{"id":1576,"date":"2020-11-05T10:30:57","date_gmt":"2020-11-05T09:30:57","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=1576"},"modified":"2025-08-26T11:32:55","modified_gmt":"2025-08-26T11:32:55","slug":"sestricka-na-jiske-s-kochlearnym-implantatom","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sk\/sestricka-na-jiske-s-kochlearnym-implantatom\/","title":{"rendered":"Sestri\u010dka na JISke s kochle\u00e1rnym implant\u00e1tom"},"content":{"rendered":"

Pr\u00e1ca na jednotke intenz\u00edvnej starostlivosti s CI<\/h1><\/div>

Zdravotn\u00e1 sestra Alley Masonov\u00e1 z USA pracuje na oddelen\u00ed intenz\u00edvnej starostlivosti v Texase a pou\u017e\u00edva kochle\u00e1rny implant\u00e1t. Na svojom vlastnom kan\u00e1li na YouTube hovor\u00ed o konkr\u00e9tnych prek\u00e1\u017ekach, ktor\u00e9 mus\u00ed prekon\u00e1va\u0165, a o tom, ako vyzer\u00e1 jej pracovn\u00fd de\u0148.<\/strong><\/p>\n<\/div>

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<\/span><\/div><\/div><\/div><\/div><\/div>

Alley Masonov\u00e1 ohluchla v d\u00f4sledku bakteri\u00e1lnej meningit\u00eddy, ke\u010f mala tri roky. V\u010faka kochle\u00e1rnemu implant\u00e1tu v pravom uchu po\u010duje aspo\u0148 na jednu stranu. Sluchov\u00e9 postihnutie jej v\u0161ak nezabr\u00e1nilo v tom, aby sa stala zdravotnou sestrou.<\/p>\n

\u201eKe\u010f som za\u010dala chodi\u0165 na zdravotn\u00fa \u0161kolu, prv\u00fd probl\u00e9m, s ktor\u00fdm som sa stretla, bolo pou\u017e\u00edvanie stetoskopu s kochle\u00e1rnym implant\u00e1tom.\u201c Sl\u00fachadl\u00e1 be\u017en\u00fdch stetoskopov sa vkladaj\u00fa priamo do vonkaj\u0161ieho zvukovodu, \u010do je pre pou\u017e\u00edvate\u013eov kochle\u00e1rnych implant\u00e1tov tak nepraktick\u00e9 ako nosenie sl\u00fachadiel na po\u010d\u00favanie hudby. \u201eSpanik\u00e1rila som a nevedela som, \u010do budem robi\u0165. Potom som v\u0161ak na\u0161la stetoskop, ku ktor\u00e9mu sa dali pripoji\u0165 ak\u00e9ko\u013evek sl\u00fachadl\u00e1.\u201c Ide o stetoskop s ve\u013ek\u00fdmi sl\u00fachadlami, ktor\u00e9 sa daj\u00fa pohodlne nasadi\u0165 na procesor. \u010eal\u0161ou mo\u017enos\u0165ou je pripoji\u0165 v\u00fdstup sl\u00fachadiel k DAI, priamemu zvukov\u00e9mu vstupu kochle\u00e1rneho implant\u00e1tu, pomocou be\u017en\u00e9ho audio k\u00e1bla.<\/p>\n

Alley pou\u017e\u00edva\u00a0kochle\u00e1rny implant\u00e1t MED-EL<\/a>\u00a0s procesorom\u00a0SONNET<\/a>\u00a0a zariaden\u00edm\u00a0MED-EL AudioLink<\/em><\/a>, kam zap\u00e1ja v\u00fdstup stetoskopu. \u201eAudioLink sa potom prostredn\u00edctvom Bluetooth spoj\u00ed s kochle\u00e1rnym implant\u00e1tom.\u201c AudioLink potom nech\u00e1va zapnut\u00fd v pohotovostnom re\u017eime po\u010das celej pracovnej zmeny. \u201eAk potom stetoskop zapnem, m\u00f4\u017eem ho pou\u017ei\u0165 do troch sek\u00fand. Pribli\u017ene tak dlho trv\u00e1, k\u00fdm niekto vytiahne stetoskop a nasad\u00ed si ho na u\u0161i.\u201c<\/p>\n

Ka\u017edodenn\u00fd \u017eivot na klinike s kochle\u00e1rnym implant\u00e1tom<\/h2>\n

Mlad\u00e1 Texasanka skon\u010dila \u0161t\u00fadium minul\u00fd rok v decembri a na jednotke intenz\u00edvnej starostlivosti za\u010dala pracova\u0165 na za\u010diatku roka 2020. Pracuje na no\u010dnej zmene od siedmej ve\u010dera do siedmej r\u00e1na. \u201eVst\u00e1vam medzi 14:30 a 15:30. Ke\u010f sp\u00edm, implant\u00e1t m\u00e1m vypnut\u00fd, tak\u017ee som po\u010das sp\u00e1nku \u00faplne hluch\u00e1. Na prebudenie pou\u017e\u00edvam vibra\u010dn\u00fd bud\u00edk na hodink\u00e1ch. M\u00f4j asisten\u010dn\u00fd pes Saki je ve\u013ekou pomocou, ke\u010f n\u00e1hodou zasp\u00edm.\u201c<\/p>\n

\u201eNorm\u00e1lne chod\u00edm do pr\u00e1ce okolo \u0161iestej,\u201c hovor\u00ed Alley. 24-hodinov\u00e1 v\u00fddr\u017e bat\u00e9rie RONDO 3 by znamenala, \u017ee by som mohla po\u010du\u0165 aj po cel\u00fa dobu mojej 13-hodinovej pracovnej zmeny. Alley v\u0161ak po\u010duje pomocou syst\u00e9mu SONNET, a preto sa spolieha na jednorazov\u00e9 bat\u00e9rie: \u201eV\u017edy m\u00e1m pri sebe najmenej dve sady n\u00e1hradn\u00fdch bat\u00e9ri\u00ed do implant\u00e1tu \u2013 jednu vo vrecku pracovn\u00fdch nohav\u00edc a druh\u00fa v ta\u0161ke. Ke\u010f m\u00e1m slu\u017ebu, bez sluchu neviem fungova\u0165 ani chv\u00ed\u013eu. Som zodpovedn\u00e1 za pohodu mojich pacientov a ich \u017eivoty, tak\u017ee bez bat\u00e9ri\u00ed sa nezaob\u00eddem.\u201c<\/p>\n

\u201eNa za\u010diatku ka\u017edej zmeny na jednotke intenz\u00edvnej starostlivosti sa pomocou stetoskopu pacientovi kontroluje srdce, p\u013e\u00faca a brucho. Ka\u017ed\u00fd pacient je tak skontrolovan\u00fd ka\u017ed\u00fdch dvan\u00e1s\u0165 hod\u00edn. Tento \u0161peci\u00e1lny stetoskop je jedin\u00e1 pom\u00f4cka, ktor\u00fa v s\u00fa\u010dasnosti pou\u017e\u00edvam pravidelne. MED-ELAudioLink m\u00e1 tie\u017e funkciu, v\u010faka ktorej ho m\u00f4\u017eete pou\u017e\u00edva\u0165 ako mikrof\u00f3n. Ak napr\u00edklad nie\u010do preber\u00e1m s inou sestrou a v pozad\u00ed je hluk, \u010do sa na jednotke intenz\u00edvnej starostlivosti st\u00e1va celkom \u010dasto, pod\u00e1m jejAudioLink. Ona potom hovor\u00ed priamo do zariadenia MED-EL AudioLink, \u010di\u017ee priamo do m\u00f4jho kochle\u00e1rneho implant\u00e1tu.\u201c<\/p>\n

\"AudioLink\"

The MED-EL AudioLink provides great support to Alley Mason in her job. \u00a9MED-EL<\/p><\/div>\n

Zabezpe\u010den\u00e1 komunik\u00e1cia v uzavretej slu\u010dke<\/h2>\n

\u201eNa jednotke intenz\u00edvnej starostlivosti sa star\u00e1me o v\u00e1\u017ene chor\u00fdch pacientov. \u010casto ich len udr\u017eiavame pri \u017eivote. To znamen\u00e1, \u017ee \u010dasto dost\u00e1vam d\u00f4le\u017eit\u00e9 inform\u00e1cie a mus\u00edm sa ubezpe\u010di\u0165, \u017ee som v\u0161etko po\u010dula spr\u00e1vne.\u201c Kochle\u00e1rny implant\u00e1t s\u00edce hluch\u00fdm u\u0161iam umo\u017e\u0148uje po\u010du\u0165, no nedok\u00e1\u017ee \u00faplne nahradi\u0165 prirodzene zdrav\u00fd sluch. Sluch v oboch u\u0161iach je d\u00f4le\u017eit\u00fd pre dobr\u00e9 porozumenie re\u010di. Takzvan\u00e1 komunik\u00e1cia v\u00a0uzavretej slu\u010dke<\/em>\u00a0pom\u00e1ha nielen tejto 22-ro\u010dnej sestri\u010dke s kochle\u00e1rnym implant\u00e1tom vyhn\u00fa\u0165 sa nedorozumeniam pri z\u00edskavan\u00ed d\u00f4le\u017eit\u00fdch inform\u00e1ci\u00ed alebo pokynov od lek\u00e1ra.<\/p>\n

\u201eAk m\u00e1 napr\u00edklad pacient ve\u013emi slab\u00fd pulz a lek\u00e1r mi hovor\u00ed: \u201aDajte mu 0,5 miligramu atrop\u00ednu,\u2018 v r\u00e1mci uzavretej slu\u010dky lek\u00e1rovi odpoved\u00e1m: \u201aD\u00e1vam mu 0,5 miligramu atrop\u00ednu,\u2018 e\u0161te predt\u00fdm ne\u017e to urob\u00edm. Keby som doktorovi nerozumela spr\u00e1vne, mohol by ma v\u010das zastavi\u0165 a opravi\u0165.\u201c Na jednotke intenz\u00edvnej starostlivosti m\u00f4\u017eu ma\u0165 nedorozumenia ve\u013emi v\u00e1\u017ene n\u00e1sledky: \u201ePreto v\u0161etci na mojom oddelen\u00ed komunikuj\u00fa v uzavretej slu\u010dke. Je to pre m\u0148a obzvl\u00e1\u0161\u0165 u\u017eito\u010dn\u00e9 a dod\u00e1va mi to istotu, \u017ee som v\u0161etk\u00fdch spr\u00e1vne pochopila.\u201c<\/p>\n

\u201eKe\u010f\u017ee sme uprostred pand\u00e9mie COVID-19, v mojej nemocnici plat\u00ed pravidlo, \u017ee ka\u017ed\u00fd mus\u00ed nosi\u0165 r\u00fa\u0161ko.\u201c Rovnako ako mnoho \u013eud\u00ed so sluchov\u00fdm postihnut\u00edm, aj Alley si pri komunik\u00e1cii \u00faplne intuit\u00edvne pom\u00e1ha odzeran\u00edm z pier. \u201eTo teraz v\u0161ak nie je mo\u017en\u00e9, a preto sa mi \u0165a\u017e\u0161ie rozumie \u013eu\u010fom, ktor\u00ed na m\u0148a hovoria spoza r\u00fa\u0161ok.\u201c Pravideln\u00e9 prest\u00e1vky v po\u010d\u00favan\u00ed a bezpe\u010dnos\u0165 komunik\u00e1cie v uzavretej slu\u010dke s\u00fa v s\u00fa\u010dasnej dobe na jednotke intenz\u00edvnej starostlivosti d\u00f4le\u017eit\u00e9 nielen pre \u0148u, ale aj pre jej kolegov s norm\u00e1lnym sluchom.<\/p>\n

\u201ePrest\u00e1vky v po\u010d\u00favan\u00ed pom\u00e1haj\u00fa lep\u0161ie rozumie\u0165\u201c<\/h2>\n
\"Alley

Alley Mason copes brilliantly with her stressful everyday work thanks to her CI. \u00a9private<\/p><\/div>\n

\u201eAko zdravotn\u00e1 sestra na jednotke intenz\u00edvnej starostlivosti mus\u00edm v\u017edy pozorne po\u010d\u00fava\u0165, \u010di u\u017e pri spolupr\u00e1ci s kolegami alebo pri po\u010d\u00favan\u00ed pr\u00edstrojov, ktor\u00fdch alarmy mi zvy\u010dajne oznamuj\u00fa, \u017ee nie\u010do nie je v poriadku.\u201c Na jednotke intenz\u00edvnej starostlivosti je v\u0161ak d\u00f4le\u017eit\u00e1 aj koncentr\u00e1cia. \u201eV\u017edy mus\u00edm myslie\u0165 dopredu a ka\u017ed\u00fa chv\u00ed\u013eu o\u010dak\u00e1va\u0165 probl\u00e9m. Ak srdcov\u00e1 frekvencia klesne alebo sa mu zv\u00fd\u0161i alebo zn\u00ed\u017ei krvn\u00fd tlak.\u201c<\/p>\n

Prest\u00e1vky s\u00fa obzvl\u00e1\u0161\u0165 d\u00f4le\u017eit\u00e9 v pr\u00e1ci, ktor\u00e1 si vy\u017eaduje to\u013eko s\u00fastredenia. Ka\u017ed\u00e1 sestra na jej oddelen\u00ed m\u00e1 ka\u017ed\u00fd de\u0148 nepreru\u0161ovan\u00fa 30-min\u00fatov\u00fa prest\u00e1vku, ktor\u00fa pou\u017e\u00edvate\u013e kochle\u00e1rneho implant\u00e1tu berie ako prest\u00e1vku v po\u010d\u00favan\u00ed: \u201eMoju 30-min\u00fatov\u00fa obedn\u00fa prest\u00e1vku tr\u00e1vim sama. S \u013eu\u010fmi sa po\u010das nej bav\u00edm len zriedka. Tento \u010das vyu\u017e\u00edvam na op\u00e4tovn\u00e9 dobitie mozgu.\u201c Po\u010das tejto doby je k dispoz\u00edcii len pre pr\u00edpad n\u00fadze prostredn\u00edctvom pagera.<\/p>\n

Alley si mysl\u00ed, \u017ee tak\u00e1to prest\u00e1vka v posluchu je dobr\u00e1 pre ka\u017ed\u00e9ho, kto m\u00e1 probl\u00e9my so sluchom: \u201eJe to ve\u013emi d\u00f4le\u017eit\u00e9, preto\u017ee n\u00e1s ako \u013eud\u00ed so sluchov\u00fdm postihnut\u00edm stoj\u00ed trikr\u00e1t viac \u00fasilia spr\u00e1vne interpretova\u0165, \u010do n\u00e1m druh\u00ed hovoria. V\u010faka takejto prest\u00e1vke v po\u010d\u00favan\u00ed skuto\u010dne ostatn\u00fdm lep\u0161ie rozumie\u0165 po zvy\u0161ok d\u0148a.\u201c<\/p>\n

Akustick\u00e9 indik\u00e1cie namiesto smerov\u00e9ho po\u010d\u00favania<\/h2>\n

\u201eJedn\u00fdm z probl\u00e9mov, ktor\u00fdm ako zdravotn\u00e1 sestra \u010del\u00edm, je to, \u017ee neviem, z ktor\u00e9ho smeru zvuk prich\u00e1dza.\u201c Schopnos\u0165 lokalizova\u0165 zvuky sa rozv\u00edja v ranom veku spolu s v\u00fdvojom re\u010di a vy\u017eaduje obojstrann\u00e9 po\u010dutie. Aj ke\u010f je t\u00e1to Ameri\u010danka hluch\u00e1 na obidve u\u0161i, implant\u00e1t ma voperovan\u00fd len na jednej strane. \u201eJe pre m\u0148a ve\u013emi u\u017eito\u010dn\u00e9, \u017ee v\u0161etky zvukov\u00e9 upozornenia v nemocnici maj\u00fa zodpovedaj\u00faci sveteln\u00fd sign\u00e1l. Ak d\u00fdchac\u00ed pr\u00edstroj p\u00edpne, rozsvieti sa aj displej ventil\u00e1tora. Ak p\u00edpne inf\u00fazna pumpa, rozsvieti sa jej displej.\u201c<\/p>\n

\u201ePo\u010du\u0165 rozdiel medzi v\u00fd\u0161kami t\u00f3nov a rozozna\u0165, ak\u00fd alarm sa spustil, mi nerob\u00ed \u017eiadny probl\u00e9m. Ak teda po\u010dujem dychov\u00fd alarm, viem, \u017ee je to z d\u00fdchacieho pr\u00edstroja. Nie som si v\u0161ak ist\u00e1, \u010di alarm prich\u00e1dza z d\u00fdchacieho pr\u00edstroja z izby m\u00f4jho pacienta alebo z inej izby. Sta\u010d\u00ed mi v\u0161ak len nahliadnu\u0165 do izby pacienta a vid\u00edm, \u010do sa rozsvietilo.\u201c<\/p>\n

Probl\u00e9my so sluchom nie s\u00fa v\u00fdhovorka<\/h2>\n

Nepo\u010duj\u00faci a nedosl\u00fdchav\u00fd \u013eudia sa \u010dasto s\u0165a\u017euj\u00fa, \u017ee sa kv\u00f4li v\u0161adepr\u00edtomn\u00fdm r\u00fa\u0161kam c\u00edtia izolovan\u00ed. Alley v\u0161ak ch\u00e1pe, pre\u010do to tak je. \u201eAj ke\u010f sa kolegovia na mojom oddelen\u00ed len rozpr\u00e1vaj\u00fa, st\u00e1le maj\u00fa nasaden\u00e9 r\u00fa\u0161ka. Ak sa rozpr\u00e1vaj\u00fa viacer\u00ed \u013eudia, je pre m\u0148a \u0165a\u017ek\u00e9 rozumie\u0165 im,\u201c popisuje a dod\u00e1va, \u017ee m\u00e1 \u010dasto pocit, \u017ee je v rozhovore outsiderom. Ke\u010f\u017ee je v tejto profesii nov\u00e1\u010dik, sna\u017e\u00ed sa budova\u0165 vz\u0165ahy s kolegami. \u201eR\u00fa\u0161ka to v\u0161ak s\u0165a\u017euj\u00fa. Nepou\u017e\u00edvam to, samozrejme, ako v\u00fdhovorku. Nach\u00e1dzam nov\u00e9 sp\u00f4soby, ako s \u013eu\u010fmi nadviaza\u0165 kontakt. Ch\u00e1pem v\u0161ak, pre\u010do sa niektor\u00ed \u013eudia s poruchami sluchu teraz c\u00edtia izolovane. M\u00e1m ve\u013ek\u00e9 \u0161\u0165astie, \u017ee v takejto dobe m\u00e1m kochle\u00e1rny implant\u00e1t!\u201c<\/p>\n

\u201eAko zdravotn\u00e1 sestra s kochle\u00e1rnym implant\u00e1tom nenar\u00e1\u017eam len na prek\u00e1\u017eky, ktor\u00e9 mus\u00edm prekon\u00e1va\u0165, ale v\u0161imla som si aj nie\u010do naozaj skvel\u00e9!\u201c Sestra Alley rozpr\u00e1va o pacientoch na jednotke intenz\u00edvnej starostlivosti, ktor\u00ed musia \u010deli\u0165 ve\u013ek\u00fdm \u017eivotn\u00fdm zmen\u00e1m \u2013 po cievnej mozgovej pr\u00edhode alebo po nieko\u013ek\u00fdch o\u0161etreniach, ke\u010f n\u00e1hle \u010delia v\u00e1\u017enym probl\u00e9mom s re\u010dou, sluchom alebo zrakom. \u201eV pr\u00e1ci nos\u00edm vypnut\u00e9 vlasy, aby \u013eudia jasne videli, \u017ee m\u00e1m implant\u00e1t. Pacienti ho vidia, tak\u017ee ak m\u00e1m ja probl\u00e9m so sluchom a oni maj\u00fa probl\u00e9m s re\u010dou, sluchom alebo zrakom, spoj\u00ed n\u00e1s to a m\u00f4\u017eem s nimi nadviaza\u0165 bli\u017e\u0161\u00ed kontakt.\u201c<\/p>\n

Alley Masonov\u00e1 rozpr\u00e1va o \u017eivote a sk\u00fasenostiach zdravotnej sestry v intenz\u00edvnej starostlivosti na
\nhttps:\/\/www.youtube.com\/c\/NurseAlley<\/a>
\nhttps:\/\/nursealley.com\/<\/a>
\nhttps:\/\/www.facebook.com\/alley.mason<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Zdravotn\u00e1 sestra Alley Mason z USA pracuje na oddelen\u00ed intenz\u00edvnej starostlivosti v Texase a pou\u017e\u00edva kochle\u00e1rny implant\u00e1t.<\/p>\n","protected":false},"author":5,"featured_media":32078,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[415],"tags":[],"class_list":["post-1576","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zivot-sk"],"yoast_head":"\nSestri\u010dka na JISke s kochle\u00e1rnym implant\u00e1tom - Slovak<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/sk\/sestricka-na-jiske-s-kochlearnym-implantatom\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sestri\u010dka na JISke s kochle\u00e1rnym implant\u00e1tom - 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