{"id":13609,"date":"2016-05-02T10:03:19","date_gmt":"2016-05-02T07:03:19","guid":{"rendered":"http:\/\/is.saglikdanisma.net\/?p=13609"},"modified":"2016-05-02T10:03:19","modified_gmt":"2016-05-02T07:03:19","slug":"cok-tehlikeli-islerde-muayene","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/cok-tehlikeli-islerde-muayene\/","title":{"rendered":"\u00c7ok Tehlikeli i\u015flerde Muayene"},"content":{"rendered":"<p data-start=\"317\" data-end=\"742\">\u00c7ok tehlikeli i\u015flerde muayene, \u00e7al\u0131\u015fanlar\u0131n i\u015fe giri\u015f ve i\u015f s\u00fcre\u00e7lerinde uygun i\u015fin verilmi\u015f olmas\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemlidir!<\/p>\n<p data-start=\"317\" data-end=\"742\"><strong data-start=\"317\" data-end=\"340\">\u00c7ok tehlikeli i\u015fler<\/strong>, i\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi a\u00e7\u0131s\u0131ndan en y\u00fcksek risk grubunu olu\u015fturur. T\u00fcrkiye\u2019de bu i\u015fler, 6331 say\u0131l\u0131 \u0130\u015f Sa\u011fl\u0131\u011f\u0131 ve G\u00fcvenli\u011fi Kanunu ve ilgili y\u00f6netmeliklerle s\u0131k\u0131 \u015fekilde d\u00fczenlenmi\u015f olup, i\u015fyeri hekimleri i\u00e7in \u00f6zel hassasiyet gerektiren alanlard\u0131r. Bu yaz\u0131da, \u00e7ok tehlikeli i\u015flerin neden \u00f6nemli oldu\u011funu ve i\u015fe giri\u015f muayenelerinde dikkat edilmesi gereken kritik noktalar\u0131 detaylar\u0131yla ele alaca\u011f\u0131z.<\/p>\n<h2 data-start=\"317\" data-end=\"742\">\u00c7ok Tehlikeli \u0130\u015flerin \u00d6nemi<\/h2>\n<p data-start=\"317\" data-end=\"742\">\u00c7ok tehlikeli i\u015fler; genellikle a\u011f\u0131r fiziksel riskler, kimyasal maruziyetler, y\u00fcksek i\u015f kazas\u0131 riski, patlay\u0131c\u0131 veya toksik ortamlar i\u00e7eren i\u015f alanlar\u0131d\u0131r. T\u00fcrkiye\u2019de i\u015fyerleri, i\u015fyerindeki faaliyetlere g\u00f6re \u201cAz tehlikeli\u201d, \u201cTehlikeli\u201d ve \u201c\u00c7ok tehlikeli\u201d olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r. \u00c7ok tehlikeli i\u015fler, <a href=\"\/is\/is-sagligi-ve-guvenligi-kanunu\/\">\u0130\u015f Sa\u011fl\u0131\u011f\u0131 ve G\u00fcvenli\u011fi Kanunu<\/a>\u2019nda ve \u201c<a href=\"\/is\/is-sagligi-ve-guvenligi-hizmetleri\/\">\u0130\u015f Sa\u011fl\u0131\u011f\u0131 ve G\u00fcvenli\u011fi Hizmetleri Y\u00f6netmeli\u011fi<\/a>\u201dnde a\u00e7\u0131k\u00e7a tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n<p data-start=\"317\" data-end=\"742\">\u00c7ok tehlikeli i\u015flerde i\u015f kazalar\u0131 ve <a href=\"\/is\/meslek-hastaligi\/\">meslek hastal\u0131klar\u0131<\/a> daha s\u0131k ve daha a\u011f\u0131r seyredebilir. Bu nedenle, i\u015f sa\u011fl\u0131\u011f\u0131 hizmetleri ve koruyucu hekimlik uygulamalar\u0131n\u0131n etkinli\u011fi, bu i\u015f kollar\u0131nda hayati \u00f6nem ta\u015f\u0131r. \u0130\u015fverenlerin, i\u015fyeri hekimlerinin ve \u00e7al\u0131\u015fanlar\u0131n ortak \u00e7abas\u0131 ile risklerin minimize edilmesi gerekir.<\/p>\n<h2 data-start=\"1610\" data-end=\"1673\">\u00c7ok Tehlikeli i\u015flerde Muayene &#8211; Dikkat Edilmesi Gereken \u00d6zel Hususlar<\/h2>\n<p data-start=\"1675\" data-end=\"1875\">\u00c7ok tehlikeli i\u015flerde \u00e7al\u0131\u015facak personelin i\u015fe ba\u015flamadan \u00f6nce yap\u0131lacak <strong data-start=\"1748\" data-end=\"1771\">i\u015fe giri\u015f muayenesi<\/strong>, hem \u00e7al\u0131\u015fan\u0131n sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131 hem de i\u015fyerindeki risklerin y\u00f6netimi a\u00e7\u0131s\u0131ndan kritik bir ad\u0131md\u0131r.<\/p>\n<h3 data-start=\"1877\" data-end=\"1920\">1. Risk De\u011ferlendirmesine Uygun Muayene<\/h3>\n<ul>\n<li data-start=\"1924\" data-end=\"2018\">\u0130\u015fe giri\u015f muayenesi mutlaka i\u015fyerinde var olan spesifik riskler dikkate al\u0131narak yap\u0131lmal\u0131d\u0131r.<\/li>\n<li data-start=\"2021\" data-end=\"2140\">\u00d6rne\u011fin, kimyasal maruziyet riski varsa solunum fonksiyon testleri, g\u00fcr\u00fclt\u00fc riski varsa i\u015fitme testleri uygulanmal\u0131d\u0131r.<\/li>\n<li data-start=\"2143\" data-end=\"2232\">Fiziksel zorluklar varsa kas-iskelet sistemi muayenesi ve gerekli tetkikler yap\u0131lmal\u0131d\u0131r.<\/li>\n<\/ul>\n<h3 data-start=\"2234\" data-end=\"2287\">2. Sa\u011fl\u0131k Ge\u00e7mi\u015fi ve Meslek Hastal\u0131klar\u0131 Hikayesi<\/h3>\n<ul>\n<li data-start=\"2291\" data-end=\"2413\">\u00c7al\u0131\u015fan\u0131n ge\u00e7mi\u015fte maruz kald\u0131\u011f\u0131 mesleki riskler, ge\u00e7irdi\u011fi hastal\u0131klar, kronik rahats\u0131zl\u0131klar dikkatlice sorgulanmal\u0131d\u0131r.<\/li>\n<li data-start=\"2416\" data-end=\"2519\">\u00d6zellikle solunum, deri, i\u015fitme ve kas-iskelet sistemi hastal\u0131klar\u0131 i\u00e7in ayr\u0131nt\u0131l\u0131 anamnez al\u0131nmal\u0131d\u0131r.<\/li>\n<\/ul>\n<h3 data-start=\"2521\" data-end=\"2566\">3. Psikososyal ve N\u00f6rolojik De\u011ferlendirme<\/h3>\n<ul>\n<li data-start=\"2570\" data-end=\"2659\">\u00c7ok tehlikeli i\u015flerde, \u00e7al\u0131\u015fanlar\u0131n dikkat, refleks ve psikolojik durumlar\u0131 da \u00f6nemlidir.<\/li>\n<li data-start=\"2662\" data-end=\"2828\">Stres, dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131 veya psikiyatrik hastal\u0131klar, i\u015f kazas\u0131 riskini art\u0131rabilir. Bu nedenle i\u015fe giri\u015f muayenesinde psikososyal de\u011ferlendirme yap\u0131lmas\u0131 \u00f6nerilir.<\/li>\n<\/ul>\n<h3 data-start=\"2830\" data-end=\"2871\">4. Mevzuata Uygun Tetkik ve Raporlama<\/h3>\n<ul>\n<li data-start=\"2875\" data-end=\"3046\">\u0130\u015fe giri\u015f muayenesinde istenen tahlil, g\u00f6r\u00fcnt\u00fcleme ve fonksiyon testleri eksiksiz yap\u0131lmal\u0131d\u0131r.<\/li>\n<li data-start=\"3049\" data-end=\"3190\">Muayene sonu\u00e7lar\u0131 ve raporlar yasal s\u00fcreler i\u00e7inde i\u015fveren ve \u00e7al\u0131\u015fan ile payla\u015f\u0131lmal\u0131, i\u015fyeri sa\u011fl\u0131k kay\u0131tlar\u0131na uygun \u015fekilde i\u015flenmelidir.<\/li>\n<\/ul>\n<h3 data-start=\"3192\" data-end=\"3222\">5. S\u00fcrekli E\u011fitim ve Takip<\/h3>\n<ul>\n<li data-start=\"3226\" data-end=\"3382\">\u0130\u015fe giri\u015f muayenesinde tespit edilen riskler do\u011frultusunda, \u00e7al\u0131\u015fanlara ki\u015fisel koruyucu donan\u0131mlar\u0131n kullan\u0131m\u0131 ve i\u015f sa\u011fl\u0131\u011f\u0131na dair e\u011fitimler verilmelidir.<\/li>\n<li data-start=\"3385\" data-end=\"3464\">Ayr\u0131ca, belirli periyotlarda periyodik muayenelerle sa\u011fl\u0131k takibi yap\u0131lmal\u0131d\u0131r.<\/li>\n<\/ul>\n<p>[box type=&#8221;note&#8221; align=&#8221;&#8221; class=&#8221;&#8221; width=&#8221;&#8221;]<\/p>\n<h2>\u00c7ok tehlikeli i\u015flerde muayene esnas\u0131nda istenmesi gereken tetkikler:<\/h2>\n<ul>\n<li>Tam Kan<\/li>\n<li>Biyokimyasal: ALT, AST, \u00dcre, Kreatinin, A\u00e7l\u0131k \u015eekeri<\/li>\n<li>Tam idrar tetkiki<\/li>\n<li>Akci\u011fer Grafisi (Tozlu Ortamda ILO Okuyuculu)<\/li>\n<li>Solunum Fonksiyon Testi<\/li>\n<li><a href=\"\/is\/odyogram-yorumlama-rehberi\/\">Odyometri<\/a><\/li>\n<li>EKG<\/li>\n<li>Kan grubunun \u00f6\u011frenilmesi gerekir.<\/li>\n<li>\u00c7ok tehlikeli yerlerde \u00e7al\u0131\u015fanlar i\u00e7in <a href=\"\/is\/calisanlarda-tetanoz-profilaksisi\/\">tetanoz proflaksisi<\/a> uygulanmas\u0131 gerekir.[\/box]<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ok tehlikeli i\u015flerde muayene, \u00e7al\u0131\u015fanlar\u0131n i\u015fe giri\u015f ve i\u015f s\u00fcre\u00e7lerinde uygun i\u015fin verilmi\u015f olmas\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemlidir! \u00c7ok tehlikeli i\u015fler, i\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi a\u00e7\u0131s\u0131ndan en y\u00fcksek risk grubunu olu\u015fturur. T\u00fcrkiye\u2019de bu i\u015fler, 6331 say\u0131l\u0131 \u0130\u015f Sa\u011fl\u0131\u011f\u0131 ve G\u00fcvenli\u011fi Kanunu ve ilgili y\u00f6netmeliklerle s\u0131k\u0131 \u015fekilde d\u00fczenlenmi\u015f olup, i\u015fyeri hekimleri i\u00e7in \u00f6zel hassasiyet gerektiren alanlard\u0131r. Bu yaz\u0131da, [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":57973,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[113,159,305],"class_list":["post-13609","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-is","tag-ise-giris-muayenesi","tag-periyodik-muayene","tag-tetkikler-2"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/13609","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/comments?post=13609"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/13609\/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=13609"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=13609"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=13609"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}