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IH671 topic no4

IH671 topic no4. Collected by JHP. Occupational health services at the work place. Occupational health center Ambulance van. Factory medical officer, staff and equipment. Occupational health center. Objectives

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IH671 topic no4

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  1. IH671 topic no4 Collected by JHP

  2. Occupational health services at the work place • Occupational health center • Ambulance van. • Factory medical officer, staff and equipment

  3. Occupational health center • Objectives • To provide occupational health services for all working people in the industries, regardless of mode of employment, size of workplace or geographic location, that is, according to the principle of universal services provision.

  4. Provisions • There is no simple formula for staffing an occupational health service but for industries without particular physical or chemical hazards the following rules of thumb will not be far out of line. • Gujarat Factories Rules

  5. Major considerations • As with all medical facilities, the staffing of an occupational health service depends on several factors that reflect the mission of the organization and to the health patterns in the industry and community: • the number of patient encounters expected per year, • the type of injuries or illnesses to be expected, • the degree of organizational autonomy enjoyed by the service, • the administrative responsibilities of the service, • the budgetary constraints of the organization, • the anticipated peak utilization of the service and variations through the year.

  6. 68-U Occupational Health Centres.— (1) • In respect of any factory carrying on ‘hazardous process’ there shall be provided and maintained in good order an Occupational Health Centre with the services and facilities as per scale laid down hereunder : • (a) For factories employing up to 50 workers—   (i) the services of a Factory Medical Officer on retainer ship basis, in his clinic to be notified by the occupier. He will carryout the pre-employment and periodical medical examination as stipulated in Rule 68-T and render medical assistance during any emergency. (ii) a minimum of 5 persons trained in first-aid procedures amongst whom at least one shall always be available during the working period. (iii) a fully equipped first-aid box. • (b) For factories employing 51 to 200 workers –   (i) an Occupational health Centre heaving a room with a minimum floor area of 15 sq.m. with floor and walls made of smooth and impervious surface and with adequate illumination and ventilation as well as equipment as (ii) a part-time Factory Medical Officer shall be in over-all charge of the center who shall visit the factory at least twice in a week and whose services shall be readily available during medical emergencies; (iii) one qualified and trained dresser-cum-compounder’ on duty throughout the working period; (iv) a fully equipped first-aid box in all the departments.   • For factories employing above 200 workers –   (i) one full-time Factory Medical Officer for factories employing up to 500 workers and one more Medical Officer for every additional 1000 workers or part thereof. (ii) an Occupational Health Centre having at least 2 rooms each with a minimum floor area of 15 sq. meter with floors and walls made smooth and impervious surface and adequate illumination and ventilation as well as equipment as per the schedule annexed to this rule. (iii) there shall be one nurse, one dresser-cum-compounder and one sweeper-cum-ward boy throughout the working period; (iv) the Occupational Health Centre shall be suitably equipped to manage Medical emergencies.

  7. 68-U(2) The Factory Medical Officer required to be appointed under sub-rule (1) shall be have qualification included in schedules to the Indian Medical Degree Act of 1916 or in the Schedule to the Indian Medical Council Act,  1956 and possess a Certificate of Training in Industrial Health of minimum three months duration recognized by the State Government.   Provided that ---   (i) a person possessing  a Diploma in Industrial/or equivalent shall not be required to possess the certificate of training as aforesaid; (ii) the Chief Inspector may, subject to such conditions as he may specify, grant exemption from the requirement of this sub-rule, if in his opinion a suitable person possessing the necessary qualification is not available for appointment; (iii) in case of a person who has been working as a Factory Medical Officer for a period of not less than three years on the date of commencement of this rule, the Chief Inspector may, subject to the condition that the said person shall obtain the aforesaid certificate within a period of three years, relax the qualification.

  8. 68-U (3) & (4) • (3) The syllabus of the course leading to the above certificate, and the organizations conducting the course shall be approved by the Directorate General Factory Advice Service and Labour Institutes or the State Government in accordance with the guidelines issued by the DGFASLI • (4) Within one month of the appointment of Factory Medical Officer, the occupier of the factory shall furnish to the Chief Inspector, the following particulars ---   (a) Name and address of the Factory Medical Officer; (b) Qualifications; (c) Experience, if any, and (d) The sub-rule under which appointed

  9. SCHEDULE (Rule 68-U (h) (i)) Equipment for Occupational Health Center in Factories (1) (1)A glazed sink with hot and cold water always available. (2) A table with a smooth top at least 180 cm. X 105 cm. (3)   Means for sterilizing Instruments. (4) A couch. (5) Two Buckets or containers with close fitting lids. (6) A kettle and spirit stove or other suitable means of boiling water. (7) One bottle of splritus ammoniac aromatious (120 ml.) (8) Two medium size sponges. (9)   (10)  Four cakes of toilet, preferably antiseptic soap. (11) Two glass tumblers and two wine glasses. (12) Two chemical thermometers. (13) Two teaspoons. (14) Two guaranteed (120 ml.) measuring glasses. (15) One wash bottle (1000 cc) for washing eyes. (16) One bottle (one liter) carbolic lotion 1 in 20 (17) Three chairs (18) One screen. (19) One electric hand torch. (20) An adequate supply of tetanus taxied. (21) Cora, one liquid (60 ml.) (22) Tablets – antihistaminic, antispasmodic (25 each ().) (23) Syringes with needles and (24) Two needle holders, big and small. (25) One dissecting forceps. (26) One dressing forceps. (27) One scalpels. (28) One stethoscope. (29) Rubber bandage – pressure bandage. (30) Oxygen cylinder with necessary attachments. (31) One Blood pressure apparatus. (32) One Patellar hammer (33) One Peak-flow meter for lung function measurement. (34) One Stomach wash set. (35) Any other equipment recommended by the Factory Medical Officer according to specific need relating to manufacturing process. (36

  10. (36) in addition Special note — 1.For factories employing 51 to 200 workers:   (i) Four plain wooden splints 900mm x 100mm x 6mm. (ii) From plain wooden splints 350mm x 75mm x 6mm. (iii) Two plain wooden splints 250mm x 50mm x 12mm. (iv) One pair artery forceps. (v) Injection – morphia, pethidins, atropine, adrenaline, Cora mine, novocan (2 each). (vi) One surgical scissors. 2.For factories employing above 200 workers   (i) Eight plain wooden splints 900mm x 100mm x 6mm. (ii) Eight plain wooden splints 350mm x 75mm x 6mm (iii) Four plain wooden splints 250mm x 50mm x 12mm. (iv) Two pair artery forceps. (v) Injection morphla, pathidins, atropines, adrenaline, Cora mine, novo can (4 each) (vi) Two surgical scissors.

  11. Ambulance van.68-V • As per Gujarat Factories Rule 68-V

  12. 68-V Ambulance Van: -- • (1)In any factory carrying on ‘hazardous Process’ there shall be provided and maintained in good conditions, a suitably constructed ambulance van equipped with items as per sub-rule (2) and manned by a full-time Driver-cum-Mechanic and a Helper trained in first-aid, for the purpose of transportation of serious cases of accidents or sickness. The ambulance van shall not be used for any purpose other than the purpose stipulated herein and will normally be stationed at or near to the Occupational Health Center: • Provided that a factory employing less than 200 workers may make arrangements—

  13. Ambulance shall have the following equipments:   a. General:   .A wheeled stretcher with folding and adjusting devices; with the head of the stretcher capable of being titled upward; .Fixed suction unit with equipment; .Fixed oxygen supply with equipment; .Pillow with case; sheets; Blankets; Towels; Emesis bag; Bed pan; Urinal; Glass. b. Safety equipment: .Flares with life of 30 minutes; flood lights; .Flash lights; fire extinguisher dry powder type; .Insulated gauntlets

  14. c.Emergency Care Equipment   (i) Resuscitation n.Portable suction unit; portable oxygen units; n.Bag Valve-mask, hand operated artificial ventilation unit; n.Airways; Mouth gags; Tracheotomy adaptors; n.Short spine board; I.V. Fluid with administration unit; n.B.P. Manometer; - Cugg; Stethoscope (ii) Immobilization   n.Long and short padded board; Wire ladder splints ; n.Triangular bandages: - Long and short spine boards. (iii) Dressing   n.Gauze Pads 100mm x 100mm – Universal dressing 250mm x 900mm n.Roll of aluminum foils – Soft roller bandages 15 cm x 5 Mts.; - Adhesive tape in 75 mm; - Safety pins; n.Bandage sheets; - Burn sheet. (iv) Poisoning   n.Syrup of lpecae – Activated Charcoal pre-packed in dozes: - Snakes – Snake-bite kit; n.Drinking water. v.Emergency Medicines n.As per requirement (under the advice of Medical Officer only).

  15. 68-Y.   Safety Committee : For every factory.— (1) (a) which carries on any process or operation declared to be dangerous under section 87of the Act; or (b) which carries on ‘hazardous process’ as defined under section 2 (cb) of the Act; There shall be a Safety Committee. (2) The representatives of the management of Safety Committee shall include –   (a) A senior official, who by his position in the organization can contribute effectively to the functioning of the committee, shall be the Chairman; (b) A Safety Officer and a Factory Medical Officer wherever available and the Safety Officer in such a case shall be the Secretary of the Committee. (c) A representative each from the production, maintenance and purchase departments. (3) The workers’ representatives on this committee shall be elected by the workers. (4) The tenure of the committee shall be two years. (5) Safety Committee shall meet as often as necessary but at least once in every quarter.   The minutes of the meeting shall be recorded and produced before the Inspector on demand. (6) Safety Committee shall have the right to be adequately and suitably informed of---   (a)potential safety and health hazards to which the workers may be exposed at work place. (b) data on accidents as well as data resulting from surveillance of the working environment and of the health of workers exposed to hazardous substances so fat as the factory is concerned, provided that the committee undertakes to use the data on a confidential basis and solely to provide guidance and advice on measures to improve the working environment and the health and safety of the workers.

  16. Function of Safety committee (7) The functions and duties of the safety committee shall include---   • assisting and co-operating with the management in achieving the aims and objectives outlined in the ‘Health and Safety Policy’ of the occupier; • dealing with all matters concerning health, safety and environment and to arrive at practicable solutions to problems encountered; • creating safety awareness amongst all workers; • undertaking educational training and promotional activities; • discussing reports on safety, environmental and occupational health surveys, safety audits, risk assessment, emergency and disaster management plans and implementation of the recommendations made in the reports; • carrying out health and safety surveys and identifying causes of accidents; • looking into any complaint made on the likelihood of an imminent danger to the safety and health of the workers and suggesting corrective measures; and • reviewing the implementation of the recommendations made by it. (8) Where owing to the size of the factory, or any other reason, the functions referred to in sub-rule (7) cannot be effectively carried out by the Safety Committee, it may establish sub-committees as may be required to assist it.]  68-Y.   Safety Committee : For every factory.— (1)

  17. Factory medical officer, staff and equipment • Factory medical officer, staff and equipment

  18. OHNurse • An Occupational Health Nurse uses to focus on direct patient care, the theory and practice of adult health maintenance and the assessment and management of common ailments facing working adults, including occupational injuries and illnesses. His centre of attraction is on the various programs to prevent occupational illnesses and injuries and to manage all types of disability

  19. Roles of Nurses • The various roles of an Occupational and Environmental Health Nurse Specialits: • (a) they use to focus on programs to prevent occupational illnesses and injuries and to manage disability. • They use to do the consultation with employers, employees and others and worker education and training and also use to provide advice and information on appropriate control strategies including the health surveillance, risk communication, monitoring and on the evaluation of control strategies.

  20. Protecting Those Who Serve Fire Fighters:  Every year, about 105 fire fighters die in the line of duty across the U.S.  NIOSH conducts investigations of many of these deaths to develop recommendations about steps that the fire service can take to prevent similar deaths in the future. NIOSH’s Fire Fighter Fatality Investigation Program has made over 1,000 recommendations arising from over 300 investigations since its inception in 1998. Energy Workers:  NIOSH conducts an occupational energy research program to more fully understand radiation cancer risk factors in radiation exposed workers and to recommend improved protective measures. NIOSH is also responsible for determining occupational radiation exposure for workers with cancer who are eligible for compensation under the Energy Employees Occupational Illness Com­pensation Program Act of 2000. NIOSH’s dose reconstructions are used by the U.S. Department of Labor to determine the probability that a worker's cancer was "at least as likely as not" caused by his or her occupational exposure to ionizing radiation during employment at a covered facility and to award compensation benefits. Emergency Responders: The World Trade Center (WTC) disaster triggered a massive emergency response involving tens of thousands of emergency responders. These workers, and members of the community, were exposed to known toxic agents. In addition to providing technical assistance during the WTC disaster, NIOSH designed medical monitoring and treatment programs for WTC disaster emergency responders and the surrounding community. Through a consortium of grantees and contractors, NIOSH oversees centers of excellence for assessing and treating the current physical and mental health conditions appearing in the WTC responder and community populations. Through periodic surveillance, the NIOSH WTC Health Program also has the ability to detect the appearance of longer term effects in a population at high risk for developing multiple health conditions in the future

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