelor Degree Work Nursing Care and Communication with the Patient in the Operating Theatre was chosen to map out the issue of the current level of the nursing care and communication with the patient in the environment which is for most of them stressful and makes increased demands both on the nursing care and on communication too. Nowadays this theme is very topical as patients´ participation in their treatment come to the fore and their awareness of the types of treatment and carried out surgeries is generally being increased. The proper communication level undoubtedly influences the patient´s state. The theoretical part of the work deals with the environment of the operating theatre and the nursing care provided by the anaesthetic nurse. Further it deals with the kinds of communication and its significance for the patient. The practical part contains the results of the quantitative research on the anaesthetic nurses providing nursing care in the operating theatre who also communicate with the patient in the operating theatre most of all. Further there are described results of the qualitative research on patients having experience with the stay in the operating theatre. The Bachelor Degree Work contains much information about particular characteristics of the nursing care in the operating theatre. It reveals hidden reserves in communication with the patient in this environment. It refers to the most often patients´ problems in communication with the operating team. It maps out the knowledge level of the anaesthetic nurses in the sphere of the nursing care and communication. There have been set several aims, hypotheses and research questions to write this work. For aim no. 1, to find out the level of the nursing care for the patient in the operating theatre from the nurse´s point of view, there were made three hypotheses. Hypothesis no. 1 - Nurses have developed nursing care standard in the operation theatre - is confirmed. Hypothesis no. 2 - Nurses have time to provide the nursing care in the operating theatre - is confirmed. Hypothesis no. 3 - Nurses have sufficient material and technical equipment to provide the nursing care in the operating theatre - is confirmed. Aim no. 2 was to map out the communication between the nursing team and the patient in the operating theatre and there were made two hypotheses. Hypothesis no. 1 - Communication between the nursing team and the patient is influenced by the stressful environment in the operating theatre - is confirmed. . Hypothesis no. 2 - Communication between the nursing team and the patient is limited by the operation hours of the operating theatres is confirmed. For aim no. 3, to find out the level of communication in the operating theatre between the nursing team and the patient from the patient´s point of view, there were set two research questions. How does the patient perceive communication with the operating team in the environment of the operating theatre? How is communication in the environment of the operating theatre going on? The research questions have been answered. The set aims of the work have been fulfilled. The results of the research work were used for writing the nursing standard "The Nursing Care for the Patient in the Operating Theatre". This standard can serve nurses as a brief and clear aid in the nursing process and in order to provide the patient with comfort and security of the quality nursing care in the operating theatre.

This work aims at furnishing comprehensive information on radiographer as a member of the operating team and explaining his/her activities in the operating theatre. It also wants to point out some recurrent errors and to brief on most frequent operating techniques and the work inside an operating theatre as seen by a radiographer, and thus help improve the work of a radiographer and make it even more precise while facilitating the work of the operating surgeon.