{"id":15087,"date":"2017-09-27T02:39:10","date_gmt":"2017-09-26T23:39:10","guid":{"rendered":"https:\/\/ergometri.com\/?p=15087"},"modified":"2017-09-27T02:39:10","modified_gmt":"2017-09-26T23:39:10","slug":"isyeri-hekiminin-kararsiz-kaldigi-durumlar","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/isyeri-hekiminin-kararsiz-kaldigi-durumlar\/","title":{"rendered":"\u0130\u015fyeri Hekiminin Karars\u0131z Kald\u0131\u011f\u0131 Durumlar"},"content":{"rendered":"

\u0130\u015fyeri hekimi \u00e7al\u0131\u015fan\u0131 yapaca\u011f\u0131 i\u015fe uygun olup olmad\u0131klar\u0131n\u0131 de\u011ferlendirmek \u00fczere muayene eder. \u0130\u015fyeri risk de\u011ferlendirmesine g\u00f6re \u00e7al\u0131\u015fan\u0131n maruz kalm\u0131\u015f olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fc etkenleri belirlemek \u00fczere ek tahlil ve tetkikler veya ilgili uzmana y\u00f6nlendirerek ek muayene talebinde bulunabilir. Neticede \u00e7\u0131kan sonuca ve kendi muayene neticesine g\u00f6re \u00e7al\u0131\u015fan\u0131n yapaca\u011f\u0131 i\u015fe uygun olup olmad\u0131\u011f\u0131na karar verir.<\/p>\n

Uygun g\u00f6rd\u00fckleri hakk\u0131nda EK-2 \u00f6rne\u011fine g\u00f6re muayene formu<\/a>nu doldurur ve i\u015fba\u015f\u0131 yapabilece\u011fi kanaatini yaz\u0131l\u0131<\/a> veya s\u00f6zl\u00fc olarak i\u015fverene (\u0130nsan Kaynaklar\u0131<\/a> da olabilir.) bildirir.<\/p>\n

Ancak i\u015fyeri hekimi olarak karar verilemeyen baz\u0131 spesifik rahats\u0131zl\u0131klarla kar\u015f\u0131la\u015f\u0131labilir. Bu durumda i\u015fyeri hekimi \u00e7al\u0131\u015fanda mevcut rahats\u0131zl\u0131\u011f\u0131 tam olarak tespit edip derecesini belirlemek \u00fczere ilgili uzman g\u00f6r\u00fc\u015f\u00fc<\/strong> talep etmelidir.<\/p>\n

Hastan\u0131n Sevki<\/h3>\n

\u0130\u015fyeri hekimine \u00e7al\u0131\u015fan\u0131n i\u015fe uygunlu\u011funu ortaya koymas\u0131 i\u00e7in k\u0131lavuzluk edecek bu g\u00f6r\u00fc\u015f i\u00e7in 3nc\u00fc basamak bir sa\u011fl\u0131k kurumuna veya Meslek Hastal\u0131klar\u0131 Hastanesi<\/strong>ne y\u00f6nlendirilmesi uygun olur. Bu sa\u011fl\u0131k te\u015fkilleri taraf\u0131ndan olu\u015fturulan Sa\u011fl\u0131k Kurulu<\/strong> ile \u00e7al\u0131\u015fan\u0131n durumunun (\u00f6zr\u00fcn\u00fcn) ortaya konarak kay\u0131t alt\u0131na al\u0131nmas\u0131 i\u015fyeri i\u00e7in olduk\u00e7a faydal\u0131 olur. \u0130\u015fyeri hekiminin talebi \u00fczerine i\u015fveren i\u015fyerine ait antetli bir ka\u011f\u0131da “istihdam” ama\u00e7l\u0131 sa\u011fl\u0131k kurul raporu<\/strong> istedi\u011fini yaz\u0131l\u0131 olarak ilgili sa\u011fl\u0131k kurulu\u015funa bildirebilir. Hastane gerekli inceleme ve tetkikler neticesinde \u00e7al\u0131\u015fan hakk\u0131nda “istihdam” amac\u0131yla bir sa\u011fl\u0131k kurul raporu haz\u0131rlayarak durumu ortaya koyar. Neticeye g\u00f6re i\u015fyeri hekimi de\u011ferlendirip i\u015fverene \u00e7al\u0131\u015fan durumunu bildirir.<\/p>\n

E\u011fer \u00e7al\u0131\u015fana ait daha \u00f6ncesinde b\u00f6yle bir rapor varsa raporun ge\u00e7erlilik s\u00fcresi<\/strong> de\u011ferlendirilerek i\u015fleme konabilir. Ge\u00e7erlilik s\u00fcresi dolmu\u015f raporlar dikkate al\u0131nmaz. Gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fc halde yine istihdam ama\u00e7l\u0131 hastaneye sevki yap\u0131larak raporun yenilenmesi uygun olur.<\/p>\n

Baz\u0131 durumlarda ge\u00e7erlilik s\u00fcresi dolmam\u0131\u015f bile olsa i\u015fyeri hekimi taraf\u0131ndan raporda ayr\u0131ca belirtilmesi gereken eksik bir husus tespit edilmi\u015fse veya ucu a\u00e7\u0131k bir karar verildi\u011fi i\u00e7in \u00e7al\u0131\u015fan\u0131n durumu \u00e7al\u0131\u015fma \u015fartlar\u0131na uydurulam\u0131yorsa, i\u015fyeri hekimi raporu yeniletme talebinde bulunmal\u0131 ve durumu i\u015fverene bildirmelidir. Yeni rapor temin edilene kadar ge\u00e7ecek s\u00fcrede \u00e7al\u0131\u015fan i\u015fyeri hekiminin uygun g\u00f6rd\u00fc\u011f\u00fc \u015fekilde \u00e7al\u0131\u015ft\u0131r\u0131lmal\u0131d\u0131r. \u0130\u015fyerinin ileriye d\u00f6n\u00fck \u00e7\u0131karlar\u0131 i\u00e7in \u00e7al\u0131\u015fan\u0131 bu s\u00fcre zarf\u0131nda i\u015fyeri hekiminin uygun g\u00f6rd\u00fc\u011f\u00fc \u015fekilde ve \u015fartlarda \u00e7al\u0131\u015ft\u0131rmas\u0131 daha uygun olacakt\u0131r.<\/p>\n

Tek Hekim Raporu<\/h3>\n

\u00c7al\u0131\u015fan mevcut rahats\u0131zl\u0131\u011f\u0131n\u0131n durumunu ve i\u015f g\u00f6r\u00fcp g\u00f6remeyece\u011fini m\u00fcracaat etti\u011fi uzman hekimden de alabilir. Tek bir uzman hekim taraf\u0131ndan \u00e7al\u0131\u015f\u0131 \u00e7al\u0131\u015famayaca\u011f\u0131 veya hangi \u015fartlarla \u00e7al\u0131\u015fabilece\u011fi belirten bir sevk sonu\u00e7 yaz\u0131s\u0131 veya tek hekim imzal\u0131 raporla gelen \u00e7al\u0131\u015fan\u0131n; i\u015fba\u015f\u0131 yap\u0131p yapamayaca\u011f\u0131, yaparsa hangi i\u015fte ve nas\u0131l \u00e7al\u0131\u015faca\u011f\u0131, i\u015fyerinde daha farkl\u0131 bir b\u00f6l\u00fcmde hangi \u015fartlarda \u00e7al\u0131\u015faca\u011f\u0131 karar\u0131 tamamen ve hukuken i\u015fyeri hekimine kal\u0131yor. \u0130\u015fyeri hekimi \u00e7al\u0131\u015fan\u0131 sa\u011fl\u0131k y\u00f6n\u00fcnden de\u011ferlendirip nihayi karar\u0131 vermekle y\u00fck\u00fcml\u00fcd\u00fcr.<\/strong> \u00c7al\u0131\u015fan\u0131n mevcut rahats\u0131zl\u0131\u011f\u0131 ve \u00e7al\u0131\u015fma \u015fartlar\u0131 sevk edilen hekim taraf\u0131ndan belirtilmi\u015f olsa bile son karar\u0131 i\u015fyeri hekimi mevcut durumu (hastan\u0131n muayenesi, ilgili uzman hekim g\u00f6r\u00fc\u015f\u00fc ve i\u015fyeri \u00e7al\u0131\u015fma \u015fartlar\u0131n\u0131)<\/em> de\u011ferlendirerek verir ve i\u015fverene yaz\u0131l\u0131 olarak (EK-2 muayene formunu doldurarak, \u0130SG kurulunda, Tespit \u00d6neri Defterinde)<\/em> bildirir. Son karar i\u015fverenindir.<\/strong> \u0130\u015fyeri hekimi “uygun de\u011fil” dese bile i\u015fveren (EK-2 muayene formu \u00f6rne\u011finde \u00e7al\u0131\u015ft\u0131r\u0131lmas\u0131 uygun de\u011fildir gibi bir ibare olsa bile)<\/em> i\u015f\u00e7iyi \u00e7al\u0131\u015ft\u0131rmaya devam edebilir.<\/p>\n

Son Karar<\/h3>\n

Mevzuat \u015fu haliyle i\u015fyeri hekimine vebali b\u00fcy\u00fck bir y\u00fck bindirmektedir. Hekim tek ba\u015f\u0131na bir \u00e7al\u0131\u015fan\u0131n \u00e7al\u0131\u015f\u0131p \u00e7al\u0131\u015fmamas\u0131 y\u00f6n\u00fcnde karar vermesini beklemektedir. \u00c7al\u0131\u015fan\u0131n mevcut sa\u011fl\u0131k durumu ile kendi vicdan\u0131 aras\u0131na s\u0131k\u0131\u015ft\u0131r\u0131lan hekim kimi zaman olduk\u00e7a cesur kararlar vererek mesle\u011fini riske atmak durumunda b\u0131rak\u0131l\u0131yor. Di\u011fer taraftan riski g\u00f6\u011f\u00fcslemek istemeyen ve i\u015fini gere\u011fi gibi yapmaya \u00e7al\u0131\u015fan bir \u00e7ok hekim de ne yaz\u0131k ki i\u015f hayat\u0131n\u0131n sevilmeyen insanlar\u0131 oluyorlar. Bu noktada denge kurmak olduk\u00e7a zor. \u00c7\u00fcnk\u00fc sa\u011fl\u0131k g\u00f6receli ve istismara a\u00e7\u0131k bir kavram. Bizler i\u015fyeri hekimi olarak \u00f6nce i\u015fyerimizin \u00e7\u0131karlar\u0131n\u0131 korumay\u0131 hedef almal\u0131y\u0131z. Bunun i\u00e7in de uzun vadede i\u015fyerini zora sokmayacak kararlara onay vermeliyiz. \u0130\u015fyeri hekimi durumu ortaya koyar, fikrini beyan eder. Her zaman i\u00e7in son karar i\u015fverene b\u0131rak\u0131lmal\u0131d\u0131r.<\/p>\n

Dr. Fatih Hakan \u00c7AM<\/a>
\n\u0130\u015fyeri Hekimi<\/p>\n

Yay\u0131m Tarihi: 27.09.2017
\nG\u00fcncelleme Tarihi: 30.09.2017<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u0130\u015fyeri hekimi \u00e7al\u0131\u015fan\u0131 yapaca\u011f\u0131 i\u015fe uygun olup olmad\u0131klar\u0131n\u0131 de\u011ferlendirmek \u00fczere muayene eder. \u0130\u015fyeri risk de\u011ferlendirmesine g\u00f6re \u00e7al\u0131\u015fan\u0131n maruz kalm\u0131\u015f olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fc etkenleri … Devam\u0131n\u0131 oku<\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_import_markdown_pro_load_document_selector":0,"_import_markdown_pro_submit_text_textarea":"","footnotes":""},"categories":[577],"tags":[],"class_list":["post-15087","post","type-post","status-publish","format-standard","hentry","category-isyeri-hekimligi"],"yoast_head":"\n\u0130\u015fyeri Hekiminin Karars\u0131z Kald\u0131\u011f\u0131 Durumlar | Ergometri<\/title>\n<meta name=\"description\" content=\"\u0130\u015fyeri hekimi \u00e7al\u0131\u015fan\u0131 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