KNOWLEDGE AND USE OF MEDICATION IN EMERGENCY DEPARTMENT

Aplikacija zdravil je ena najpomembnejših in temeljnih nalog reševalcev s katerimi se vsakodnevno srečujejo. Izrednega pomena je, da imajo dovolj ustreznega znanja s tega področja. V procesu uporabe zdravil je vedno nujno potrebno varovanje kakovosti, varnosti in uspešnosti z doslednim spoštovanjem »10P« dobre prakse aplikacije zdravil. Osnovna naloga, ki jo z aplikacijo terapije po zdravnikovem naročilu reševalci v zdravstvu želijo doseči, je lajšanje akutnih težav, ki mnogokrat ogrožajo življenje pacienta. Zdravstveni reševalci pri tem prevzemajo odgovornost za poseg, ki ga pri pacientu opravijo, kljub temu, da s tem mnogokrat presegajo svoja pooblastila za delo. Namen diplomskega dela je predstaviti zdravila in njihovo uporabo v nujni medicinski pomoči ter z raziskavo ugotoviti poznavanje in uporabo zdravil s strani reševalcev. Uporabili smo kvantitativno metodologijo z deskriptivno metodo dela. Podatke smo zbrali s pomočjo anonimne ankete z vprašanji zaprtega in odprtega tipa, ki ga je izpolnilo 60 zaposlenih v Službi za nujno medicinsko pomoč. Rezultati raziskave so pokazali, da zaposleni v nujni medicinski pomoči prihajajo v stik z različnimi zdravili. Najpogosteje uporabljajo zdravila za lajšanje bolečine, reanimacijska zdravila in antihistaminike. Le te so že v 81 % aplicirali samostojno brez zdravnikovega naročila in prisotnosti. Kljub temu pa si le 44 % vseh anketiranih želi višjih kompetenc pri dajanju zdravil. Ugotovili smo tudi dobro poznavanje zdravil glede na preverjanje znanja o le teh. Ravnanje z zdravili je v nujni medicinski pomoči vsakodnevno opravilo in je uporaba zdravil vključena v samo oskrbo pacienta. Le ta velikokrat presega njihovo znanje in kompetence. Iz tega razloga je nujno potrebno vključiti v izobraževanja zaposlenih osnovna znanja s področja farmakologije.Medication administration is one of the most important and fundamental tasks for paramedic in his daily job. It is of utmost importance that they have enough adequate knowledge from this area. In the process of medication use it is always necessary to protect quality, safety and effectiveness with consistent compliance of \u27\u2710P\u27\u27 good practice of medication administration. The main task of administration therapy, paramedics, with doctors order, want to achieve relief of acute paine which usually treatens patiens lives. Paramedics take responsibility for interventions they do on a patient although they often exceed their work jurisdition. The purpose of this thesis is to introduce medication and their use in the emergency medical treatment and find out with a survey, knowledge and use of medications by paramedics. We used quantitative methodology with descriptive method. We gathered information with anonymous polls with questions closed and open type, which 60 employees in the emergency medical treatment facility fulfill. The results have shown that paramedics deal with different medications. Most common are painkillers, reanimation medication and antihistamines. 81% of these medication were administered by paramedics without doctors approval and presence but only 44% paramedics want higher competences for medication administration. We also found out that their knowledge of medications is very good. Handling with medications is a daily routine in emergeny medical treatment and their usage is included in the care of the patient. Therefore their knowledge and competences are exceeded and that is why it is necessary to include basic pharmacology into employees training