{"id":8212,"date":"2014-01-28T11:24:14","date_gmt":"2014-01-28T09:24:14","guid":{"rendered":"http:\/\/politeknik.org.tr\/\/?p=8212"},"modified":"2019-01-28T20:41:01","modified_gmt":"2019-01-28T17:41:01","slug":"isci-sagligi-notlari-dr-cem-sahan-hekimedya-2","status":"publish","type":"post","link":"https:\/\/eonmeet.com\/pol\/isci-sagligi-notlari-dr-cem-sahan-hekimedya-2\/","title":{"rendered":"\u0130\u015f\u00e7i sa\u011fl\u0131\u011f\u0131 notlar\u0131 \u2013 Dr. Cem \u015eahan (Hekimedya)"},"content":{"rendered":"

\u0130\u015f\u00e7i sa\u011fl\u0131\u011f\u0131 ile ilgili alan kent\/\u00fclke gibi kaos. D\u00fczenlemeler hakk\u0131nda bile yap\u0131lm\u0131yor. Kent hekim \u00f6rg\u00fct\u00fc anlatm\u0131yor, sendikalar anlatm\u0131yor, meslek odalar\u0131 anlatm\u0131yor, kamu y\u00f6netimi anlatm\u0131yor.<\/strong><\/p>\n

1. \u0130\u015fyeri hekimli\u011fi ve i\u015f g\u00fcvenli\u011fi uzmanl\u0131\u011f\u0131 hizmeti alma zorunlulu\u011fu ne zaman ba\u015fl\u0131yor? Bu y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc yerine getirmek \u00fczere anla\u015fma yapmak i\u00e7in son tarih nedir?<\/strong><\/em><\/p>\n

631 say\u0131l\u0131 yasaya g\u00f6re elliden az \u00e7al\u0131\u015fan\u0131 olan \u00e7ok tehlikeli ve tehlikeli s\u0131n\u0131ftaki i\u015fyerlerinde i\u015fyeri hekimi, i\u015f g\u00fcvenli\u011fi uzmanl\u0131\u011f\u0131 ve di\u011fer sa\u011fl\u0131k personeli hizmeti alma zorunlulu\u011fu 1 Ocak 2014 tarihinde y\u00fcr\u00fcrl\u00fc\u011fe girecektir. S\u00f6z konusu hizmetler i\u00e7in bu tarihten itibaren anla\u015fma yapmak uygun olacak\u0131r.<\/p>\n

Anla\u015fman\u0131n tekil olarak i\u015fyeri hekimi i\u015f g\u00fcvenli\u011fi uzman\u0131 ve di\u011fer sa\u011fl\u0131k personeli ile yap\u0131lmas\u0131 m\u00fcmk\u00fcn oldu\u011fu gibi bu hizmeti sunan ortak sa\u011fl\u0131k g\u00fcvenlik birimleriyle yap\u0131lmas\u0131 da m\u00fcmk\u00fcnd\u00fcr.<\/p>\n

2. \u00c7al\u0131\u015fan sa\u011fl\u0131\u011f\u0131 ve i\u015f g\u00fcvenli\u011fi hizmetlerinin i\u00e7eri\u011fi tam olarak nedir?<\/strong><\/em><\/p>\n

\u00c7al\u0131\u015fan sa\u011fl\u0131\u011f\u0131 ve i\u015f g\u00fcvenli\u011fi hizmetleri, \u00e7al\u0131\u015fanlann (ve toplumun) sa\u011fl\u0131k ve g\u00fcvenliklerinin i\u015ften kaylaklanan risklerinin saptan\u0131p azalt\u0131lmas\u0131, m\u00fcmk\u00fcnse ortadan kald\u0131r\u0131lmas\u0131 i\u00e7in gerekli \u00f6nlemlerin saptanmas\u0131na y\u00f6nelik faaliyetler b\u00fct\u00fcn\u00fc olarak tan\u0131mlanabilir.<\/p>\n

3. Bu hizmetler kimler taraf\u0131nca verilecektir?<\/strong><\/em><\/p>\n

\u0130\u015fyeri hekimli\u011fi hizmeti, i\u015fyeri hekimli\u011fi sertifikas\u0131na sahip hekimler taraf\u0131ndan verilebilecektir.
\n\u0130\u015f g\u00fcvenli\u011fi uzmanl\u0131\u011f\u0131 hizmeti, tehlikeli s\u0131n\u0131ftaki i\u015fyerlerinde, A veya B s\u0131n\u0131f\u0131 belge sahibi i\u015f g\u00fcvenli\u011fi uzmanlar\u0131 taraf\u0131ndan verilebilir Tehlikeli s\u0131n\u0131ftaki i\u015fyerlerinde hizmet veren i\u015f g\u00fcvenli\u011fi uzman\u0131n\u0131n, Yasa\u2019n\u0131n y\u00fcr\u00fcrl\u00fck tarihinden itibaren \u00fc\u00e7 y\u0131l s\u00fcreyle (2016 y\u0131l\u0131na kadar) C s\u0131n\u0131f\u0131 belge sahibi olmas\u0131 yeterlidir.<\/p>\n

Di\u011fe\u0131 sa\u011fl\u0131k personeli hizmeti ise i\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi hizmetlerinde g\u00f6revlendirilmek i\u0131ze\u0131e Bakanl\u0131k\u00e7a belgelendirilmi\u015f hem\u015fire, sa\u011fl\u0131k memuru, acil t\u0131p teknisyeni ve \u00e7evre sa\u011fl\u0131\u011f\u0131 teknisyeni diplomas\u0131na sahip olan ki\u015filer ile Bakanl\u0131k\u00e7a verilen i\u015fyeri hem\u015fireli\u011fi belgesine sahip ki\u015filer olarak tan\u0131mlanm\u0131\u015f bulunan ki\u015filer taraf\u0131ndan verilebilir.<\/p>\n

\u0130\u015fyerinde bu niteliklere sahip olan ki\u015filer varsa s\u00f6z konusu hizmet i\u00e7in g\u00f6revlendirilebilir.<\/p>\n

4. \u0130\u015fyeri hekimli\u011fi sertifikas\u0131 olan muayenehane hekimleri kendi i\u015fyerlerinin i\u015fyeri hekimli\u011fini yapabilir mi?<\/strong><\/em><\/p>\n

6331 say\u0131l\u0131 Yasa uyar\u0131nca, i\u015fyeri hekimli\u011fi ve i\u015f g\u00fcvenli\u011fi uzmanl\u0131\u011f\u0131 i\u00e7in gerekli niteliklere sahip olan i\u015fverenler, kendi i\u015fyerinde bu hizmeti sunmak suretiyle y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc yerine getirmi\u015f say\u0131labilmektedir. Bu sebeple, i\u015fyeri hekimli\u011fi sertifikas\u0131na sahip hekim kendi i\u015fyerinin i\u015fyeri hekimli\u011fini yapabilecekti!.<\/p>\n

5. Hizmetlerin s\u00fcresi ne kadard\u0131r?<\/strong><\/em><\/p>\n

Bu hizmetler i\u00e7in gerekli en tiz s\u00fcre ilgili y\u00f6netmeliklerdi\u2019 t. m\u0131mlanm\u0131\u015ft\u0131r. Buna g\u00fcre, tehlikeli s\u0131n\u0131fta yer alan i\u015fyerleri i\u00e7in, hizmet sunulmas\u0131 gereken en az s\u00fcre, \u00e7al\u0131\u015fan ba\u015f\u0131na, i\u015fyeri hekimleri bak\u0131m\u0131ndan ayda 6 dakika, i\u015f g\u00fcvenli\u011fi uzmanlar\u0131 bak\u0131m\u0131ndan ayda 8 dakika ve di\u011fer sa\u011fl\u0131k personeli i\u00e7in ayda 9 dakikad\u0131r.<\/p>\n

6. Bu hizmetler i\u00e7in \u00f6denecek \u00fccretler neye g\u00f6re belirlenecektir?<\/em><\/strong><\/p>\n

\u0130\u015fyeri hekimi ve i\u015f g\u00fcvenli\u011fi uzmanlar\u0131n\u0131n i\u015fyeri i\u00e7in ay\u0131rd\u0131klar\u0131 s\u00fcre \u00fccretin temel belirleyicisidir. \u0130\u015f\u00e7i say\u0131s\u0131na g\u00f6re ayr\u0131lacak s\u00fcreyi baz alarak meslek \u00f6rg\u00fctleri taraf\u0131ndan belirlenen \u00fccretler, hizmetin niteli\u011finin korunmas\u0131 i\u00e7in, anla\u015fmada g\u00f6z \u00f6n\u00fcnde tutulmas\u0131 gereken temel unsurdur.<\/p>\n

7. Bu hizmetlere \u00f6denecek \u00fccretler i\u00e7in herhangi bir devlet deste\u011fi olacak m\u0131d\u0131r?<\/strong><\/em><\/p>\n

Ondan az \u00e7al\u0131\u015fan\u0131 olan tehlikeli s\u0131n\u0131ftaki i\u015fyerlerinde i\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi hizmetlerinin yerine getirilmesi i\u00e7in \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakanl\u0131\u011f\u0131 taraf\u0131ndan, giderleri, i\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 bak\u0131m\u0131ndan k\u0131sa vadeli sigorta kollan i\u00e7in toplanan primlerden kaynak aktar\u0131lmak suretiyle, Sosyal G\u00fcvenlik Kurumu taraf\u0131ndan finanse edilecek \u015fekilde destek sa\u011flanabilecektir. \u0130lgili Y\u00f6netmelik 24.12.2013 tarih ve 28861 say\u0131l\u0131 Resmi Gazete\u2019de yay\u0131nlanm\u0131\u015ft\u0131r. \u0130\u015f Sa\u011fl\u0131\u011f\u0131 Ve G\u00fcvenli\u011fi Hizmetlerinin Desteklenmesi Hakk\u0131nda Y\u00f6netmeli\u011fe g\u00f6re SGK taraf\u0131ndan sa\u011flanacak destekten T\u00fcrkiye genelinde ondan az \u00e7al\u0131\u015fan\u0131 bulunan tehlikeli ve \u00e7ok tehlikeli s\u0131n\u0131fta yer alan i\u015fyerlerinin i\u015fverenleri yararlan\u0131r.<\/p>\n

Hekim muayenehaneleri ile poliklinik ve merkez gibi yerler tehlikeli s\u0131n\u0131fta de\u011ferlendirilmi\u015ftir. Bunlardan \u00e7al\u0131\u015fan\u0131 ondan az olanlar i\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi hizmetleriyle ilgili destekten yararlanabilecektir.<\/p>\n

8. Destek miktar\u0131 ne kadard\u0131r?<\/strong><\/em><\/p>\n

Deste\u011fin miktar\u0131 i\u015fyerinde \u00e7al\u0131\u015fan sigortal\u0131 say\u0131s\u0131 ve ay i\u00e7indeki \u00e7al\u0131\u015fma g\u00fcn\u00fcne g\u00f6re belirlenir. \u00c7al\u0131\u015fan ba\u015f\u0131na g\u00fcnl\u00fck miktar\u0131 16 ya\u015f\u0131ndan b\u00fcy\u00fck sigortal\u0131lar i\u00e7in belirlenen prime esas kazan\u00e7 alt s\u0131n\u0131r\u0131n\u0131n g\u00fcnl\u00fck tutar\u0131n\u0131n %l,4\u2032\u00fcd\u00fcr.(2014 y\u0131l\u0131 ilk alt\u0131 ay\u0131 i\u00e7in \u00e7al\u0131\u015fan ba\u015f\u0131na ayda 15 lirad\u0131r)<\/p>\n

9. Muayenehanelerdeki risk analizini kendimiz yapabilir miyiz yoksa bir OSGB\u2019ye yapt\u0131rmak zorunda m\u0131y\u0131z?<\/strong><\/em><\/p>\n

Risk analizi 6331 say\u0131l\u0131 yasa uyar\u0131nca \u00e7al\u0131\u015fanlar\u0131n sa\u011fl\u0131k ve g\u00fcvenli\u011fine y\u00f6nelik risklerin saptanmas\u0131 amac\u0131yla yap\u0131lacak incelemeyi ifade etmektedir. Sa\u011fl\u0131k hizmeti sunulan ve en az bir \u00e7al\u0131\u015fan\u0131n bulundu\u011fu yerlerde risk analizinin 1 1.2013 tarihinden itibaren yap\u0131lmas\u0131 gerekir. Risk analizinin yap\u0131lmas\u0131 y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc i\u015fveren niteli\u011finde bulunan hekime aittir Bu \u00e7al\u0131\u015fma, i\u015fveren taraf\u0131ndan \u00e7al\u0131\u015fanlar\u0131n da katk\u0131s\u0131yla yap\u0131labilir. \u0130\u015fyeri hekimi, i\u015f g\u00fcvenli\u011fi uzman\u0131 ya da bu i\u015fleri yapan bir \u015firketten risk analizi i\u00e7,in yard\u0131m al\u0131nabilir ancak bunlar\u0131n katk\u0131 ya da kat\u0131l\u0131m\u0131 zorunlu de\u011fildir. Risk analizi yap\u0131lmas\u0131nda T\u00fcrk Tabipleri Birli\u011fi web sayfas\u0131nda yay\u0131nlanmakta olan rehberden yararlan\u0131labilir.<\/p>\n

10. Eksiksiz bir risk analizi i\u00e7in neler yapmam\u0131z gerekiyor? Risk analizi hangi i\u015fyeri i\u00e7in ne s\u0131kl\u0131kla tekrarlanacak?<\/strong><\/em><\/p>\n

Hekim muayenehaneleri de dahil olmak \u00fczere b\u00fct\u00fcn sa\u011fl\u0131k kurulu\u015flar\u0131nda; sekreter, yard\u0131mc\u0131 personel ve benzeri herhangi bir \u00e7al\u0131\u015fan varsa risk de\u011ferlendirmesi yap\u0131lmas\u0131 zorunludur. Ancak hekim tek ba\u015f\u0131na hizmet sunuyor, herhangi bir ki\u015fiyi istihdam etmiyorsa i\u015fyerinde risk de\u011ferlendirmesi yap\u0131lmas\u0131na ili\u015fkin yasal zorunluluk bulunmamaktad\u0131r.<\/p>\n

\u00c7al\u0131\u015fma Bakanl\u0131\u011f\u0131 taraf\u0131ndan 26.12.2012 tarihinde yay\u0131nlanan \u0130\u015f Sa\u011fl\u0131\u011f\u0131 ve G\u00fcvenli\u011fine \u0130li\u015fkin \u0130\u015fyeri Tehlike S\u0131n\u0131flar\u0131 Tebli\u011fi\u2019ne g\u00f6re tebli\u011fe g\u00f6re, yatakl\u0131 sa\u011fl\u0131k hizmeti veren sa\u011fl\u0131k kurulu\u015flar\u0131 \u00e7ok tehlikeli: bunlar d\u0131\u015f\u0131nda kalan muayenehane, poliklinik, t\u0131p merkezi, aile hekimli\u011fi, okul hekimli\u011fi, i\u015fyeri hekimli\u011fi, diyaliz merkezi gibi hekimlik faaliyetleri tehlikeli s\u0131n\u0131fta kabul edilmi\u015ftir. Tehlikeli s\u0131n\u0131ftaki i\u015fyerlerinde risk de\u011ferlendirmesinin en ge\u00e7 4 y\u0131lda bir yap\u0131lmas\u0131 gereklidir.<\/p>\n","protected":false},"excerpt":{"rendered":"\u0130\u015f\u00e7i sa\u011fl\u0131\u011f\u0131 ile ilgili alan kent\/\u00fclke gibi kaos. D\u00fczenlemeler hakk\u0131nda bile yap\u0131lm\u0131yor.…\n","protected":false},"author":2,"featured_media":40571,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[4689],"tags":[],"class_list":{"0":"post-8212","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-secki"},"acf":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts\/8212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/comments?post=8212"}],"version-history":[{"count":0,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/posts\/8212\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/media\/40571"}],"wp:attachment":[{"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/media?parent=8212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/categories?post=8212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eonmeet.com\/pol\/wp-json\/wp\/v2\/tags?post=8212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}