{"id":754,"date":"2009-05-28T16:21:15","date_gmt":"2009-05-28T13:21:15","guid":{"rendered":"http:\/\/www.dmsorg.com\/v1\/?p=754"},"modified":"2013-03-18T17:25:30","modified_gmt":"2013-03-18T14:25:30","slug":"kliniklerde-insan-sagligi-ve-can-guvenligi","status":"publish","type":"post","link":"https:\/\/www.dmsorg.com\/v1\/?p=754","title":{"rendered":"Kliniklerde insan sa\u011fl\u0131\u011f\u0131 ve can g\u00fcvenli\u011fi"},"content":{"rendered":"<p>\u00dclkemiz a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 te\u015fhis ve tedavi birimlerinde\u00a0 insan sa\u011fl\u0131\u011f\u0131, can\u00a0 g\u00fcvenli\u011fi her gecen g\u00fcn \u00f6nemini bir kez daha artt\u0131rmaktad\u0131r.<br \/>\nEn k\u00fc\u00e7\u00fck yap\u0131la\u015fmalar olan muayenehanelerden\u00a0\u00a0 fak\u00fcltelere kadar, \u00f6zellikle son g\u00fcnlerde yayg\u0131nla\u015fan A\u011f\u0131z ve Di\u015f Sa\u011fl\u0131\u011f\u0131\u00a0 Merkezlerini de kapsayan\u00a0 bir \u00e7ok birimde sa\u011fl\u0131k personelinin\u00a0 yan\u0131 s\u0131ra hasta ve yak\u0131nlar\u0131n\u0131n sa\u011fl\u0131\u011f\u0131 ve can g\u00fcvenli\u011fi riskleri olduk\u00e7a y\u00fcksek noktalardad\u0131r. Bilindi\u011fi gibi bu risk fakt\u00f6rleri de;<br \/>\n<strong>Hijyen ,\u00a0\u00a0\u00a0 Bas\u0131n\u00e7l\u0131 kaplar ,\u00a0 Elektrik enerjisi\u00a0 g\u00fcvenligi ,\u00a0\u00a0 Yang\u0131n ,\u00a0 Deprem ,\u00a0 \u0130lk yard\u0131m ,\u00a0 Radyasyon<\/strong>\u2026..gibi ba\u015fl\u0131klarda ele al\u0131nabilir.\u00a0<!--more--><\/p>\n<p>S\u00f6z konusu birimlerimizdeki bu sorunlar\u0131n\u00a0 asgari noktada tutulmas\u0131nda sorumluluklar\u0131m\u0131z vard\u0131r.<br \/>\n\u00d6zellikle son g\u00fcnlerde ya\u015fanan\u00a0 yang\u0131n olaylar\u0131 nedeniyle bu konuya\u00a0 biraz de\u011finelim.<br \/>\nYa\u015fam ortamlar\u0131m\u0131z\u0131n geneli i\u00e7in s\u00f6z konusu olan bu riski \u00f6nlemek veya asgariye indirmek\u00a0 i\u00e7in neler yap\u0131labilir.<\/p>\n<p>* Her yap\u0131n\u0131n kendi ve \u00e7evresel fakt\u00f6rleri kendine \u00f6zg\u00fcn\u00a0 olaca\u011f\u0131ndan\u00a0 her \u015feyden \u00f6nce bir uzman ya da deneyimli biri taraf\u0131ndan mevcut alan\u0131n risk analizinin yap\u0131lma gere\u011fi vard\u0131r.<br \/>\n* Yan\u0131c\u0131 ve patlay\u0131c\u0131 maddeler ya\u015fam ve \u00e7al\u0131\u015fma ortam\u0131ndan uzak tutulmal\u0131 ya da izole edilmelidir.<br \/>\n* Mevcut\u00a0 elektrikli cihazlar\u0131n kullanma ko\u015fullar\u0131na \u00f6zen g\u00f6sterilmeli cihazlar\u0131n \u00f6zg\u00fcn\u00a0 g\u00fcvenlik elemanlar\u0131n\u0131n aktif olmas\u0131na dikkat edilmeli,<br \/>\n* Elektrikli cihazlar\u0131n \u015febekeye ba\u011flant\u0131 noktalar\u0131nda her hangi bir sorun ( Gev\u015feklik,\u00a0 k\u0131r\u0131kl\u0131k , a\u00e7\u0131kl\u0131k\u00a0\u00a0 ) olmamal\u0131.<br \/>\n* Eski tesisatlar, ge\u00e7en\u00a0 zaman ve artan\u00a0 enerji y\u00fckleri nedeniyle\u00a0 mevcut y\u00fck\u00fc kald\u0131ramaz olur ve tesisata a\u015f\u0131r\u0131\u00a0 y\u00fck biner. Bak\u0131ms\u0131z ve G\u00fcvenlik\u00a0 \u00f6nlemleri al\u0131nmam\u0131\u015f bu tip tesisatlar\u00a0 yang\u0131na ilk davetiyeyi \u00e7\u0131karan etkenlerdendir.<br \/>\n* Artan y\u00fckler nedeniyle\u00a0 bilin\u00e7sizce artt\u0131r\u0131lan sigorta diren\u00e7leri\u00a0 muhakkak ve acilen m\u00fcdahale edilmesi gereken durumlard\u0131r. ( Sonu\u00e7lar\u0131 ka\u00e7\u0131n\u0131lmazd\u0131r , \u00f6rnek;\u00a0 ek iki foto )<br \/>\n* Yap\u0131 i\u00e7indeki elektrik tesisat\u0131,\u00a0 mevcut g\u00fc\u00e7ler kapsam\u0131nda standartlara uygun malzeme ve yetkin teknik\u00a0 personelce uygulanmal\u0131 ya da kontrol edilmelidir.<br \/>\n* Etkin bir topraklama sa\u011flanarak\u00a0 Ka\u00e7ak ak\u0131m i\u00e7in g\u00fcvenlik elemanlar\u0131 kullan\u0131lmal\u0131<br \/>\n* Yang\u0131n alarmlar\u0131 devrede olmal\u0131,<br \/>\n* Yang\u0131n s\u00f6nd\u00fcrme ara\u00e7lar\u0131 her an kullan\u0131ma haz\u0131r olmal\u0131 , ilk m\u00fcdahale i\u00e7in\u00a0 yang\u0131n t\u00fcpleri uygun yerlerde ve kullanma \u00f6mr\u00fcn\u00fc ge\u00e7irmemi\u015f olmal\u0131.<br \/>\n* Yang\u0131n esnas\u0131nda insan tahliyesi ne kadar \u00f6nemli ise olu\u015fan duman\u0131n\u00a0 tahliyesi de bir o kadar \u00f6nemlidir. Bu eylemlerin ger\u00e7ekle\u015ftirilebilmesi i\u00e7in\u00a0 alt yap\u0131s\u0131 olu\u015fturulmal\u0131 , eylemler planlanmal\u0131d\u0131r.<br \/>\n* E\u011fitim;\u00a0 Donan\u0131mlar\u0131n yeterli olmas\u0131 e\u011fitimsiz bir personel i\u00e7in hi\u00e7bir anlam ifade etmez ve risk azalmaz. Bu nedenle g\u00f6rev da\u011f\u0131l\u0131m\u0131n\u0131n yan\u0131\u00a0 s\u0131ra\u00a0\u00a0 tatbikatl\u0131 teknik e\u011fitim belli peryotlarda yap\u0131lmal\u0131d\u0131r.<br \/>\n* Denetim;\u00a0 Yap\u0131 i\u00e7i ve yap\u0131 di\u015fi denetim bu riskin takibi i\u00e7in gerekliliktir.<\/p>\n<p>Yeni yap\u0131lanmalarda yang\u0131n y\u00f6netmeli\u011fine uyulma zorunlulu\u011fu vard\u0131r. Mimari yap\u0131 , Mekanik\u00a0 ve Elektrik ayr\u0131nt\u0131lar\u0131 da bu konunun en \u00f6nemli\u00a0 ayr\u0131nt\u0131lar\u0131ndan oldu\u011fu i\u00e7in Mimari yap\u0131 ile mekanik ve elektrik tesisatlar\u0131n\u0131n uyumlulu\u011fu\u00a0 sa\u011flanmal\u0131d\u0131r.\u00a0 Do\u011fru projelerin yani<br \/>\ns\u0131ra proje tastik ve uygulama sorumluluklar\u0131nda maksimum hassasiyet g\u00f6sterilmeli, \u00d6zellikle Mimar ve M\u00fchendis odalar\u0131ndan bu konuda yararlan\u0131lmal\u0131d\u0131r.<\/p>\n<p><strong>Yang\u0131n, tek bir yanl\u0131\u015f\u0131n t\u00fcm de\u011ferleri yok edebilece\u011fi bir felakettir.\u00a0 Zararlar\u0131 asla telafi edilemez.\u00a0\u00a0 <\/strong><\/p>\n<p>Ibrahim Belenlioglu\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\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\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 28.05.2009<br \/>\nMak. Muh.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00dclkemiz a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 te\u015fhis ve tedavi birimlerinde\u00a0 insan sa\u011fl\u0131\u011f\u0131, can\u00a0 g\u00fcvenli\u011fi her gecen&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","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":""},"categories":[200],"tags":[],"class_list":["post-754","post","type-post","status-publish","format-standard","hentry","category-makaleler"],"_links":{"self":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/posts\/754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/types\/post"}],"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=754"}],"version-history":[{"count":10,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/posts\/754\/revisions"}],"predecessor-version":[{"id":758,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/posts\/754\/revisions\/758"}],"wp:attachment":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}