ANAMNEZA PROFESIONALA

1. Profesiunea: ___________________________________________________________2. Calificarea: ___________________________________________________________3. Vechimea profesionala: ________ in profesiunea suspecta de aparitia bolii. 4. Vechimea in actualul loc de munca: ________________________________________5. Ruta profesionala: ______________________________________________________

_____________________________________________________________________6. Proces tehnologic: ______________________________________________________

__________________________________________________________________________________________________________________________________________

7. Operatiuni indeplinite de pacient in cadrul procesului tehnologic: ________________ _____________________________________________________________________________________________de la ora intratrii in schimb pana la sfarsitul schimbului

8. Alte operatiuni care se mai efectueaza in sectie: ______________________________ _____________________________________________________________________

9. Caracteristicile locului de munca: __________________________________________ _____________________________________________________________________

10. Noxe profesionale prezente la locul de munca: _______________________________11. Numar de muncitori in sectie: _____________________________________________12. Mijloace de protectie colectiva: ___________________________________________

__________________________________________________________________________________________________________________Ce? Functioneaza? Eficienta?

13. Mijloace de protectie individuala: __________________________________________ __________________________________________________________________________________________________________________________________________

14. Igiena individuala: ______________________________________________________ __________________________________________________________________________________________________________________________________________

15. Simptomatologie subiectiva la locul de munca: _______________________________ _____________________________________________________________________

16. Tulburari prez. la alti muncitori din sectie: ___________________________________ _____________________________________________________________________

17. Control med, la incadrare si examene periodice: ______________________________ _____________________________________________________________________

18. Anteced, patol, profesionale: _____________________________________________ __________________________________________________________________________________________________________________________________________

19. Imbolnaviri profesionale la alti muncitori de la vechile locuri de munca: ___________ _____________________________________________________________________

20. Schimbarea locului de munca: ____________________________________________ __________________________________________________________(motive med)

21. Pensionare: ________________________________________________(motive med)22. Obiectivizarea exp profesion (copie CM): ___________________________________

_____________________________________________________________________23. Epicriza anamnezei profesionale:__________________________________________

_____________________________________________________________________

Exemplu penttru punctul 23: Am examinat pacientul X care are o expunere semnificativa de Y ani la SIO2 liber cristalin in concentratii care au depasit CMA.