{"id":12131,"date":"2016-01-25T01:11:33","date_gmt":"2016-01-24T23:11:33","guid":{"rendered":"http:\/\/is.saglikdanisma.net\/?p=12131"},"modified":"2016-01-25T01:11:33","modified_gmt":"2016-01-24T23:11:33","slug":"tekrarlayici-isler","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/tekrarlayici-isler\/","title":{"rendered":"Tekrarlay\u0131c\u0131 i\u015fler"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Meslek Hastaneleri<\/strong> ba\u015fta olmak \u00fczere sa\u011fl\u0131k sunucular\u0131n\u0131n kendilerine bel a\u011fr\u0131s\u0131 ve el bile\u011fi sorunlar\u0131 nedeniyle ba\u015fvuran \u00e7al\u0131\u015fanlara tekrarlay\u0131c\u0131 i\u015fler den muaf tutulmalar\u0131 y\u00f6n\u00fcnde rapor vermeleri i\u015f yeri hekimlerini zorda b\u0131rakmaktad\u0131r.<\/p>\n<h2 style=\"text-align: justify;\">Tekrarlay\u0131c\u0131 i\u015fler, tekrarlanan hareketler ne demek?<\/h2>\n<p style=\"text-align: justify;\">Tekrarlanan i\u015fler, i\u015f s\u0131ras\u0131nda ayn\u0131 ya da benzer hareketlerin s\u0131k aral\u0131klarla tekrarlanmas\u0131n\u0131\u00a0gerektiren i\u015flerdir. \u0130ki saatten daha fazla s\u00fcre hi\u00e7 ara vermeden dakikada ikiden daha fazla\u00a0el ile bir butona dokunmak veya klavye \u00fczerinde g\u00fcn i\u00e7erisinde d\u00f6rt saatten fazla ara\u00a0vermeden veri girmek tekrarlanan i\u015flere \u00f6rnek olarak verilebilir.<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-12132\" src=\"http:\/\/fhcam.net\/wp-content\/uploads\/2016\/01\/tezgahbasi.jpg\" alt=\"tezgahbasi\" width=\"640\" height=\"343\" \/><\/p>\n<p style=\"text-align: justify;\">Montaj, d\u00f6vme, onar\u0131m, vidalama, bant tezgah\u0131nda \u00e7al\u0131\u015fanlar gibi asl\u0131nda hemen hemen t\u00fcm i\u015flerde bir tekrar s\u00f6z konusudur.<\/p>\n<p style=\"text-align: justify;\">Burada \u00f6nemli olan nokta <strong>\u00e7al\u0131\u015fan\u0131 ma\u011fdur etmeden i\u015fin s\u00fcreklili\u011fini sa\u011flamak<\/strong>t\u0131r:<\/p>\n<h3 style=\"text-align: justify;\">\u0130\u015f yeri hekimi olarak,<\/h3>\n<p style=\"text-align: justify;\">Tekrarlay\u0131c\u0131 hareketlerden kaynaklanabilecek olan <a href=\"http:\/\/is.saglikdanisma.net\/2016\/karpal-tunel-sendromu.html\">karpal t\u00fcnel sendromu,<\/a> epikondilit gibi kas iskelet sistemi rahats\u0131zl\u0131klar\u0131na yol a\u00e7abilecek i\u015fleri \u00f6nceden tespit etmek gerekir. Hangi i\u015fin tekrarlay\u0131c\u0131 olup olmamas\u0131ndan ziyade tekrarlay\u0131c\u0131 muhtemel t\u00fcm i\u015fleri tespit edip \u00e7al\u0131\u015fan\u0131n kas ve iskelet sistemine zarar verece\u011fini \u00f6ng\u00f6rerek gerekli tedbirlerin al\u0131nmas\u0131 sa\u011flanmal\u0131d\u0131r.<\/p>\n<ul style=\"text-align: justify;\">\n<li>\u00d6ncelikle bu i\u015fler tespit edilip, kas iskelet sistemi rahats\u0131zl\u0131klar\u0131 risk olarak de\u011ferlendirilip risk de\u011ferlendirmesine yaz\u0131lmal\u0131.<\/li>\n<li>\u00c7al\u0131\u015fan\u0131n yapt\u0131\u011f\u0131 i\u015fle ilgili al\u0131nabilecek her t\u00fcrl\u00fc ergonomik \u00f6nlemin al\u0131nmas\u0131 i\u00e7in i\u015fverene (yaz\u0131l\u0131) bildirimde bulunulmal\u0131.<\/li>\n<li>Periyodik muayenede risk alt\u0131ndaki organlara \u00f6zen g\u00f6sterilerek \u00f6zellikle kas iskelet sistemi hassasiyetle muayene edilmeli, eklem a\u00e7\u0131kl\u0131klar\u0131 de\u011ferlendirilmeli. Gerekli g\u00f6r\u00fcyorsan\u0131z MR tetkiki yapt\u0131r\u0131lmal\u0131 veya ilgili uzmana sevki planlanmal\u0131d\u0131r.<\/li>\n<li>\u0130\u015f kaynakl\u0131 ya da de\u011fil, herhangi olumsuz bir durum tespit edildiyse bu durum \u00e7al\u0131\u015fan\u0131n sa\u011fl\u0131k kay\u0131tlar\u0131na (ek2 periyodik muayene formu) i\u015flenmeli ve \u00e7al\u0131\u015fan\u0131n durumu i\u015fverene bir an \u00f6nce (yaz\u0131l\u0131) iletilmelidir. \u0130\u015fverenle g\u00f6r\u00fc\u015fme esnas\u0131nda mevcuttaki i\u015fini yap\u0131p yapamayaca\u011f\u0131 da bildirilmeli.<\/li>\n<li>\u0130\u015fverenin i\u015f yeri hekimi karar\u0131na kar\u015f\u0131 \u00e7al\u0131\u015fan\u0131 ayn\u0131 i\u015fte \u00e7al\u0131\u015ft\u0131rmaya devam etmesi durumunda \u00f6nerilerinizi onayl\u0131 defetere yazmaktan \u00e7ekinmeyin.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Tekrarlayan i\u015fler ifadesi \u00e7ok genel bir terim olmas\u0131 i\u015fimizi zorla\u015ft\u0131rsa da biz kendimiz i\u015f yeri hekimi olarak \u00f6ncelikle <strong>\u00e7al\u0131\u015fan\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 korumak<\/strong> ad\u0131na bir tak\u0131m d\u00fczenleme yapabilmesi i\u00e7in i\u015fverene yard\u0131mc\u0131 olmal\u0131y\u0131z. Kritik nokta; <strong>i\u015fin ak\u0131\u015f\u0131n\u0131 bozmadan devaml\u0131l\u0131\u011f\u0131n\u0131 sa\u011flamak<\/strong> oldu\u011funu unutmamal\u0131y\u0131z. \u00c7al\u0131\u015fma sahas\u0131nda gerekli \u00f6nlemleri mevzuat\u0131n belirtti\u011fi \u015fekilde al\u0131p \u00e7al\u0131\u015fan\u0131 periyodik muayenelerle kontrol alt\u0131nda tutmaya devam etti\u011fimiz s\u00fcrece ba\u015f\u0131m\u0131z a\u011fr\u0131maz.<\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>Meslek Hastaneleri ba\u015fta olmak \u00fczere sa\u011fl\u0131k sunucular\u0131n\u0131n kendilerine bel a\u011fr\u0131s\u0131 ve el bile\u011fi sorunlar\u0131 nedeniyle ba\u015fvuran \u00e7al\u0131\u015fanlara tekrarlay\u0131c\u0131 i\u015fler den muaf tutulmalar\u0131 y\u00f6n\u00fcnde rapor vermeleri i\u015f yeri hekimlerini zorda b\u0131rakmaktad\u0131r. Tekrarlay\u0131c\u0131 i\u015fler, tekrarlanan hareketler ne demek? Tekrarlanan i\u015fler, i\u015f s\u0131ras\u0131nda ayn\u0131 ya da benzer hareketlerin s\u0131k aral\u0131klarla tekrarlanmas\u0131n\u0131\u00a0gerektiren i\u015flerdir. \u0130ki saatten daha fazla s\u00fcre hi\u00e7 [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":12132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[93],"tags":[281,155,282],"class_list":["post-12131","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-isyeri-hekimi-rehberi","tag-oneriler","tag-saglik-gozetimi","tag-tekrarlayici-isler"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/comments?post=12131"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12131\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/media?parent=12131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=12131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=12131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}