{"id":1795,"date":"2020-06-03T01:01:30","date_gmt":"2020-06-02T22:01:30","guid":{"rendered":"http:\/\/www.dmsorg.com\/v1\/?page_id=1795"},"modified":"2020-06-03T01:01:55","modified_gmt":"2020-06-02T22:01:55","slug":"covid-19-sonrasi-dis-hekimligi-2","status":"publish","type":"page","link":"https:\/\/www.dmsorg.com\/v1\/?page_id=1795","title":{"rendered":"COVID-19 SONRASI D\u0130\u015e HEK\u0130ML\u0130\u011e\u0130 2"},"content":{"rendered":"<p><strong>D\u00fcnyada oldu\u011fu gibi \u00dclkemizde de Covid-19 Pandemi s\u00fcreci devam ediyor. \u00dclkemiz Di\u015f Hekimli\u011fi de bulunduklar\u0131 hizmet yap\u0131lar\u0131n\u0131n hijyen ve \u00e7al\u0131\u015fma g\u00fcvenli\u011fini sa\u011flama a\u00e7\u0131s\u0131ndan al\u0131nacak \u00f6nlemlerini ara\u015ft\u0131r\u0131yor ve tart\u0131\u015f\u0131yor.\u00a0\u00a0 <\/strong><\/p>\n<p>Pandemi etkisi ile bug\u00fcn ve gelecekte de Di\u015f Hekimli\u011fi Hastas\u0131, Hasta yak\u0131n\u0131, Di\u015f Hekimi, Yard\u0131mc\u0131 Sa\u011fl\u0131k Personeli, \u0130dari Kadrosu olarak yap\u0131 i\u00e7inde bulunan her birey enfeksiyon riski alt\u0131nda oldu\u011fu ku\u015fkusuzdur.<\/p>\n<p>Muayenehanelerden Di\u015f Hekimli\u011fi Fak\u00fcltelerine kadar \u00e7e\u015fitli \u00f6l\u00e7ek ve i\u015fletme a\u00e7\u0131s\u0131ndan farkl\u0131 olan bu yap\u0131lara \u00f6zg\u00fc \u015fu ana kadar Mekanik Tesisat Sistemlerinin Proje, Tasar\u0131m ve Uygulamalar\u0131na y\u00f6nelik herhangi bir kriterin resmi mevzuata girmedi\u011fi ilgililer ve ara\u015ft\u0131rmac\u0131lar taraf\u0131ndan pek ala bilinmektedir.<\/p>\n<p>Dolay\u0131s\u0131 ile bu birimlerin yap\u0131la\u015fma s\u00fcre\u00e7lerinde temin ettikleri Mimari ve Mekanik tasar\u0131mlar\u0131 her yap\u0131n\u0131n donan\u0131m\u0131, bilinci, ara\u015ft\u0131rma ve maddi g\u00fcc\u00fc nispetinde planlamalara ve uygulamalara yans\u0131maktad\u0131r.<\/p>\n<p>Ge\u00e7mi\u015fte \u00f6zellikle Mimari ve Mekanik a\u00e7\u0131dan tart\u0131\u015fmal\u0131 olan bu yap\u0131lar bug\u00fcn kar\u015f\u0131 kar\u015f\u0131ya kald\u0131\u011f\u0131m\u0131z Covid-19 Pandemisi s\u00fcrecinde ve Di\u015f Hekimli\u011finin gelece\u011finin kayg\u0131s\u0131n\u0131 ya\u015fayanlarca hijyen ve \u00e7al\u0131\u015fma g\u00fcvenli\u011fi riski \u00f6nemli \u00f6l\u00e7\u00fcde hissedilir duruma gelmi\u015ftir.<\/p>\n<p>Di\u015f Hekimli\u011fi ile ilgili mimari ve mekanik planlamalar\u0131nda ve uygulamalar\u0131ndaki mevzuat eksikli\u011fi, mevcut tan\u0131mlar\u0131n da tart\u0131\u015fmal\u0131 oldu\u011fu, konuyu g\u00fcndemine alan yetkin m\u00fchendisler ve uzmanlarca iyice ortaya \u00e7\u0131kar\u0131lmaktad\u0131r.<\/p>\n<p>Planlama ve Uygulamalardaki Mevzuat sorunu, Terminoloji bozuklu\u011fu, Teknik Birimlerin ve Say\u0131sal De\u011ferlerin karma\u015fas\u0131 ne yaz\u0131k ki Mevzuat ve Teknik otorite bo\u015flu\u011fu nedeni ile bu g\u00fcnlerde alanlar\u0131nda \u00f6nder Akademisyenlerin sosyal medyada ger\u00e7ekle\u015ftirmeye \u00e7al\u0131\u015ft\u0131klar\u0131 Covid-19 Pandemisi s\u00fcreci ve sonras\u0131 ile ilgili Di\u015f Hekimli\u011finde al\u0131nmas\u0131 gereken \u00f6nlemlere y\u00f6nelik tavsiyelerini s\u0131n\u0131rlamakta, zaman zamanda hatal\u0131 payla\u015f\u0131mlar\u0131na neden olabilmektedirler.<\/p>\n<p><strong>Uzun zamana yay\u0131lmas\u0131 d\u00fc\u015f\u00fcn\u00fclen Covid-19 Pandemi S\u00fcrecinde yak\u0131n vade i\u00e7in \u00f6n g\u00f6rd\u00fc\u011f\u00fcm Acil Eylem Plan\u0131. <\/strong><\/p>\n<ul>\n<li>Covid-19 Pandemi s\u00fcrecinde Di\u015f Hekimli\u011fi tedavi ve e\u011fitim hizmetlerinin sa\u011fland\u0131\u011f\u0131 yap\u0131lara k\u0131lavuzluk edecek genel kapsaml\u0131 Risk analizinin yetkin uzmanlarca ele al\u0131nmas\u0131 ve tan\u0131mlanmas\u0131.<\/li>\n<li>Bu konuda her yap\u0131n\u0131n kendi birimine \u00f6zg\u00fcn Covid-19 Risk analizinin \u00e7\u0131kar\u0131lmas\u0131.<\/li>\n<li>\u00d6zellikle b\u00fcy\u00fck \u00f6l\u00e7ekli birimler kendi risk analizi sonras\u0131, ilgili yap\u0131n\u0131n belirledi\u011fi \u0130dari, Teknik ve Bilim kurulu uzmanlar\u0131nca teknik ve i\u015fletme raporlar\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131.<\/li>\n<li>Mevcut yap\u0131larda ka\u00e7\u0131n\u0131lmaz olan teknik alt yap\u0131 iyile\u015ftirmelerinin sa\u011flanmas\u0131.<\/li>\n<li>Rapor kapsam\u0131nda her \u00f6l\u00e7ekte ve i\u015flevsellikteki birimin i\u015fletme ko\u015fullar\u0131 yeniden planlanmal\u0131.<\/li>\n<li>Yeni planlama do\u011frultusunda birim i\u00e7inde ilgili personeller ile meslek i\u00e7i e\u011fitimler ger\u00e7ekle\u015ftirilmeli ve s\u00fcrd\u00fcr\u00fclebilirli\u011fi sa\u011flanmal\u0131.<\/li>\n<li>Yap\u0131n\u0131 i\u00e7indeki teknik cihazlar\u0131n ve tesisatlar\u0131n\u0131n performans ve kapasite de\u011ferlendirmelerinin yeniden ele al\u0131narak gerekti\u011finde revize edilmesi ve koruman\u0131n yan\u0131 s\u0131ra hijyen esasl\u0131 periyodik bak\u0131mlar\u0131 yeniden planlanmal\u0131, bak\u0131mlar nitelikli olarak uygulanmal\u0131 ve belgelenmeli.<\/li>\n<li>Sterilizasyon ve Dezenfeksiyon sistemleri, cihazlar\u0131, kapasiteleri ve \u00e7evrimi yeniden tan\u0131mlanmal\u0131, Sterilizat\u00f6rlerde test ve kalibrasyonlar\u0131 ger\u00e7ekle\u015ftirilmeli, i\u015flemler belgelenmeli.<\/li>\n<li>Su, T\u0131bbi Kat\u0131 ve S\u0131v\u0131 At\u0131k sistemleri yeniden de\u011ferlendirilmeli.<\/li>\n<li>Yap\u0131 ile ilgili hijyen ve \u00e7al\u0131\u015fma g\u00fcvenli\u011fi a\u00e7\u0131s\u0131ndan gerekli her t\u00fcrl\u00fc \u00f6l\u00e7\u00fcmlerin periyodik olarak ger\u00e7ekle\u015ftirilmesi ve raporlanmas\u0131 \u2026.<\/li>\n<\/ul>\n<p>Gibi, \u00d6zellikle Hijyen Mekani\u011fi ve G\u00fcvenli\u011fi konusunda radikal yakla\u015f\u0131mlar olu\u015fturulmal\u0131d\u0131r.<\/p>\n<p>Di\u015f Hekimli\u011fi hizmetlerinin uyguland\u0131\u011f\u0131 bu yap\u0131lar\u0131n ortamlar\u0131nda olu\u015fan Aerosol Riski, \u00f6ncelikle ele al\u0131nmas\u0131 gereken konular\u0131n ba\u015f\u0131nda gelmektedir. Bu Risk \u00fc\u00e7 farkl\u0131 a\u00e7\u0131dan (A\u011f\u0131z i\u00e7i ve A\u011f\u0131z D\u0131\u015f\u0131 Aspirasyon,\u00a0 Ortam Havaland\u0131rma) de\u011ferlendirilmeli. Aerosol risklerine kar\u015f\u0131n Hen\u00fcz Ak\u0131\u015fkanlar Mekani\u011fini, Dinami\u011fi ve Kinemati\u011fi konular\u0131nda yakla\u015f\u0131mlar netle\u015fmeden bu konuda geli\u015fig\u00fczel tavsiyede bulunmak ancak pazara s\u00fcr\u00fclecek olan teknolojilerin geli\u015fig\u00fczel pazarlanmas\u0131n\u0131n \u00f6n\u00fcn\u00fc a\u00e7ar ki, ge\u00e7mi\u015fte ya\u015fananlar gibi Di\u015f Hekimli\u011fi alan\u0131 vas\u0131fs\u0131z, psikolojik fayda hissi yaratan cihazlar ile dolar ve hatal\u0131 yat\u0131r\u0131mlar sonras\u0131 yine bu alanda teknoloji \u00e7\u00f6pl\u00fc\u011f\u00fc olu\u015fur.<\/p>\n<p>Bu durumda toplum sa\u011fl\u0131\u011f\u0131 esas olup mevzuat\u0131n taraf\u0131 t\u00fcm ilgili kurumlar ve bu i\u015fin akademik-uzman kadrolar\u0131 bilimin ve akl\u0131n \u00f6nderli\u011finde orta ve uzun vadeli \u00e7\u00f6z\u00fcmlere y\u00f6nelik gere\u011fini ayr\u0131ca yapmal\u0131d\u0131r.<\/p>\n<p>\u0130brahim Belenlio\u011flu\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 30.05.2020\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0Ankara<\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00fcnyada oldu\u011fu gibi \u00dclkemizde de Covid-19 Pandemi s\u00fcreci devam ediyor. \u00dclkemiz Di\u015f Hekimli\u011fi de bulunduklar\u0131 hizmet yap\u0131lar\u0131n\u0131n hijyen ve \u00e7al\u0131\u015fma g\u00fcvenli\u011fini sa\u011flama a\u00e7\u0131s\u0131ndan al\u0131nacak \u00f6nlemlerini ara\u015ft\u0131r\u0131yor ve tart\u0131\u015f\u0131yor.\u00a0\u00a0 Pandemi etkisi ile bug\u00fcn ve gelecekte de Di\u015f Hekimli\u011fi Hastas\u0131, Hasta yak\u0131n\u0131, Di\u015f Hekimi, Yard\u0131mc\u0131 Sa\u011fl\u0131k Personeli, \u0130dari Kadrosu olarak yap\u0131 i\u00e7inde bulunan her birey enfeksiyon riski&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-1795","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages\/1795","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1795"}],"version-history":[{"count":2,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages\/1795\/revisions"}],"predecessor-version":[{"id":1797,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages\/1795\/revisions\/1797"}],"wp:attachment":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}