Arbeitsbelastung durch Anästhesiegase und chirurgische Rauchgase und Schutzmaßnahmen im chirurgischen Operations(OP-)bereich - was der Chirurg wissen sollte

Böckelmann, Irina; Sammito, Stefan; Meyer, Frank

doi:10.1055/s-0032-1328179

Cited by 12 publications

(7 citation statements)

References 10 publications

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“…Anaesthetic fumes at departments of surgery and anaesthesiology are risk factors that influence fertility, central nervous system and are proven carcinogens. [9] Health workers are sometimes exposed to the heavy physical work and that applies more to the nurses than female physicians. Nurses often lift and manipulate immobile or partially immobile patients and that is a heavy physical work.…”

Section: Discussionmentioning

confidence: 99%

Demands of pregnant employees towards clinical hospital centre administration

Lalić¹

2019

JHA

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The healthcare sector in Croatia is predominantly composed of female employees across all levels. The Clinical Hospital Centre Rijeka with 3,000 employees is no exception. The Republic of Croatia is populated by a little over 4 million inhabitants and the numbers have been in a constant decline due to multiple factors, which include aging of the population and economic migrations. These two factors significantly impact the healthcare workforce and specifically medical personnel. In the era where there are less and less new marriages and newborns, the government struggles for every child and thus offers families exceptional parental benefits. For hospitals, which are mainly staffed by women, confronting the government politics that seek to advantage the pregnant employees’ presents a problem and a significant financial burden. This is due to the fact that they are entitled to the full salary whilst staying at home from the very early stage of pregnancy. Theoretically, if the hospital management offered their pregnant employees all the benefits that law provides, the hospital would soon be left without sufficient number of nurses and particularly doctors, because they would very soon after becoming pregnant simply stop working. The Health and Safety Law states that if the employer in health care, i.e. in a hospital, cannot provide a safe working environment for their pregnant employees, prior to their regular maternity leave financed by the state, they are not obliged to work and are entitled to a full salary, which is financed by the hospital itself. A female medical doctor found the article in the law that allows a full salary when she stopped working. She claimed such a benefit at the very beginning of her otherwise regular pregnancy and soon after that other cases followed. The occupational medicine doctors, after this first claim were soon put in a position to issue another 15 certificates of work incapacity to women at the very early stages of their pregnancy. That seriously exhausts modest hospital funds due to the prevalence of female employees. Thus, in the Clinical Hospital Centre, urgent action is needed to prevent future “epidemic” compensation claims. Occupational Medicine in cooperation with the Health and Safety Service together with the hospital management found a solution to the problem to the mutual benefit of all the parties involved. The personalized work post for pregnant medical staff was to be created, one without the exposure to biotic agents. Pregnant employees can hold administrative or educational work places, and should they feel unwell, they can always take regular sick leave, organised by their family doctor or gynaecologist and paid for by the Croatian Institute for Health Insurance. Pregnancy is not an illness; women can work and help the work of the hospital which is extraordinarily important especially when medical doctors are concerned for their absence is very expensive and hard to compensate. Although the sick leave pays less than the regular salary, the compromise is necessary to maintain the hospital solvent.

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Section: Discussionmentioning

confidence: 99%

Demands of pregnant employees towards clinical hospital centre administration

Lalić¹

2019

JHA

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“…Embora os gases anestésicos sejam rapidamente eliminados dentro do organismo, a exposição contínua pode ocasionar nesses profissionais alterações hematopoiéticas e a inativação da vitamina B12. Também é considerado um fator de risco ao processo reprodutivo, ocasionando um aumento na incidência de abortos em mulheres gestantes, redução da fertilidade, defeitos congênitos, neurotoxicidade e aparição de carcinomas (Boeckelmann, Sammito, & Meyer, 2013).…”

Section: Danos No Materials Genético Diante Da Exposição De Gases Anestésicosunclassified

“…O quadro 3 apresenta os principais gases anestésicos utilizado nas SO e SRPA, sendo observados os ricos à saúde, dosagem, EPIs e os métodos de segurança. Fonte: (Joob & Wiwanitkit, 2018;Dehghani et al, 2021;Boeckelmann et al, 2013).…”

Section: Estresse Oxidativo Ocasionado Pela Exposição Aos Gases Anestésicosunclassified

Evidências científicas acerca dos riscos ocupacionais, danos no material genético e estresse oxidativo frente a exposição dos resíduos de gases anestésicos

Santos

Sousa

Batista

et al. 2021

RSD

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Riscos ocupacionais são todas as ações que venham causar algum problema ou incômodo de curto e longo prazo sofrido pelos prestadores de serviços de um local de trabalho. A exposição ocupacional a resíduos de gases anestésicos pode levar os profissionais de saúde a contrair sérios problemas adversos a saúde. Por mais que seja baixa a dosagem, esses profissionais são expostos, esta exposição se torna crônica e causa danos irreversíveis ao material genético. Este estudo buscou analisar a produção científica acerca dos riscos ocupacionais, danos no material genético e estresse oxidativo adiante da exposição aos resíduos de gases anestésicos. Trata-se de uma revisão integrativa de literatura, com abordagem qualitativa, realizada no período de janeiro a abril de 2021, nas bases de dados: MEDLINE, LILACS e PUBMED. Foram incluídos artigos disponíveis na íntegra nos idiomas português e inglês, relacionados com o tema, publicados nos últimos 10 anos e que seguem os descritores selecionados no estudo. A análise das publicações selecionadas permitiu apreender que é de extrema importância para a Enfermagem obter conhecimentos práticos e teóricos sobre esta problemática, a partir do que já foi publicado, para assim, ter segurança e conhecimento, a fim de que se possa detectar alterações precoces, facilitando intervenções que revertam os danos causados no material genético.

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“…Einleitung Im Operationssaal (OP-Saal) sind die Mitarbeiter 1 bei ihrer Tätigkeit diversen Gesundheitsrisiken ausgesetzt [1,2,3]. Zu diesen Gefährdungen zählen insbesondere die Exposition gegenüber Infektionserregern [4,5], Gefahrstoffen [6,7], ionisierender Strahlung [8], Feuchtarbeit [3] und Lärm [9]. Hinzu kommen physische Belastungen durch langes Stehen [10] sowie Heben und Bewegen der Patienten [11].…”

Section: Introductionunclassified

Arbeitsplatz OP-Saal – Was muss der Chirurg über die Arbeitsmedizin wissen?

et al. 2021

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ZusammenfassungIn der Chirurgie gibt es zahlreiche Gesundheitsgefährdungen für das Personal.Ziel des Artikels ist, die Risiken für die Gesundheit und die Arbeitsfähigkeit des chirurgischen Personals und die Möglichkeiten für die Verbesserung des Arbeitsschutzes im Sinne der Verhaltens- und Verhältnisprävention sowie der Sekundär- und Tertiärprävention vor allem im Hinblick auf die Zusammenarbeit mit dem Betriebsarzt am Beispiel des Arbeitsplatzes OP-Saal aufzuzeigen.Die narrative Kurzübersicht basiert auf eigenen arbeitsmedizinischen, chirurgischen und interdisziplinären Erfahrungen aus der täglichen Praxis und selektiven Referenzen der aktuellen medizinisch-wissenschaftlichen Literatur.Die mögliche tätigkeitsbedingte Gesundheitsgefährdung und die Risiken für die Arbeitsfähigkeit des medizinischen Personals sowie die Möglichkeiten für den Arbeitsschutz im Sinne der Verhaltens- und Verhältnisprävention sind eine bedeutsame, nicht zu unterschätzende (da teils auch gesetzlich vorgeschriebene) Angelegenheit im interdisziplinären Status der Chirurgie. Vor allem den Berührungspunkten zur Arbeitsmedizin muss sich diese Disziplin (neben eigenem Kenntniserwerb von chirurgischer Seite) verantwortungsvoll widmen.

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Arbeitsbelastung durch Anästhesiegase und chirurgische Rauchgase und Schutzmaßnahmen im chirurgischen Operations(OP-)bereich - was der Chirurg wissen sollte

Cited by 12 publications

References 10 publications

Demands of pregnant employees towards clinical hospital centre administration

Demands of pregnant employees towards clinical hospital centre administration

Evidências científicas acerca dos riscos ocupacionais, danos no material genético e estresse oxidativo frente a exposição dos resíduos de gases anestésicos

Arbeitsplatz OP-Saal – Was muss der Chirurg über die Arbeitsmedizin wissen?

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