{"id":97,"date":"2024-11-16T20:06:25","date_gmt":"2024-11-16T19:06:25","guid":{"rendered":"https:\/\/cck-trutnov.cz\/?page_id=97"},"modified":"2024-11-16T20:08:38","modified_gmt":"2024-11-16T19:08:38","slug":"bezprispevkove-darcovstvi-krve","status":"publish","type":"page","link":"https:\/\/cck-trutnov.cz\/?page_id=97","title":{"rendered":"Bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rcovstv\u00ed krve"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rcovstv\u00ed krve<\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/cck-trutnov.cz\/images\/2023\/2023kraj.jpg\" alt=\"BDK \"\/><\/figure>\n\n\n\n<p><strong>Plakety<\/strong><\/p>\n\n\n\n<p><strong>Bezp\u0159\u00edsp\u011bvkov\u00ed d\u00e1rci krve (BDK) jsou oce\u0148ov\u00e1ni 2 x ro\u010dn\u011b OS \u010c\u010cK Trutnov.<\/strong><\/p>\n\n\n\n<p>&#8211;&nbsp;Bronzov\u00e1 plaketa&nbsp;prof. MUDr. Jana Jansk\u00e9ho za&nbsp;10&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fdch odb\u011br\u016f<\/p>\n\n\n\n<p>&#8211;&nbsp;St\u0159\u00edbrn\u00e1 plaketa&nbsp;prof. MUDr. Jana Jansk\u00e9ho za&nbsp;20&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fdch odb\u011br\u016f<\/p>\n\n\n\n<p>&#8211;&nbsp;Zlat\u00e1 plaketa&nbsp;prof. MUDr. Jana Jansk\u00e9ho za&nbsp;40&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fdch odb\u011br\u016f&nbsp;<\/p>\n\n\n\n<p>&#8211;&nbsp;Zlat\u00fd k\u0159\u00ed\u017e 3. t\u0159\u00eddy&nbsp;za&nbsp;80&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fdch odb\u011br\u016f krve<\/p>\n\n\n\n<p><strong>Pov\u011b\u0159en\u00fd OS \u010c\u010cK oce\u0148uje 1 x ro\u010dn\u011b BDK &#8211; v sou\u010dasn\u00e9 dob\u011b je pov\u011b\u0159en\u00fdm OS OS \u010c\u010cK H. Kr\u00e1lov\u00e9.&nbsp;<\/strong><\/p>\n\n\n\n<p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/strong>&#8211;&nbsp;Zlat\u00fd k\u0159\u00ed\u017e 2. t\u0159\u00eddy&nbsp;za&nbsp;120&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fdch odb\u011br\u016f krve<\/p>\n\n\n\n<p><strong>\u00da \u010c\u010cK v Praze oce\u0148uje 1 x ro\u010dn\u011b BDK.<\/strong><\/p>\n\n\n\n<p>&#8211;&nbsp;Zlat\u00fd k\u0159\u00ed\u017e 1. t\u0159\u00eddy&nbsp;za&nbsp;160&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fd odb\u011br\u016f krve<\/p>\n\n\n\n<p><strong>Nov\u011b<\/strong>&nbsp;byla vyznamen\u00e1n\u00ed \u010c\u010cK pro bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rce krve dopln\u011bna o nov\u00e9 ocen\u011bn\u00ed, kter\u00e9 nese n\u00e1zev Plaketa \u010c\u010cK&nbsp;<strong>&#8222;Dar krve &#8211; dar \u017eivota&#8220;.&nbsp;&nbsp;<\/strong>Plaketa je ur\u010dena pro zaslou\u017eil\u00e9 bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rce krve a jejich slo\u017eek, kte\u0159\u00ed dovr\u0161ili&nbsp;<strong>250&nbsp;a v\u00edce bezp\u0159\u00edsp\u011bvkov\u00fdch<\/strong>&nbsp;<strong>odb\u011br\u016f.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/cck-trutnov.cz\/images\/provozni\/plakbr.jpg\" alt=\"plakbr\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/cck-trutnov.cz\/images\/provozni\/plakst.jpg\" alt=\"plakst\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/cck-trutnov.cz\/images\/provozni\/plakzl.jpg\" alt=\"plakzl\"\/><\/figure>\n\n\n\n<p>&nbsp;&nbsp;<strong>&nbsp;Slavnostn\u00ed oce\u0148ov\u00e1n\u00ed d\u00e1rc\u016f je realizov\u00e1no za podpory Ministerstva zdravotnictv\u00ed \u010cR.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/cck-trutnov.cz\/images\/unnamed.png\" alt=\"unnamed\"\/><\/figure>\n\n\n\n<p>DOBROVOLN\u00c9 A BEZP\u0158\u00cdSP\u011aVKOV\u00c9 D\u00c1RCOVSTV\u00cd KRVE<\/p>\n\n\n\n<p>Liga spole\u010dnost\u00ed \u010cerven\u00e9ho k\u0159\u00ed\u017ee (\u010cK) a \u010cerven\u00e9ho p\u016flm\u011bs\u00edce (\u010cP) na sv\u00e9m VIII.valn\u00e9m shrom\u00e1\u017ed\u011bn\u00ed v Budape\u0161ti 1992 v 34.usnesen\u00ed formulovala n\u00e1sleduj\u00edc\u00ed<br><strong>definici dobrovoln\u00e9ho bezp\u0159\u00edsp\u011bvkov\u00e9ho d\u00e1rcovstv\u00ed krve:<\/strong><\/p>\n\n\n\n<p>Dobrovoln\u00ed bezp\u0159\u00edsp\u011bvkov\u00ed d\u00e1rci krve jsou, ti kte\u0159\u00ed d\u00e1vaj\u00ed krev, plasmu nebo dal\u0161\u00ed sou\u010d\u00e1sti krve ze sv\u00e9 vlastn\u00ed svobodn\u00e9 v\u016fle ani\u017e za to dostali odm\u011bnu ve form\u011b pen\u011bz nebo n\u011b\u010deho jin\u00e9ho, co m\u016f\u017ee b\u00fdt pova\u017eov\u00e1no za ekvivalent pen\u011bz, nap\u0159\u00edklad \u010das z pracovn\u00ed doby p\u0159esahuj\u00edc\u00ed \u010das nezbytn\u00fd na cestu tam a zp\u011bt a na odb\u011br samotn\u00fd. Mal\u00e9 pozornosti, ob\u010derstven\u00ed a \u00fahradu p\u0159\u00edm\u00fdch cestovn\u00edch v\u00fdloh jsou s bezp\u0159\u00edsp\u011bvkov\u00fdm d\u00e1rcovstv\u00edm slu\u010diteln\u00e9.<\/p>\n\n\n\n<p><strong>Prohl\u00e1\u0161en\u00ed 3.mezin\u00e1rodn\u00edho kolokvia o z\u00edsk\u00e1v\u00e1n\u00ed dobrovoln\u00fdch d\u00e1rc\u016f krve, Hanover, srpen 1990; dopln\u011bn\u00e9 na 19. sch\u016fzi mezin\u00e1rodn\u00ed skupiny expert\u016f \u010cK pro krevn\u00ed transfuzi v Los Angeles, listopad 1990.<\/strong><\/p>\n\n\n\n<p>Liga spole\u010dnost\u00ed \u010cK a \u010cP v souladu se sv\u00fdmi humanit\u00e1rn\u00edmi z\u00e1sadami v\u017edy nekompromisn\u011b podporovala koncepci dobrovoln\u00e9ho bezp\u0159\u00edsp\u011bvkov\u00e9ho d\u00e1rcovstv\u00ed krve.<\/p>\n\n\n\n<p>24.mezin\u00e1rodn\u00ed konference \u010cK v Manile 1981 znovu potvrdila z\u00e1vazek hnut\u00ed za dobrovoln\u00e9 bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rcovstv\u00ed krve a v souvislosti s t\u00edm schv\u00e1lila soubor etick\u00fdch z\u00e1sad sestaven\u00fd Mezin\u00e1rodn\u00ed spole\u010dnost\u00ed pro krevn\u00ed transfuzi jako materi\u00e1l, kter\u00fd je v souladu s principy hnut\u00ed. Rychl\u00e9 zm\u011bny v posledn\u00edch deseti letech vrhly nov\u00e9 sv\u011btlo na etick\u00e9 aspekty d\u00e1rcovstv\u00ed krve.<\/p>\n\n\n\n<p>Dobrovoln\u00e9 bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rcovstv\u00ed krve je pova\u017eov\u00e1no za jeden z nejbezpe\u010dn\u011bj\u0161\u00edch zp\u016fsob\u016f d\u00e1rcovstv\u00ed krve z hlediska p\u0159\u00edjemce, proto\u017ee z transakce neplynou d\u00e1rci \u017e\u00e1dn\u00e9 v\u00fdhody. U d\u00e1rce se p\u0159edpokl\u00e1d\u00e1, \u017ee bez v\u00e1h\u00e1n\u00ed sd\u011bl\u00ed v\u0161echny kontraindikace, kter\u00e9 by potenci\u00e1ln\u011b mohly ohrozit p\u0159\u00edjemce. V sou\u010dasnosti tato odpov\u011bdnost d\u00e1rce nab\u00fdv\u00e1 st\u00e1le v\u011bt\u0161\u00ed d\u016fle\u017eitosti a ot\u00e1zky pokl\u00e1dan\u00e9 person\u00e1lem transfuzn\u00ed slu\u017eby se nezbytn\u011b st\u00e1vaj\u00ed \u010d\u00edm d\u00e1l v\u00edce osobn\u00edmi a detailn\u011bj\u0161\u00edmu ne\u017e d\u0159\u00edve.<\/p>\n\n\n\n<p>Z t\u011bchto d\u016fvod\u016f se zvy\u0161uje i etick\u00e1 odpov\u011bdnost transfuzn\u00ed slu\u017eby, kter\u00e1 p\u0159ij\u00edm\u00e1 krev od dobrovoln\u00fdch bezp\u0159\u00edsp\u011bvkov\u00fdch d\u00e1rc\u016f krve. N\u011bkter\u00e9 osv\u011bd\u010den\u00e9 a n\u011bkter\u00e9 nov\u00e9 z\u00e1sady pr\u00e1ce transfuzn\u00ed slu\u017eby pro styk s dobrovoln\u00fdmi bezp\u0159\u00edsp\u011bvkov\u00fdmi d\u00e1rci krve byly shrnuty do n\u00e1sleduj\u00edc\u00edch bod\u016f:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Nevytv\u00e1\u0159et tlak na lidi, aby se stali potenci\u00e1ln\u00edmi d\u00e1rci krve<\/li>\n\n\n\n<li>Ka\u017ed\u00e1 transfuzn\u00ed slu\u017eba by m\u011bla m\u00edt trval\u00e1 detailn\u00ed kriteria pro v\u00fdb\u011br a vylu\u010dov\u00e1n\u00ed d\u00e1rc\u016f krve; a t\u011bm, kte\u0159\u00ed jsou vylu\u010dov\u00e1ni, by to m\u011blo b\u00fdt vysv\u011btleno.<\/li>\n\n\n\n<li>\u010clenov\u00e9 transfuzn\u00edch t\u00fdm\u016f i dobrovoln\u00ed pracovn\u00edci, kte\u0159\u00ed p\u0159ich\u00e1zej\u00ed do styku s d\u00e1rci mus\u00ed b\u00fdt pe\u010dliv\u011b vyb\u00edr\u00e1ni a vycvi\u010deni, aby bylo zaru\u010deno, \u017ee s d\u00e1rci bude zach\u00e1zeno citliv\u011b a s porozum\u011bn\u00edm.<\/li>\n\n\n\n<li>D\u00e1rci by si m\u011bli b\u00fdt v\u011bdomi etick\u00e9 odpov\u011bdnosti, kterou maj\u00ed v\u016f\u010di p\u0159\u00edjemc\u016fm jejich krve.<\/li>\n\n\n\n<li>D\u00e1rci by m\u011bli b\u00fdt v\u0161emi mo\u017en\u00fdmi zp\u016fsoby ubezpe\u010deni, \u017ee krev, kterou daruj\u00ed, je pou\u017e\u00edv\u00e1na pro pacienty, kte\u0159\u00ed ji pot\u0159ebuj\u00ed.<\/li>\n\n\n\n<li>D\u00e1rci by m\u011bli b\u00fdt ubezpe\u010deni, \u017ee krev a krevn\u00ed produkty p\u0159ipraven\u00e9 z krve darovan\u00e9 dobrovoln\u00fdmi bezp\u0159\u00edsp\u011bvkov\u00fdmi d\u00e1rci krve bude u\u017eita co nejl\u00e9pe v nemocnic\u00edch pro pacienty, kte\u0159\u00ed to pot\u0159ebuj\u00ed.<\/li>\n\n\n\n<li>D\u00e1rci by m\u011bli b\u00fdt ubezpe\u010deni, \u017ee transfuzn\u00ed slu\u017eba uchov\u00e1 v tajnosti v\u0161echny osobn\u00ed \u00fadaje d\u00e1rc\u016f v\u010detn\u011b v\u00fdsledk\u016f v\u0161ech laboratorn\u00edch test\u016f.<\/li>\n<\/ol>\n\n\n\n<p>Hnut\u00ed \u010cK a \u010cP nad\u00e1le podporuj\u00ed v souladu s jejich z\u00e1sadami dobrovoln\u00e9 bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rcovstv\u00ed krve i s jeho etick\u00fdmi d\u016fsledky.<\/p>\n\n\n\n<p><strong>Mezin\u00e1rodn\u00ed spole\u010dnost pro krevn\u00ed transfuzi, Valn\u00e9 shrom\u00e1\u017ed\u011bn\u00ed, Toronto 1980. Mezin\u00e1rodn\u00ed konference \u010cK v Manile 1981<\/strong><\/p>\n\n\n\n<p><strong>Kodex etick\u00fdch z\u00e1sad pro d\u00e1rcovstv\u00ed krve a krevn\u00ed transfuzi.<\/strong><\/p>\n\n\n\n<p>C\u00edlem tohoto kodexu je definovat z\u00e1sady a pravidla, na kter\u00e1 je t\u0159eba br\u00e1t z\u0159etel v oblasti krevn\u00ed transfuze; a m\u011bly by tvo\u0159it z\u00e1klad n\u00e1rodn\u00ed legislativy nebo p\u0159edpis\u016f.<\/p>\n\n\n\n<p><strong>I. D\u00e1rce<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Darov\u00e1n\u00ed krve mus\u00ed b\u00fdt za v\u0161ech okolnost\u00ed dobrovoln\u00e9; \u017e\u00e1dn\u00fd n\u00e1tlak nesm\u00ed b\u00fdt na d\u00e1rce vyv\u00edjen.<\/li>\n\n\n\n<li>D\u00e1rce by m\u011bl b\u00fdt pou\u010den o riziku, kter\u00e9 je s odb\u011brem spojeno; zdrav\u00ed a bezpe\u010dnost d\u00e1rce mus\u00ed b\u00fdt p\u0159edm\u011btem st\u00e1l\u00e9ho z\u00e1jmu.<\/li>\n\n\n\n<li>Finan\u010dn\u00ed profit nesm\u00ed b\u00fdt nikdy motivem pro d\u00e1rce ani pro odb\u011brov\u00fd t\u00fdm. Dobrovoln\u00ed bezp\u0159\u00edsp\u011bvkov\u00ed d\u00e1rci krve by m\u011bli b\u00fdt v\u017edy povzbuzov\u00e1ni.<\/li>\n\n\n\n<li>Anonymita d\u00e1rce i p\u0159\u00edjemce mus\u00ed b\u00fdt respektov\u00e1na s v\u00fdjimkou speci\u00e1ln\u00edch p\u0159\u00edpad\u016f.<\/li>\n\n\n\n<li>D\u00e1rcovstv\u00ed krve nesm\u00ed diskriminovat \u017e\u00e1dn\u00fdm zp\u016fsobem a\u0165 rasov\u00fdm, n\u00e1rodnostn\u00edm nebo n\u00e1bo\u017eensk\u00fdm.<\/li>\n\n\n\n<li>Za odb\u011br krve mus\u00ed b\u00fdt odpov\u011bdn\u00fd l\u00e9ka\u0159.<\/li>\n\n\n\n<li>P\u0159edpisy by m\u011blo b\u00fdt stanoveno, jak \u010dasto mohou b\u00fdt odb\u011bry d\u011bl\u00e1ny, jak\u00fd celkov\u00fd objem krve u jedinc\u016f jednotliv\u00fdch pohlav\u00ed a t\u011blesn\u00e9 hmotnosti m\u016f\u017ee b\u00fdt odebr\u00e1n. M\u011bly by b\u00fdt stanoveny i doln\u00ed a horn\u00ed v\u011bkov\u00e9 limity pro d\u00e1rcovstv\u00ed.<\/li>\n\n\n\n<li>\u00da\u010deln\u00e9 testov\u00e1n\u00ed ka\u017ed\u00e9ho d\u00e1rce a odb\u011bru mus\u00ed b\u00fdt prov\u00e1d\u011bno s c\u00edlem odhalit v\u0161echny odchylky od normy:<br>a) kter\u00e9 by mohly v\u00e9st k ohro\u017een\u00ed d\u00e1rce v p\u0159\u00edpad\u011b proveden\u00ed odb\u011bru,<br>b) kter\u00e9 by mohly ohrozit p\u0159\u00edjemce.<\/li>\n\n\n\n<li>D\u00e1rcovstv\u00ed ve form\u011b plasmafer\u00e9zy by m\u011blo b\u00fdt pod\u0159\u00edzeno speci\u00e1ln\u00edm p\u0159edpis\u016fm, kter\u00e9 by ur\u010dovaly:<br>a) druh dopl\u0148ovac\u00edch test\u016f, kter\u00fdm mus\u00ed b\u00fdt d\u00e1rce podroben,<br>b) maxim\u00e1ln\u00ed objem plasmy, kter\u00fd m\u016f\u017ee b\u00fdt najednou odebr\u00e1n,<br>c) jak\u00e1 mus\u00ed b\u00fdt dodr\u017eena nejkrat\u0161\u00ed doba mezi dv\u011bma po sob\u011b n\u00e1sleduj\u00edc\u00edmi odb\u011bry,<br>d) jak\u00fd maxim\u00e1ln\u00ed objem plasmy m\u016f\u017ee b\u00fdt v obdob\u00ed jednoho roku d\u00e1rci odebr\u00e1n.<\/li>\n\n\n\n<li>Darov\u00e1n\u00ed leukocyt\u016f nebo desti\u010dek cytaferesou by m\u011blo m\u00edt speci\u00e1ln\u00ed pravidla, kter\u00e1 by ur\u010dovala:<br>a) \u017ee ka\u017ed\u00fd d\u00e1rce by m\u011bl b\u00fdt informov\u00e1n o v\u0161ech l\u00e1tk\u00e1ch, kter\u00e9 mu budou v souvislosti s odb\u011brem injikov\u00e1ny a o riziku, kter\u00e9 s t\u00edm je spojeno,<br>b) d\u00e1rce by m\u011bl b\u00fdt informov\u00e1n o povaze test\u016f, kter\u00fdm bude dodate\u010dn\u011b podroben,<br>c) m\u011bl by b\u00fdt sezn\u00e1men s po\u010dtem odb\u011br\u016f, kter\u00e9 se v \u010dasov\u00e9m \u00faseku uskute\u010dn\u00ed.<\/li>\n\n\n\n<li>C\u00edlen\u00e1 imunizace d\u00e1rc\u016f kter\u00fdmkoliv ciz\u00edm antigenem s c\u00edlem z\u00edskat produkty se specifickou diagnostickou nebo terapeutickou \u00fa\u010dinnost\u00ed by m\u011bla b\u00fdt tak\u00e9 p\u0159edm\u011btem speci\u00e1ln\u00edch p\u0159edpis\u016f, kter\u00e9 by ur\u010dovaly: a) informaci, kter\u00e1 m\u00e1 b\u00fdt d\u00e1na o injikovan\u00e9 substanci a o rizic\u00edch s t\u00edm spojen\u00fdch,<br>b) informaci o jak\u00fdchkoliv dodate\u010dn\u00fdch testech, kter\u00fdm m\u00e1 b\u00fdt d\u00e1rce podroben, (t.j. o imuniza\u010dn\u00edm sch\u00e9matu a nutn\u00fdch vy\u0161et\u0159en\u00edch v souvislosti s imunizac\u00ed).<br><br><em>Pozn\u00e1mka:<\/em><br>\u00da\u010delem speci\u00e1ln\u00edch p\u0159edpis\u016f v bodech 9, 10 a 11 je ochrana d\u00e1rce. Po pou\u010den\u00ed o podstat\u011b procedury a rizic\u00edch s t\u00edm spojen\u00fdch, mus\u00ed b\u00fdt d\u00e1rcov\u00fdm podpisem stvrzeno prohl\u00e1\u0161en\u00ed o informovan\u00e9m souhlasu. D\u00e1rci imunizovan\u00ed proti antigen\u016fm \u010derven\u00fdch krvinek by m\u011bli b\u00fdt vybaveni speci\u00e1ln\u00ed kartou, kter\u00e1 by m\u011bla obsahovat \u00fadaje o protil\u00e1tk\u00e1ch a speci\u00e1ln\u00ed \u00fadaje nutn\u00e9 pro v\u00fdb\u011br vhodn\u00e9 krve v p\u0159\u00edpad\u011b, \u017ee by tento d\u00e1rce s\u00e1m pot\u0159eboval transfuzi.<\/li>\n\n\n\n<li>D\u00e1rce mus\u00ed b\u00fdt odpov\u00eddaj\u00edc\u00edm zp\u016fsobem poji\u0161t\u011bn proti riziku spojen\u00e9ho s darov\u00e1n\u00edm krve, plasmy nebo krevn\u00edch element\u016f, stejn\u011b jako proti riziku spojen\u00e9mu s imunizac\u00ed.<strong>II. P\u0159\u00edjemce<\/strong><\/li>\n\n\n\n<li>P\u0159\u00edjemce mus\u00ed b\u00fdt uji\u0161t\u011bn o tom, \u017ee c\u00edlem transfuze je zajistit pro p\u0159\u00edjemce co nej\u00fa\u010dinn\u011bj\u0161\u00ed l\u00e9\u010dbu, kter\u00e1 je spojena s nejvy\u0161\u0161\u00ed bezpe\u010dnost\u00ed.<\/li>\n\n\n\n<li>Transfuzi krve nebo krevn\u00edch produkt\u016f mus\u00ed p\u0159edch\u00e1zet po\u017eadavek podepsan\u00fd l\u00e9ka\u0159em nebo vydan\u00fd pod jeho odpov\u011bdnost\u00ed. Po\u017eadavek mus\u00ed obsahovat \u00fadaje o identit\u011b p\u0159\u00edjemce a o povaze a mno\u017estv\u00ed l\u00e1tek, kter\u00e9 maj\u00ed b\u00fdt pod\u00e1ny.<\/li>\n\n\n\n<li>S v\u00fdjimkou neodkladn\u00e9 pot\u0159eby podat krev nebo krvinky skupiny 0, mus\u00ed ka\u017ed\u00e9 transfuzi p\u0159edch\u00e1zet ur\u010den\u00ed krevn\u00ed skupiny p\u0159\u00edjemce, krevn\u00ed test na kompatibilitu krve d\u00e1rce a krve p\u0159\u00edjemce.<\/li>\n\n\n\n<li>P\u0159ed aplikac\u00ed transfuze mus\u00ed b\u00fdt potvrzeno, \u017ee krev a krevn\u00ed produkty jsou spr\u00e1vn\u011b ur\u010deny, a \u017ee nejsou pro\u0161l\u00e9. D\u00e1le mus\u00ed b\u00fdt tak\u00e9 ov\u011b\u0159ena toto\u017enost p\u0159\u00edjemce.<\/li>\n\n\n\n<li>Za proveden\u00ed trasnsfuze je zodpov\u011bdn\u00fd l\u00e9ka\u0159.<\/li>\n\n\n\n<li>V p\u0159\u00edpad\u011b, \u017ee dojde k reakci b\u011bhem nebo po injekci krve nebo krevn\u00edch produkt\u016f, m\u011blo by b\u00fdt vy\u017e\u00e1d\u00e1no odpov\u00eddaj\u00edc\u00ed vy\u0161et\u0159en\u00ed, kter\u00e9 by vedlo k objasn\u011bn\u00ed p\u0159\u00ed\u010diny reakce a bylo z\u00e1kladem pro to, aby se tato situace nemohla opakovat. Reakce m\u016f\u017ee b\u00fdt d\u016fvodem k p\u0159eru\u0161en\u00ed transfuze.<\/li>\n\n\n\n<li>Krev a krevn\u00ed produkty nesm\u00ed b\u00fdt pod\u00e1ny, pokud pro to nen\u00ed skute\u010dn\u00e1 terapeutick\u00e1 pot\u0159eba. Pod\u00e1n\u00ed krve ani krevn\u00edch deriv\u00e1t\u016f nesm\u00ed b\u00fdt motivov\u00e1no finan\u010dn\u00edmi d\u016fvody ani u p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e, ani u za\u0159\u00edzen\u00ed, ve kter\u00e9m je pacient l\u00e9\u010den.<\/li>\n\n\n\n<li>Bez ohledu na finan\u010dn\u00ed zdroje, mus\u00ed b\u00fdt v\u0161em pacient\u016fm, kte\u0159\u00ed to pot\u0159ebuj\u00ed, pod\u00e1na lidsk\u00e1 krev nebo krevn\u00ed produkty, pokud jsou dostupn\u00e9.<\/li>\n\n\n\n<li>Pokud je to mo\u017en\u00e9, m\u011bli by pacienti dostat jen tu ur\u010ditou slo\u017eku krve (bu\u0148ky, plasmu nebo plasmatick\u00e9 deriv\u00e1ty), kterou skute\u010dn\u011b pot\u0159ebuj\u00ed. Transfuze pln\u00e9 krve pacientovi, kter\u00fd pot\u0159ebuje jen jej\u00ed \u010d\u00e1st, m\u016f\u017ee jin\u00e9 pacienty p\u0159ipravit o nezbytn\u00e9 krevn\u00ed sou\u010d\u00e1sti a m\u016f\u017ee p\u0159\u00edjemci p\u0159in\u00e9st i n\u011bkter\u00e1 dodate\u010dn\u00e1 rizika.<\/li>\n\n\n\n<li>Vzhledem k lidsk\u00e9mu p\u016fvodu krve a omezen\u00fdm mno\u017estv\u00edm, kter\u00e1 jsou k dispozici, je d\u016fle\u017eit\u00e9 regulovat z\u00e1jmy p\u0159\u00edjemc\u016f i d\u00e1rc\u016f tak, aby bylo mo\u017en\u00e9 vylou\u010dit zneu\u017eit\u00ed nebo pl\u00fdtv\u00e1n\u00ed.<\/li>\n\n\n\n<li>Optim\u00e1ln\u00ed vyu\u017eit\u00ed krve a krevn\u00edch produkt\u016f vy\u017eaduje pravideln\u00fd kontakt mezi l\u00e9ka\u0159i, kte\u0159\u00ed p\u0159edepisuj\u00ed a t\u011bmi, kte\u0159\u00ed pracuj\u00ed v centrech krevn\u00ed transfuze.<strong>III.Kontroly<\/strong><\/li>\n\n\n\n<li>P\u0159im\u011b\u0159en\u00e9 kontroly by m\u011bly b\u00fdt vy\u017eadov\u00e1ny zdravotnick\u00fdmi autoritami, kter\u00e9 by potvrdily, \u017ee zp\u016fsoby krevn\u00ed transfuze odpov\u00eddaj\u00ed mezin\u00e1rodn\u011b p\u0159ijat\u00fdm standard\u016fm, a \u017ee p\u0159edpisy vydan\u00e9 v souvislosti s t\u00edmto kodexem, jsou \u00fa\u010dinn\u011b respektov\u00e1ny.<\/li>\n\n\n\n<li>Pravideln\u011b by m\u011bly b\u00fdt kontrolov\u00e1ny:<br>a) profesionalita pracovn\u00edk\u016f transfuzn\u00ed slu\u017eby,<br>b) p\u0159im\u011b\u0159enost vybaven\u00ed a prostor\u016f,<br>c) kvalita metodik a reagenci\u00ed, zdroj\u016f materi\u00e1lu i to, zda kvalita v\u00fdsledn\u00fdch produkt\u016f odpov\u00edd\u00e1 norm\u00e1m.<\/li>\n<\/ol>\n\n\n\n<p><strong>FOTOGALERIE &#8211; oce\u0148ov\u00e1n\u00ed BDK<\/strong><\/p>\n\n\n\n<p><strong><a href=\"http:\/\/ccktrutnov.rajce.net\/ocenovani_BDK_31.5.2018\">http:\/\/ccktrutnov.rajce.net\/ocenovani_BDK_31.5.2018<\/a><\/strong><\/p>\n\n\n\n<p><strong><a href=\"http:\/\/ccktrutnov.rajce.net\/ocenovani_BDK_12.6.2018\">http:\/\/ccktrutnov.rajce.net\/ocenovani_BDK_12.6.2018<\/a><\/strong><\/p>\n\n\n\n<p><strong><a href=\"http:\/\/ccktrutnov.rajce.net\/ocenovani_BDK_80_dne_12.6.2019\">http:\/\/ccktrutnov.rajce.net\/ocenovani_BDK_80_dne_12.6.2019<\/a><\/strong><\/p>\n\n\n\n<p><a href=\"http:\/\/ccktrutnov.rajce.net\/Ocenovani_BDK_26.11.2019\"><strong>http:\/\/ccktrutnov.rajce.net\/Ocenovani_BDK_26.11.2019<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/ccktrutnov.rajce.idnes.cz\/ocenovani_BDK_80_25.11.2021\/\n<\/div><\/figure>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/ccktrutnov.rajce.idnes.cz\/ocenovani_BDK_40_2.12.2021\/\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Bezp\u0159\u00edsp\u011bvkov\u00e9 d\u00e1rcovstv\u00ed krve Plakety Bezp\u0159\u00edsp\u011bvkov\u00ed d\u00e1rci krve (BDK) jsou oce\u0148ov\u00e1ni 2 x ro\u010dn\u011b OS \u010c\u010cK Trutnov. &#8211;&nbsp;Bronzov\u00e1 plaketa&nbsp;prof. MUDr. Jana Jansk\u00e9ho za&nbsp;10&nbsp;bezp\u0159\u00edsp\u011bvkov\u00fdch odb\u011br\u016f &#8211;&nbsp;St\u0159\u00edbrn\u00e1 plaketa&nbsp;prof.&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":95,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-97","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/pages\/97","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=97"}],"version-history":[{"count":2,"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/pages\/97\/revisions"}],"predecessor-version":[{"id":135,"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/pages\/97\/revisions\/135"}],"up":[{"embeddable":true,"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=\/wp\/v2\/pages\/95"}],"wp:attachment":[{"href":"https:\/\/cck-trutnov.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=97"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}