{"id":15085,"date":"2017-09-27T03:52:59","date_gmt":"2017-09-27T00:52:59","guid":{"rendered":"http:\/\/www.ergometri.com\/?p=15085"},"modified":"2017-09-27T03:52:59","modified_gmt":"2017-09-27T00:52:59","slug":"isyeri-hekiminin-saglik-gozetimi","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/isyeri-hekiminin-saglik-gozetimi\/","title":{"rendered":"\u0130\u015fyeri Hekiminin Sa\u011fl\u0131k G\u00f6zetimi"},"content":{"rendered":"<p>\u0130\u015fyeri hekiminin sa\u011fl\u0131k g\u00f6zetimi g\u00f6revi, i\u015fyeri hekiminin g\u00f6revleri: SA\u011eLIK G\u00d6ZET\u0130M\u0130, \u0130\u015fyeri hekimi ve SA\u011fl\u0131k G\u00f6zetimi, i\u015fyeri hekimi taraf\u0131ndan yap\u0131lan sa\u011fl\u0131k g\u00f6zetimi, sa\u011fl\u0131k g\u00f6zetim hizmeti<\/p>\n<p>\u0130\u015fyeri hekiminin g\u00f6revlerinden birisi de i\u015fverene\u00a0<strong>SA\u011eLIK G\u00d6ZET\u0130M\u0130<\/strong>\u00a0yapmakt\u0131r.\u00a0<em>(Di\u011fer G\u00f6revleri: Rehberlik,\u00a0<a href=\"http:\/\/www.ergometri.com\/rehber\/isyeri-hekimi\/isyeri-hekiminin-risk-degerlendirme-gorevi.html\">Risk de\u011ferlendirmesi<\/a>,\u00a0<a href=\"http:\/\/www.ergometri.com\/rehber\/isyeri-hekimi\/isyeri-hekiminin-egitim-bilgilendirme-kayit-gorevleri.html\">\u0130\u015fyeri Hekiminin E\u011fitim, Bilgilendirme ve Kay\u0131t<\/a>, <a href=\"http:\/\/www.ergometri.com\/is-sagligi\/isyeri-hekimin-ilgili-birimlerle-isbirligi-gorevleri.html\">\u0130lgili birimlerle koordinasyon<\/a>)<\/em><\/p>\n<h3>\u0130\u015fyeri Hekiminin Yapmas\u0131 Gereken Muayeneler<\/h3>\n<p>Sa\u011fl\u0131k g\u00f6zetimi kapsam\u0131nda i\u015fyeri hekimine <strong>&#8220;\u00e7al\u0131\u015fanlara\u00a0yapacaklar\u0131 i\u015fe uygun olduklar\u0131n\u0131 belirten i\u015fe giri\u015f ve periyodik sa\u011fl\u0131k muayenesi yapmak&#8221;<\/strong> g\u00f6rev olarak tan\u0131mlanm\u0131\u015ft\u0131r. Bu muayeneler \u00f6ncesinde\u00a0yap\u0131lacak i\u015fe giri\u015f ve periyodik muayeneler ve tetkikler ile ilgili olarak \u00e7al\u0131\u015fanlar\u0131 bilgilendirmek ve onlar\u0131n r\u0131zas\u0131n\u0131 almak yine i\u015fyeri hekimi taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.\u00a0\u00c7al\u0131\u015fanlar\u0131n muayeneleri ile gerekli tetkiklerin sonu\u00e7lar\u0131 i\u015fyeri hekimi taraf\u0131ndan <a href=\"http:\/\/www.ergometri.com\/wp-content\/uploads\/2017\/07\/ISeGirisPeriyodikMuayeneFormu.doc\"><strong>EK-2<\/strong><\/a>\u2019de verilen \u00f6rne\u011fe uygun olarak d\u00fczenler ve <strong>i\u015fyerinde<\/strong> muhafaza eder.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-15083\" src=\"http:\/\/www.ergometri.com\/wp-content\/uploads\/2017\/09\/iyh.jpg\" alt=\"\" width=\"760\" height=\"512\" \/><\/p>\n<p>\u00d6zetleyecek olursak: i\u015fyeri hekimi i\u015fe yeni gireceklere i\u015fe giri\u015f muayenesi, mevcutta \u00e7al\u0131\u015fanlara periyodik muayene yapar. Muayene \u00f6ncesinde \u00e7al\u0131\u015fanlar\u0131 bilgilendirir ve onamlar\u0131n\u0131 al\u0131r. Tetkik isteyebilir. Muayene neticesini ve tetkikleri (hangi tetkiklerin yap\u0131ld\u0131\u011f\u0131 m\u0131 yoksa tetkik sonu\u00e7lar\u0131 m\u0131? bu durum a\u00e7\u0131k de\u011fil!) <a href=\"http:\/\/www.ergometri.com\/wp-content\/uploads\/2017\/07\/ISeGirisPeriyodikMuayeneFormu.doc\">EK-2 muayene formu<\/a>na i\u015fler. <em>EK-2&#8217;de verilen muayene formu \u00f6rnektir. Yap\u0131lan i\u015fe ve ihtiyaca g\u00f6re form \u00fczerinde d\u00fczenleme yap\u0131larak kullan\u0131labilece\u011fi sonucu \u00e7\u0131k\u0131yor.\u00a0 Ama baz\u0131 m\u00fcfetti\u015fler bu format\u0131 bozmadan i\u015flenmi\u015f evrak istiyorlar(m\u0131\u015f).\u00a0<\/em><\/p>\n<p>\u0130\u015fe giri\u015f ve periyodik muayene d\u0131\u015f\u0131nda bir de \u00e7al\u0131\u015fanlar\u0131n sa\u011fl\u0131k nedeniyle tekrarlanan i\u015ften uzakla\u015fmalar\u0131ndan sonra i\u015fe d\u00f6n\u00fc\u015flerinde talep etmeleri halinde <strong>i\u015fe d\u00f6n\u00fc\u015f muayenesi<\/strong>\u00a0yap\u0131lmas\u0131 gerekiyor. Muayene neticesinde eski g\u00f6revinde \u00e7al\u0131\u015fmas\u0131 sak\u0131ncal\u0131 bulunanlara mevcut sa\u011fl\u0131k durumlar\u0131na uygun bir g\u00f6rev verilmesi tavsiye ediliyorsa bunu i\u015fverene yaz\u0131l\u0131 olarak bildirerek onay\u0131na sunmak gerekir. Takdir i\u015fverenindir.<\/p>\n<p><strong>\u00d6zel politika gerektiren gruplar,<\/strong> meslek hastal\u0131\u011f\u0131 tan\u0131s\u0131 veya \u00f6n tan\u0131s\u0131 alanlar, kronik hastal\u0131\u011f\u0131, madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, birden fazla i\u015f kazas\u0131 ge\u00e7irmi\u015f olanlar gibi \u00e7al\u0131\u015fanlar\u0131n normal olarak muayeneleri yap\u0131l\u0131r. E\u011fer gerekiyorsa uygun i\u015fe yerle\u015ftirilmeleri i\u00e7in gerekli rapor i\u015fyeri hekimi taraf\u0131ndan d\u00fczenlenir. <a href=\"http:\/\/www.ergometri.com\/rehber\/isyeri-hekimi\/isyeri-hekiminin-kararsiz-kaldigi-durumlar.html\">(\u0130\u015fyeri hekimi olarak karar verilemeyen baz\u0131 spesifik rahats\u0131zl\u0131klar i\u00e7in yap\u0131lmas\u0131 gerekenler)<\/a><\/p>\n<p>Ayr\u0131ca meslek hastal\u0131\u011f\u0131 tan\u0131s\u0131 veya \u00f6n tan\u0131s\u0131 alm\u0131\u015f \u00e7al\u0131\u015fan\u0131n olmas\u0131 durumunda ki\u015finin \u00e7al\u0131\u015ft\u0131\u011f\u0131 ortamdaki <strong>di\u011fer \u00e7al\u0131\u015fanlar\u0131n sa\u011fl\u0131k muayeneleri<\/strong>ni tekrarlamak gerekir. \u00c7al\u0131\u015fanlar\u0131n\u0131zdan herhangi biri meslek hastal\u0131\u011f\u0131na yakalanm\u0131\u015f olabilece\u011fi ile ilgili bir \u00f6n rapor getirdiyse hemen ayn\u0131 ortamda \u00e7al\u0131\u015fan di\u011fer ki\u015filerde de ayn\u0131 rahats\u0131zl\u0131k olup olmad\u0131\u011f\u0131n\u0131 ortaya koyacak muayene i\u015flemini ba\u015flatmal\u0131s\u0131n\u0131z. Rapor edilen hastal\u0131\u011f\u0131n bula\u015f\u0131c\u0131 \/ biyolojik bir etken olmas\u0131na gerek yok. \u00d6rne\u011fin benzen maruziyeti tespit edilen bir boyac\u0131n\u0131n \u00e7al\u0131\u015ft\u0131\u011f\u0131 boyahanede \u00e7al\u0131\u015fan di\u011fer ki\u015filerin de bir an \u00f6nce ayn\u0131 taramadan ge\u00e7mesi gerekiyor. (Kimyasal Maruziyetin Tespiti)<\/p>\n<p>Sa\u011fl\u0131k g\u00f6zetiminin gece postalar\u0131nda \u00e7al\u0131\u015fanlar da dikkate al\u0131nmak \u00fczere yap\u0131lmas\u0131 ayr\u0131ca vurgulanm\u0131\u015ft\u0131r.<\/p>\n<h3>Muayene S\u0131kl\u0131klar\u0131<\/h3>\n<ul>\n<li><strong>Az tehlikeli<\/strong> s\u0131n\u0131ftaki i\u015flerde en ge\u00e7 <strong>be\u015f<\/strong> y\u0131lda bir,<\/li>\n<li><strong>Tehlikeli<\/strong> s\u0131n\u0131ftaki i\u015flerde en ge\u00e7 <strong>\u00fc\u00e7<\/strong> y\u0131lda bir,<\/li>\n<li><strong>\u00c7ok tehlikeli<\/strong> s\u0131n\u0131ftaki i\u015flerde en ge\u00e7 <strong>y\u0131lda bir, <\/strong><\/li>\n<li><strong>\u00d6zel politika gerektiren grup<\/strong>ta yer alanlardan \u00e7ocuk, gen\u00e7 ve gebe \u00e7al\u0131\u015fanlar i\u00e7in <strong>en ge\u00e7 alt\u0131 ayda bir<\/strong> defa olmak \u00fczere periyodik muayene tekrarlan\u0131r.<\/li>\n<\/ul>\n<p>Ancak\u00a0\u00e7al\u0131\u015fan\u0131n ki\u015fisel \u00f6zellikleri, i\u015fyerinin tehlike s\u0131n\u0131f\u0131 ve i\u015fin niteli\u011fi \u00f6ncelikli olarak g\u00f6z \u00f6n\u00fcnde bulundurularak ve i\u015fyerinde yap\u0131lan risk de\u011ferlendirmesi sonu\u00e7lar\u0131 do\u011frultusunda i\u015fyeri hekiminin gerek g\u00f6rmesi halinde bu s\u00fcreler k\u0131salt\u0131larak, muayene s\u0131kl\u0131\u011f\u0131 artt\u0131r\u0131labilir.<\/p>\n<p>Sa\u011fl\u0131k sorunlar\u0131 nedeniyle i\u015fe <strong>devams\u0131zl\u0131k durumlar\u0131<\/strong> ile i\u015fyerinde olabilecek sa\u011fl\u0131k tehlikeleri aras\u0131nda bir ili\u015fkinin olup olmad\u0131\u011f\u0131n\u0131 tespit etmelidir.<\/p>\n<p>Gerekti\u011finde <strong>\u00e7al\u0131\u015fma ortam\u0131 ile ilgili \u00f6l\u00e7\u00fcmler<\/strong> yap\u0131lmas\u0131n\u0131 planlayarak i\u015fverenin onay\u0131na sunar. Al\u0131nan sonu\u00e7lar\u0131n \u00e7al\u0131\u015fanlar\u0131n sa\u011fl\u0131\u011f\u0131 y\u00f6n\u00fcnden de\u011ferlendirmesini yapar.<\/p>\n<h3>Bula\u015f\u0131c\u0131 hastal\u0131klar\u0131n kontrol\u00fc i\u00e7in;<\/h3>\n<ol>\n<li>Yay\u0131lmay\u0131 \u00f6nleme ve ba\u011f\u0131\u015f\u0131klama \u00e7al\u0131\u015fmalar\u0131 yapar.<\/li>\n<li>Gerekli hijyen e\u011fitimlerini verir.<\/li>\n<li>Uygun g\u00f6rd\u00fc\u011f\u00fc ek muayene ve tetkiklerinin yap\u0131lmas\u0131n\u0131 sa\u011flar.<\/li>\n<\/ol>\n<h3>Di\u011fer Sa\u011fl\u0131k G\u00f6zetim G\u00f6revleri:<\/h3>\n<ul>\n<li>\u0130\u015fyerindeki sa\u011fl\u0131k g\u00f6zetimi ile ilgili \u00e7al\u0131\u015fmalar\u0131 kaydeder,<\/li>\n<li>\u0130\u015f g\u00fcvenli\u011fi uzman\u0131 ile i\u015fbirli\u011fi yaparak i\u015f kazalar\u0131 ve meslek hastal\u0131klar\u0131 ile ilgili de\u011ferlendirme yapar,<\/li>\n<li>Tehlikeli olay\u0131n tekrarlanmamas\u0131 i\u00e7in inceleme ve ara\u015ft\u0131rma yapar, gerekli \u00f6nleyici faaliyet planlar\u0131n\u0131 haz\u0131rlar<\/li>\n<li>Y\u0131ll\u0131k \u00e7al\u0131\u015fma plan\u0131n\u0131 haz\u0131rlar ve i\u015fverenin onay\u0131na sunar,<\/li>\n<li>\u0130\u015f sa\u011fl\u0131\u011f\u0131 ile ilgili belirlenen uygulamalar\u0131n takibini yapar,<\/li>\n<li>Y\u0131ll\u0131k de\u011ferlendirme raporunu haz\u0131rlar.<\/li>\n<\/ul>\n<h3>Alt i\u015fveren \u00e7al\u0131\u015fanlar\u0131 &#8211; Ta\u015feron firma i\u00e7in Sa\u011fl\u0131k G\u00f6zetimi<\/h3>\n<p>Bir ba\u015fka i\u015fverenden i\u015f g\u00f6rmek i\u00e7in i\u015fyerine ge\u00e7ici olarak g\u00f6nderilen \u00e7al\u0131\u015fanlar ile alt i\u015fveren \u00e7al\u0131\u015fanlar\u0131n\u0131n yapacaklar\u0131 i\u015fe uygun oldu\u011funu g\u00f6steren sa\u011fl\u0131k raporlar\u0131n\u0131n s\u00fcresinin dolup dolmad\u0131\u011f\u0131n\u0131 kontrol etmek gerekir. (\u0130\u015fyeri hekimi alt i\u015fveren veya ta\u015feron firma \u00e7al\u0131\u015fanlar\u0131n\u0131 muayene etmez, i\u015fe giri\u015f ve periyodik muayene i\u00e7in evrak dolduramaz. <a href=\"http:\/\/www.ergometri.com\/rehber\/isyeri-hekimi\/isyeri-hekimliginde-alt-isverenin-saglik-gozetimi.html\">Alt i\u015fveren\/Ta\u015feron Sa\u011fl\u0131k G\u00f6zetimi i\u00e7in bu yaz\u0131m\u0131za g\u00f6z at\u0131n\u0131z.<\/a>)<\/p>\n<p style=\"text-align: right\"><a href=\"http:\/\/www.ergometri.com\/dr-fatih-hakan-cam\">Dr. Fatih Hakan \u00c7AM<\/a><br \/>\n\u0130\u015fyeri Hekimi<\/p>\n<p style=\"text-align: right\">Yay\u0131m Tarihi: 27.09.2017<br \/>\n<em>G\u00fcncelleme Tarihi: 30.09.2017<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130\u015fyeri hekiminin sa\u011fl\u0131k g\u00f6zetimi g\u00f6revi, i\u015fyeri hekiminin g\u00f6revleri: SA\u011eLIK G\u00d6ZET\u0130M\u0130, \u0130\u015fyeri hekimi ve SA\u011fl\u0131k G\u00f6zetimi, i\u015fyeri hekimi taraf\u0131ndan yap\u0131lan sa\u011fl\u0131k g\u00f6zetimi, sa\u011fl\u0131k g\u00f6zetim hizmeti \u0130\u015fyeri hekiminin g\u00f6revlerinden birisi de i\u015fverene\u00a0SA\u011eLIK G\u00d6ZET\u0130M\u0130\u00a0yapmakt\u0131r.\u00a0(Di\u011fer G\u00f6revleri: Rehberlik,\u00a0Risk de\u011ferlendirmesi,\u00a0\u0130\u015fyeri Hekiminin E\u011fitim, Bilgilendirme ve Kay\u0131t, \u0130lgili birimlerle koordinasyon) \u0130\u015fyeri Hekiminin Yapmas\u0131 Gereken Muayeneler Sa\u011fl\u0131k g\u00f6zetimi kapsam\u0131nda i\u015fyeri hekimine &#8220;\u00e7al\u0131\u015fanlara\u00a0yapacaklar\u0131 i\u015fe uygun [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":15083,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[142,294,155],"class_list":["post-15085","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-is","tag-isyeri-hekimi","tag-isyeri-hekimligi","tag-saglik-gozetimi"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/15085","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=15085"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/15085\/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=15085"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=15085"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=15085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}