protocolo felipa gomez rebisado
TRANSCRIPT
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UNIVERSIDAD AUTONOMA TOMAS FRIAS
VICERRECTORADO
DIRECCION DE POST GRADO
FACTORES DE RIESGOS LABORALES DEL PERSONAL DE ENFERMERA,
UNIDAD DE CUIDADOS INTENSIVOS PEDITRICOS, HOSPITAL SANTA
BRBARA, SUCRE, 2014.
Autora: LIC. FELIPA GOMEZ CORRALES
Tutora:
PROYECTO DE TESIS PRESENTADA PARA OBTENER EL TITULO DE
ESPECIALISTA EN ENFERMERIA MEDICO UIRURGICO
Su!r" Bo#$%&a
'()*
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+NDICE
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INTRODUCCIN
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ANTECEDENTES
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PREGUNTA CIENTFICA
Cu?#", ,o0 #o, ;a!tor", 1" r&",-o, #aora#", 1"# 4"r,o0a# 1" "0;"r9"r$a 1" #a
U0&1a1 1" Cu&1a1o, I0t"0,&%o, P"1&?tr&!o,6 1"# o,4&ta# Sa0ta B?rara6 Su!r"6
'()* Po1r&a ,"r 9?, ",4"!&;&!a ,u 4r"-u0ta 4u", !ua01o ," 4r"-u0ta CUALES," r";&"r" a 9=#t&4#", ;a!tor", 1" r&",-o /u" u0a ,o#a &0%",t&-a!&20 0o 4o1r$a
a#!a0@ar6 ,"r$a u"0o !o#o!ar a#-u0o, 1" #o, ;a!tor", 9a, ",4"!$;&!o,
OBJETO DE ESTUDIO M&'! (&!)% *+*%! %(-
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E# o3"to 1" ",tu1&o 1" #a 4r","0t" &0%",t&-a!&20 ,o0 #o, r&",-o, #aora#",
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r"!ur,o, 9at"r&a#",6 7u9a0o,6 t"!0o#o-$a !&"0!&a 1&r&-&1a a 4rot"-"r r"7a&tar
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a!!&1"0t", "0;"r9"1a1", #aora#", ,o0 !&r!u0,ta0!&a, /u" ," 4u"1"0 4r"%"0&r.
CAMPO DE ACCIN
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1"# o,4&ta# Sa0ta, B?rara 1" #a !&u1a1 1" Su!r".
OBJETIVO GENERAL
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OBJETIVOS ESPECFICOS
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DISE6O METODOLGICO
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Cua0t&tat&%o: S" r"!o-"r? a0a#&@ar? 1ato, !ua0t&;&!a#", 9"1",6 !o9o
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M"1&!&20.Q Para "# a0?#&,&, 4r","0ta!&20 1" #a &0;or9a!&20 ",ta1$,t&!a.
T$**% /& R&*+&** /& D%(
Para #a r"!o#"!!&20 1" #o, 1ato, ," ut&@ar? "# &0,tru9"0to 1" !u",t&o0ar&o
",tru!tura1o !o0 4r"-u0ta, !"rra1a, a&"rta, 1"&1a9"0t" !o1&;&!a1a,6
a-ru4a1a, ,"-=0 #a, %ar&a#", "0 ",tu1&o> 4ara #a 1"t"r9&0a!&20 1"# -ra1o
1" !o0o!&9&"0to 1" #o, r&",-o, #aora#",6 ," "#aorar? u0 !u",t&o0ar&o
",4"!$;&!o6 ",ta#"!&801o," "# -ra1o 1" !o0o!&9&"0to 1" a!u"r1o a# 4u0ta3"
a#!a0@a1o.
La a4#&!a!&20 1"# !u",t&o0ar&o ,"r? !o0,"0,ua1o !o0 #a, autor&1a1", 1" #aI0,t&tu!&20 ," 4ro!urar? 0o &0t"rru94&r #a a!t&%&1a1 0or9a# 1" #a, "0;"r9"ra,.
Para "# 4ro!",a9&"0to 1" #a &0;or9a!&20 ," ut&@ar? "# Pro-ra9a "4& &0;o '(('
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7a##a@-o, /u" 4u"1"0 "
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C!&! /& I*+#(
L&!"0!&a1a "0 "0;"r9"r$a /u" traa3a "0 #a U0&1a1 1" Cu&1a1o, I0t"0,&%o,
P"1&?tr&!o, 1"# o,4&ta# Sa0ta B?rara. L&!"0!&a1a "0 "0;"r9"r$a /u" a!"4t" %o#u0tar&a9"0t" a 4art&!&4ar "0 #a
&0%",t&-a!&20.
C!&! /& &=*+#(
Otro 4"r,o0a# 1" ,a#u1 /u" 0o !orr",4o01a0 a #&!"0!&a1o "0 "0;"r9"r$a. L&!"0!&a1a "0 "0;"r9"r$a /u" 0o 1","" 4art&!&4ar "0 #a &0%",t&-a!&20 . L&!"0!&a1a "0 "0;"r9"r$a /u" ",t8 "0 u,o 1" 4"r9&,o, %a!a!&o0", "0 "#
9o9"0to 1"# ",tu1&o.
CAPITULO I.
MARCO TERICO ; CONTE
S" !o0,&1"ra traa3o a to1o !o0,u9o 1" "0"r-$a r",u#ta0t" 1" #a &0t"ra!!&20 1"#
7o9r" !o0 ,u 9"1&o6 !o0 ",t" t8r9&0o ," 1",&-0a a a/u"##a, a!t&%&1a1",
7u9a0a, /u" r",4o01"0 a u0 ;&0 4ro1u!t&%o. A,$6 4o1"9o, 1";&0&r "# traa3o !o9o
"# ",;u"r@o &0t"#"!tua# ;$,&!o 1"# 7o9r" a4#&!a1o a #a tra0,;or9a!&20 1" #a
9at"r&a 4ara 7a!"r#a 9?, =t o a #a 4r",ta!&20 1" au1a a otro, 7o9r",
,"r%&!&o,6 !o0 "# ;&0 1" 4"r;"!!&o0ar a# traa3a1or6 4ro4or!&o0ar#" u0a %&1a 9?,
1&-0a 1",arro##a1a ,at&,;a!"r ,u, 0"!",&1a1", #a, 1" #a !o9u0&1a1. E# traa3ota9&80 !o0##"%a "ena+ides ? &ols. -al(d a,oral. &once"tos t@cnicas "ara la "re+enci!n de ries5osla,orales. Madrid: Masson; 199/.
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9"0o, #ar-o, 1" &01u!!&20. La, r"#a!&o0", "0tr" "# traa3o #a ,a#u1 1" #o,
traa3a1or", ,o0 !o0o!&1a, 1",1" #a a0t&-"1a16 9a, 0o ," #a, 4r",t2 at"0!&20
7a,ta "# R"0a!&9&"0to6 !o0 #o, ",tu1&o, r"a#&@a1o, 4or Para!"#,o6 or-" A-r$!o#a
B"r0ar1&0o Ra9a@@&0& )HH Q ))*. E,t" =#t&9o6 981&!o 7u9a0&,ta &ta#&a0o6 ;u" "#
4r&9"ro "0 ",tu1&ar 1" ;or9a !o03u0ta #o, ";"!to, ,or" #a ,a#u1 1" #o, 4r&0!&4a#",
o;&!&o, 1" ,u 84o!a6 #o /u" #" 7a %a#&1o ,"r !o0,&1"ra1o "# 4a1r" 1" #a M"1&!&0a 1"#
Traa3o E0 #a "%o#u!&20 1"# !o0!"4to 1" ,a#u1 #aora# ," 4u"1"0 o,"r%ar tr",
"ta4a, !#ara9"0t" 1&;"r"0!&a1a,:
). Eta4a "%&tar #a "0;"r9"1a1: !orr",4o01" !o0 #a 4r&9"ra R"%o#u!&20 I01u,tr&a#6
!ara!t"r&@a1a 4or "# 1",arro##o 1" -ra01", 9?/u&0a,6 !o0!"0tra!&20 1" au01a0t"
9a0o 1" ora "0 #a, ;?r&!a, ut&@a!&206 ,&0 9"1&1a, 4rot"!tora,6 1" -ra0
0=9"ro 1" ,u,ta0!&a, /u$9&!a,6 #o /u" !o01u3o a u0 "0or9" &0!r"9"0to 1" #o,
a!!&1"0t", 1" #a, "0;"r9"1a1", 4ro;",&o0a#",. E0 ",ta "ta4a #o ;u01a9"0ta# 1"
#a ,a#u1 #aora# "ra "%&tar #o, a!!&1"0t", 1" traa3o #a, "0;"r9"1a1",
4ro;",&o0a#", o 9&0&9&@ar ,u, ";"!to, ,"!u01ar&o,> 4r"1o9&0aa "# 4#a0t"a9&"0to
1" ,a0!&o0ar " &01"90&@ar.
'. Eta4a Pr","r%a!&20 1" #a ,a#u1: "0 ",ta 4r"1o9&0a "# !o0!"4to 1" /u" to1o
a!!&1"0t" o "0;"r9"1a1 4ro;",&o0a# ", ,&"94r" 4ot"0!&a#9"0t" 4r"%&,". S"
!ara!t"r&@a 4or "# 1",arro##o !&"0t$;&!o 1" u0a ,"r&" 1" t8!0&!a, 9u#t&1&,!&4#&0ar",
"0 "# !a94o 1" #a 4r"%"0!&20 #aora#6 "0tr" #a, /u" 1",ta!a0 #a M"1&!&0a 1"
E94r",a o 1"# Traa3o6 #a &-&"0" I01u,tr&a# #a S"-ur&1a1 "0 "# Traa3o.
H. Eta4a. Pro9o!&20 1" #a ,a#u1: a!tua#9"0t" "# ?9&to 1" #a ,a#u1 #aora# 7a
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1" traa3o6 ,u9a 1" a!t&%&1a1 7u9a0a 1" t"!0o#o-$a6 4u"1" o!a,&o0ar
a#t"ra!&o0", a9&"0ta#", /u" -"0"r"0 ,&tua!&o0", 1" r&",-o6 /u" ," 1";&0"0 !o9o
,&tua!&o0", 1" traa3o 0o !o0tro#a1a,6 "0 #a, /u" ," 4u"1"0 4ro1u!&r ;"029"0o,
0o 4r"%&,to, a# 4#a0&;&!ar "# 4ro!",o 1" traa3o6 ta#", !o9o "rror",6 &0!&1"0t",6
a%"r$a,6 1";"!to, 1" 4ro1u!!&206 a!!&1"0t", 1" traa3o "0;"r9"1a1",
4ro;",&o0a#",.
S" 1";&0" a# r&",-o !o9o #a 9a-0&tu1 1"# 1a5o /u" u0 !o03u0to 1" ;a!tor", 1"
r&",-o 4ro1u!&r? "0 u0 4"r$o1o 1" t&"94o 1a1o. E%a#uar#o ,"r?6 4or ta0to6 ",t&9ar
"# 1a5o /u" 4ro1u!&r?0 #o, ;a!tor", 1" r&",-o !o0,&1"ra1o, "0 1&!7o 4"r$o1o 1"
t&"94o6 ;a!tor", 1" r&",-o /u" 4u"1"0 ,"r 9"!?0&!o,6 ;$,&!o,6 /u$9&!o,6
&o#2-&!o,6 4,&!o#2-&!o, ,o!&a#",.
1.1.?. CONDICIONES DE SEGURIDAD.9
E0 #a "%o#u!&20 7&,t2r&!a 1"# 1",arro##o &01u,tr&a# ," 4u"1"0 1&,t&0-u&r tr", ;a,",: #a
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,"-ur&1a16 ta0to &0t"r0a 4ro!",o, !o9o "
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to1o, #o, ;a!tor", 1"# 4ro!",o 4ro1u!t&%o /u" 4u"1a0 1ar #u-ar a 1a5o, ,or" #o,
traa3a1or",6 ta#", !o9o !ara!t"r$,t&!a, 1" #o, #o!a#",6 &0,ta#a!&o0", "#8!tr&!a,6
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"#"%a!&206 1" 9a0ut"0!&206 a#9a!"0a9&"0to 9a0&4u#a!&20 1" !ar-a, u otro,
o3"to,6 r&",-o, 1" !o0ta!to !o0 #a !orr&"0t" "#8!tr&!a6 r&",-o, 1" &0!"01&o #a
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#a 4ro1u!t&%&1a1 au9"0ta "# r&",-o 1" a!!&1"0t",. To1a a!t&%&1a1 /u" r"/u&"r" u0
",;u"r@o ;$,&!o6 a ,"a ",t?t&!o o 1&0?9&!o6 ,u4o0" au9"0to 1"# !o0,u9o 1"
"0"r-$a " &0!r"9"0to 1" #o, r&t9o, r",4&rator&o !ar1$a!o 1" #o, traa3a1or",.
Otro, a,4"!to, /u" 7a /u" !o0,&1"rar ,o0 #a, 4o,tura, "0 "# traa3o #a
9a0&4u#a!&20 tra0,4ort" 1" !ar-a,6 /u"6 ,& ," r"a#&@a0 1" 9o1o &0!orr"!to6
4u"1"0 4ro%o!ar #",&o0",6 ,or" to1o "0 #a ",4a#1a. La, t8!0&!a, 1"
#"%a0ta9&"0to t&"0"0 !o9o 4r&0!&4&o ?,&!o 9a0t"0"r #a ",4a#1a r"!ta 7a!"r "#
",;u"r@o !o0 #a, 4&"r0a,. Or-a0&@a!&20 1"# Traa3o Lo, ;a!tor", 1" r&",-o 1" #a
or-a0&@a!&20 1"# traa3o !o94r"01"0 #o, 1" #a or-a0&@a!&20 t"94ora#6 3or0a1a
r&t9o 1" traa3o> #o, 1" or-a0&@a!&20 1" #a tar"a6 auto9at&@a!&206 !o9u0&!a!&206
",to 1" 9a01o6 4art&!&4a!&206 ",tatu, ,o!&a#6 &1"0t&;&!a!&20 !o0 #a tar"a6 &0&!&at&%a
",ta&1a1 "0 "# "94#"o. La or0a1a 1" Traa3o Pu"1" ,"r 1&,!o0t&0ua6 !o0t&0ua
a tur0o, ;r"!u"0t" "0 "# traa3o "0 #o, 7o,4&ta#",6 /u" 4u"1"0 ,"r ;&3o, o 4or
rota!&20. Ca1a u0o 1" #o, tur0o,6 1" 9a5a0a6 tar1" 0o!7"6 t&"0" ,u, %"0ta3a, "
&0!o0%"0&"0t",.
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traa3o rotat&%a6 #a tur0&!&1a1 ", 1",;a%ora#" ;a9&ar ,o!&a#9"0t"6 a-r"-?01o,"
a "##o #a, a#t"ra!&o0", 4or #a 3or0a1a 0o!tur0a #o /u" 4ro%o!a !a9&o, "0 #o,
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&orr&t9o,6 1",&0!ro0&@a!&20 !r20&!a 1"# ,u"5o6 48r1&1a 1" ,u"5o 9"0o, ,u"5o
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o!a,&o0?01o#", tra,tor0o, 1&-",t&%o,6 1"# ,u"5o6 ;at&-a !r20&!a6 tra,tor0o,
0"r%&o,o,6 1","/u&r&o, 4,$/u&!o,6 4ato#o-$a, !ar1&o%a,!u#ar",6 "t!. La
4r"%"0!&20 ," a,a "0 #a a1"!ua1a ,"#"!!&20 !o0tro# 981&!o 1"# 4"r,o0a# "0 #a
or-a0&@a!&20 1"# traa3o "0 tur0o, 1ura!&206 1&r"!!&20 1" #a rota!&206 7ora 1"
!o9&"0@o t8r9&0o. "t!. E# t&"94o 3u,to 4ara #a "3"!u!&20 1" u0a tar"a 4u"1"
o!a,&o0ar u0a ,or"!ar-a 4ara "# traa3a1or au9"0tar #o, 1";"!to, 1"
4ro1u!!&20 #o, r&",-o, 1" a!!&1"0t". La &0a1"!ua!&20 1"# r&t9o 1" traa3o a #a,
4"!u#&ar&1a1", &01&%&1uo 4ro1u!&r? u0a ;a#ta 1" auto0o9$a t"94ora# /u" 4u"1"
%a#orar," ut&@a01o 1&;"r"0t", !r&t"r&o,6 ta#", !or0o 9o1o 1" r"9u0"ra!&20 r&t9o
1" traa3o o4&0&20 1"# 4ro4&o traa3a1or ,or" "# r&t9o 1" traa3o6 1ura!&20 1"#9&,9o.
1.2. PROCESO LABORAL
Pro!",o 1" traa3o.Q E, u0 ,&,t"9a 1" r"#a!&20 "0tr" #o, "#"9"0to, 1" #a
0atura#"@a "# ,"r 7u9a0o 4ara ot"0"r u0 4ro1u!to &"0 o ,"r%&!&o. E0
"0;"r9"r$a trata 1" #a a,&,t"0!&a !u&1a1o 1" otro &01&%&1uo. S" r";&"r" a #o,
!u&1a1o, 1"# "0;"r9o a# traa3o r"#a!&o0a1o !o0 #a 4r"%"0!&20 #a ,a#u1 4=#&!a.
1.2.1. COMPONENTES DEL PROCESO DEL TRABAJO
Q A!t&%&1a1.Q E#"9"0to !"0tra# 1"# 4ro!",o #aora#. E, "# ",tu1&o 1" #a a!t&%&1a1
ra!&o0a# 1"# ,"r 7u9a0o /u" 4"r9&t" !o0o!"r #o, r"/u"r&9&"0to, 4ro!"1&9&"0to,
0"!",ar&o, 4ara #a r"a#&@a!&20 1" #a, tar"a, a,&-0a1a, !o0 "# !orr",4o01&"0t"
-a,to 1" "0"r-$a ;$,&!a 9"0ta#.
Q M"1&o, 1" traa3o.Q So0 #o, "#"9"0to, /u" "# ,"r 7u9a0o !o#o!a "0tr" 8# "#
o3"to 1" traa3o 4ara tra0,;or9ar#o. Lo, 9"1&o, 1" traa3o au1a0 a r"a#&@ar #a,
#aor", 1" 9a0"ra 9?, ";&!&"0t" 4"ro 4u"1"0 1"t"r&orar #a ,a#u1 1"# ,"r 7u9a0o.
Q Su3"to, 1" traa3o.Q I0t"r%&"0"0 "# ,"r 7u9a0o 4ara tra0,;or9ar6 #o, "#"9"0to,
1" #a 9at"r&a 1&,4u",ta 4or #a 0atura#"@a a1a4ta1a a #a, 0"!",&1a1", 7u9a0a,
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9"1&a0t" u0 !a9&o 1" ;or9a6 ot"0&"01o ;&0a#9"0t" u0 4ro1u!to o ,"r%&!&o. S&0
"9ar-o6 !a" 1",ta!ar /u" "# ,"r 7u9a0o 4u"1" ,"r ,u3"to o3"to 1" traa3o.
1.?. RIESGOS DEL TRABAJO DEL PERSONAL SANITARIO-
S" !o0,&1"ra /u" u0 r&"-o !o0,t&tu" #a 4o,&&1a1 -"0"ra# 1" /u" o!urra a#-o 0o
1","a1o6 9&"0tra, /u" "# ;a!tor 1" r&",-o a!t=a !o9o #a !&r!u0,ta0!&a 4or #a !ua#
", 0"!",ar&o /u" a9o, o!urra0 "0 u0 #u-ar u0 9o9"0to 1"t"r9&0a1o 4ara /u"
1"3"0 1" ,"r u0a o4!&20 ," !o0!r"t"0 "0 at"0!&20 a# traa3a1or. A !o9&"0@o, 1"#
,&-#o WVII Ra9a@@&0&6 "0 ,u Trata1o 1" #a, "0;"r9"1a1", 1" #o, art",a0o, 7a$a
,"5a#a1o #o, r&",-o, 1" a#-u0o, 4ro;",&o0a#", 1" #a 9"1&!&0a !&ru3a0o,6 /u$9&!o,6
;ar9a!8ut&!o, !o9a1ro0a,6 4"r;"!ta9"0t" "
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La U0&1a1 1" Cu&1a1o, I0t"0,&%o, ", u0 a9&"0t" 4ot"0!&a# r"a#9"0t" 4"#&-ro,o6
"0 /u" "# &0t"ra!t=a0 u0a ,"r&" 1" "#"9"0to, ;$,&!o,6 9"!?0&!o,6 "0 9"1&o 1" u0a
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a #o, ?!aro, 1" 4o#%o6 ,u,!"4t", to1o, "##o, 1" -"0"rar &0;"!!&o0", "0 "#
,"r 7u9a0o. Otra ;u"0t" &94orta0t" ,o0 #o, 7u9&;&!a1or", /u"6 a !au,a 1"
u0 1";&!&"0t" 9a0t"0&9&"0to 4u"1"0 4ro1u!&r #a ##a9a1a ;&"r" 1"#
7u9&1&;&!a1or[. C&"rto, 9&!roor-a0&,9o, 4u"1"0 4ro1u!&r 9"tao#&to,
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Por ",o ", &94orta0t" #a %a!u0a!&20 !o0tra #a 7"4at&t&, B. D" #o 9"0!&o0a1o ,"
1",4r"01" /u" "# 9aor r&",-o /u" "0;r"0ta "# 4"r,o0a# 1" ,a#u1 ", "# 1" !o0tra"r
7"4at&t&, B6 !o0 !&;ra, 1" a H(J 1" 4o,&&1a1. A!t&%&1a1", a,o!&a1a, a #o,
a!!&1"0t", &o#2-&!o, A1"9?, 1" #o, r&",-o, r"#a!&o0a1o, !o0 #a, !ara!t"r$,t&!a,
1"# 1&,4o,&t&%o6 #a, #",&o0", 4or 4&0!7a@o, 7a0 ,&1o %&0!u#a1a, !o0 a#-u0a,
4r?!t&!a, 1" traa3o ta#", !o9o:
Vo#%"r a ta4ar a-u3a, Tra0,;"r&r u0 ;#u&1o !or4ora# 1" u0 r"!&4&"0t" a otro6 No "#&9&0ar 1"&1a9"0t" #a, a-u3a, u,a1a, "0 r"!&4&"0t", 1" "#&9&0a!&20 a
4ru"a 1" 4&0!7a@o,. L&94&"@a 1" 9at"r&a# !orto 4u0@a0t" Mo0ta3" 1" 9at"r&a# !orto 4u0@a0t" "0 &0,tru9"0ta#.
La, a!t&%&1a1", !o0 9aor r&",-o 1" a!!&1"0t" ,o0:
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a /u" t"0"r "0 !u"0ta /u" #a 9aor$a 1" #o, a!!&1"0t", 1" ",t" t&4o 0o ,"
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4ato#o-$a, !o9o #a tu"r!u#o,&, otra,.
1.?.1.2. FACTORES DE RIESGOS FISICOS ; MECANICOS
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1.?.1.?. FACTORES DE RIESGOS ERGONOMICOS
D",1" 7a!" 9u!7o, a5o, ",tu1&o, "4&1"9&o#2-&!o, 7a0 4u",to "0 "%&1"0!&a /u"
#o, 4ro#"9a, a 0&%"# 1" #a r"-&20 #u9ar #u9a#-&a, ,o0 #o, 4r&0!&4a#",
4ro#"9a, 1" ,a#u1 #aora# 1"# 4"r,o0a# r",4o0,a#" 1"# !u&1a1o 1" #o, 4a!&"0t",a 0&%"# 7o,4&ta#ar&o.
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1" ,tr",, 4o,tura# a !au,a 1" #a 4o,&!&20 1" 4&" 4ro#o0-a1a6 4o,tura,
&0!o0;orta#", !o9o 4or "3"94#o: tor,&20 o ;#"1.?.1.4. FACTORES DE RIESGOS UIMICOS
E0 #o, 7o,4&ta#", ," ut&@a0 -ra01", !a0t&1a1", 1" ,u,ta0!&a, /u$9&!a,6 u0a,
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9a0o, a0t"ra@o.
D" #a, 0u9"ro,a, ,u,ta0!&a, /u" ," ut&@a0 "0 #o, 7o,4&ta#", !uo, ";"!to,
0o!&%o, 4ara #a ,a#u1 ,o0 !o0o!&1o,6 9"r"!"0 ",4"!&a# at"0!&20 #o, -#&!o#",6
8 >or5es. Personal de Enfermera. &ondiciones de tra,a6o de alto ries5o. Ponencia"resentada en la III 6ornada cientAca de Enfermera Marina Rees Dl+are#; -al(d de los$ra,a6adores ol(men 0 F 2 '(lio 1998. is"oni,le en :*tt":BBB.,+sde."a*o.or5,+sastef(lltet"ersonal"ersonal."df
http://www.bvsde.paho.org/bvsast/e/fulltext/personal/personal.pdfhttp://www.bvsde.paho.org/bvsast/e/fulltext/personal/personal.pdf -
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E# ,"r%&!&o 1" P"1&atr$a6 7a,ta #a -",t&20 '()'6 1"4"01$a 1"# o,4&ta# Sa0ta
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BIBLIOGRAFIA
).Q a9to0 R. Pro!"1&9&"0to, 1" E0;"r9"r$a. Ma1r&1: E1&tor&a# I0t"ra9"r&!a0a>
)K*.
'.Q Ga##ar1o L24"@ T6 Ma,a Ca##", . P"r!ut?0"a "0 4"r,o0a# 1" "0;"r9"r$a 1" u0
7o,4&ta# 1" t"r!"r 0&%"#6 R"%&,ta !ua0a 1" Sa#u1 P=#&!a. ): ): HQHK.
H.Q OPSOMS. P#a0 R"-&o0a# "0 Sa#u1 1" #o, Traa3a1or",. a,7&0-to0:
OPSOMS> '(()
*.Q Co0,"3o &0t"r0a!&o0a# 1" "0;"r9"ra, E0;"r9"ra,: La ,a#u1 #a ,"-ur&1a1
4u#&!a!&20 A-o,to )K.
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.Q Ma#a-20 Lo01a5o. Gara0t$a 1" Ca#&1a1 "0 Sa#u1. '1a E1. Bo-ot?:
Pa0a9"r&!a0a> '((.
.Q B"0a%&1", F Co#,. Sa#u1 Laora#. Co0!"4to, t8!0&!a, 4ara #a 4r"%"0!&20 1"
r&",-o, #aora#",. Ma1r&1: Ma,,o0> ).
.Q G",ta# O. R&",-o, 1"# traa3o 1"# 4"r,o0a# ,a0&tar&o. Co0!"4to6 &94orta0!&a
!#a,&;&!a!&20. '1a E1. Ma1r&1: I0t"ra9"r&!a0a M!GraX #6 4. )Q)'> )H.
K.Q Bor-",. P"r,o0a# 1" E0;"r9"r$a. Co01&!&o0", 1" traa3o 1" a#to r&",-o.
Po0"0!&a 4r","0ta1a "0 #a III 3or0a1a !&"0t$;&!a 1" E0;"r9"r$a Mar&0a R"",
#%ar"@> Sa#u1 1" #o, Traa3a1or", Vo#u9"0 N_ ' u#&o )K. D&,4o0" "0:
7tt4:XXX.%,1".4a7o.or-%,a,t";u##t"
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Tur0o```````````..
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a. S&0 Po,-ra1o.
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a. 1" ) a5o.
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.Q D" 1201" otu%o #o, !o0o!&9&"0to, ,or" #o, r&",-o, #aora#",
a. For9a!&20 "0 Pr"-ra1o.
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3. Ba5o,
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a. S&
. No
'H.Q Su;r&2 a!!&1"0t", !o9o /u"9a1ura,6 a#"r-&a, u otra, o!a,&o0a1a, 4ora-"0t", /u$9&!o,
a. S&
. No
'*.Q Co0tra3o a#-u0a E0;"r9"1a1 &0%a#&1a0t" 4ro1u!&1a 4or #a "
-
7/24/2019 Protocolo Felipa Gomez Rebisado
56/58
0
. No
'.Q C29o !a#&;&!ar$a ,u 0&%"# 1" Str",, 4ro1u!&1o 4or #a a!t&%&1a1 #aora#
a. N&0-u0o
. To#"ra#"
. I0to#"ra#"
A0"
a. Lo, %",tuar&o,6 #o!a#", 1" a,"o r"tr"t", ",tar?0 ,"4ara1o, 4ara 7o9r",
9u3"r", ,&"94r".. Lo, !"0tro, 1o!"0t", 7a0 1" 1&,4o0"r 1" %",tuar&o, !ua01o "# 4"r,o0a#
##"%" ro4a ",4"!&a# 1" traa3o
-
7/24/2019 Protocolo Felipa Gomez Rebisado
57/58
/
!. Lo, !"0tro, 1o!"0t", 7a0 1" 1&,4o0"r 1" %",tuar&o, ,&"94r"1. La, 1&9"0,&o0", 1" #o, %",tuar&o, ," a3u,tar?0 a# 0=9"ro 1" 1o!"0t",
H.QE0tr" #a, 9"1&1a, 4r"%"0t&%a, 4ara 7a!"r ;r"0t" a #o, r&",-o, 1"r&%a1o, 1" #a
9a0&4u#a!&20 9a0ua# 1" !ar-a, ," "0!u"0tra:
a. V&-a0!&a ",4"!$;&!a 1" #a ,a#u1 a1"!ua1a a# r&",-o 1" "
-
7/24/2019 Protocolo Felipa Gomez Rebisado
58/58
8
!. R"!ur,o, 4"r,o0a#",1. A,"rt&%&1a1
K.QPara 4o1"r !o0tro#ar #a, !o01&!&o0", 1" ,"-ur&1a1 ", 0"!",ar&o &1"0t&;&!ar
"%a#uar #o, ;a!tor", 1" r&",-o 1"r&%a1o, 1":
a. Lu-ar", 1" traa3o. E/u&4o, 1" traa3o!. E#"!tr&!&1a11. To1a, #a, r",4u",ta, ,o0 %?#&1a,
.QS"5a#a #a r",4u",ta !orr"!ta ,or" #o, !o#or", 1" ,"-ur&1a1:
a. E# !o#or a9ar#o ,&-0&;&!a a1%"rt"0!&a 1" 4"#&-ro. E# !o#or #a0!o ,&-0&;&!a 0or9a#&1a1
!. E# !o#or a@u# ,&-0&;&!a 4ro7&&!&201. E# !o#or ro3o ,&-0&;&!a o#&-a!&20
)(.QLa ,"0,a!&20 1" a-ota9&"0to6 1"!"4!&20 48r1&1a 1" &0t"r8, 4or #a a!t&%&1a1
#aora#6 !o9o !o0,"!u"0!&a 1"# 1",-a,t" 1&ar&o6 "0 4"r,o0a, /u" ," 1"1&!a0 a
4ro;",&o0", 1" ,"r%&!&o, a #o, ,"r", 7u9a0o, "1u!a!&206 ,a0&1a16 ,"r%&!&o,
,o!&a#",` ," 1"0o9&0a:
a. E,tr",or ,o!&a#
. E,tr8, 4ro;",&o0a#!. o,t&-a9&"0to o a!o,o "0 "# traa3o1. S$01ro9" 1" Bur0out