Protocolo Felipa Gomez Rebisado

7/24/2019 Protocolo Felipa Gomez Rebisado

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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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PREGUNTA CIENTFICA

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OBJETO DE ESTUDIO M&'! (&!)% *+*%! %(-

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CAMPO DE ACCIN

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OBJETIVO GENERAL

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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 '(('

U0a %"@ r"a#&@a1o "# 4ro!",a9&"0to ," tau#ar? #a &0;or9a!&20 u,!a01o #o,

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

1" 4ro1u!t&%&1a16 9ar!a1a 4or !r&t"r&o, 1" r"0ta&1a1 "!o029&!a> #a 1"

,"-ur&1a16 ta0to &0t"r0a 4ro!",o, !o9o "


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Para -ara0t&@ar u0a, !o01&!&o0", 1" ,"-ur&1a1 a1"!ua1a, ", 4r"!&,o a0a#&@ar

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

-a,",6 %a4or6 "/u&4o, 1" traa3o 9?/u&0a,6 7"rra9&"0ta,6 a4arato, a 4r",&206 1"

"#"%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

"

#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",.

E# 4ro!",o #aora# 1"# 4"r,o0a# 1" "0;"r9"r$a ," !ara!t"r&@a 4or ,u 3or0a1a 1"

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

REM6 /u" a #a #ar-a 4u"1"0 r"4"r!ut&r ,or" #a ,a#u1 1" #o, traa3a1or",

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" "

"# =0&!o /u" "


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"rt79a00 #*K "0 r"#a!&20 !o0 #a "


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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

9"@!#a 1" o


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Ya /u" a9o, 4u"1"0 -"0"rar u0a "0;"r9"1a1 !o9o !o0,"!u"0!&a 1" #a

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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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4o#a!&20 9u01&a# 1" a!u"r1o a #a Or-a0&@a!&20 Mu01&a# 1" #a Sa#u1 OMS 4ara

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37/58

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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:

La a19&0&,tra!&20 1" 9"1&!a!&20 IMIV. La r"!o-&1a 1" 9at"r&a# u,a1o. La 9a0&4u#a!&20 1" ,a0-r". R""0!a4,u#ar. A-u3a, aa01o0a1a, R"!o-&1a 1" a,ura.

a /u" t"0"r "0 !u"0ta /u" #a 9aor$a 1" #o, a!!&1"0t", 1" ",t" t&4o 0o ,"

0ot&;&!a0 a #o, S"r%&!&o, 1" Pr"%"0!&20 o 1" M"1&!&0a Pr"%"0t&%a6 4or #o /u" #o,

1ato, 4o1r$a0 ,"r a=0 9?, a#ar9a0t", ,& "


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,&,t"9a 1" "#&9&0a!&20 1" r",&1uo, a1"!ua1o !o0 "# ,u;&!&"0t" 0=9"ro 1"

!o0t"0"1or", r$-&1o,.

Lo, =#t&9o, ",tu1&o,6 ta0to "0 E,4a5a !o9o "0 otro, 4a$,", &01&!a0 /u" ," 7a

1"9o,tra1o /u" #a " EPIN"t )> 1ato, 0o

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a-u3a, /u" 1""0 ,"r 1",ar9a1o, o 9a0&4u#a1o, 1",4u8, 1" ,u u,o !o9o #a,

3"r&0-a, !o0 !artu!7o, !ar-a1o, 4r"%&a9"0t" r"4r","0ta0 !#ara9"0t" u0 4"#&-ro

7a0 ,&1o %&0!u#a1o, !o0 ta,a, 1" #",&o0", 9?, "#"%a1a, ]a--"r "t a#. )KK^.

A1"9?,6 #a, a-u3a, !o0"!ta1a, a u0 tuo ;#"


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,o06 4roa#"9"0t"6 #o, r&",-o, 9?, !o9u0", "0 "# ,"!tor 1" #a a,&,t"0!&a

,a0&tar&a u-o;,\& ). C&ta ta9&80 ",t" t"


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!o0,t&tu801o," "0 u0 r&",-o !r"!&"0t" 4ara #a 7&-&"0" &01u,tr&a#. A #o /u" ," ,u9a

#a r",&,t"0!&a /u" #o, 9&!roor-a0&,9o, 7a0 a#!a0@a1o a0t" #o, ;?r9a!o, ta0to 1"

4ato#o-$a, !o9o #a tu"r!u#o,&, otra,.

1.?.1.2. FACTORES DE RIESGOS FISICOS ; MECANICOS

E0 ",t" -ru4o "0tra0 "# ru&1o6 #a "


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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.

La #u9a#-&a ", !au,a 1" "#"%a1a, ta,a, 1" 9or&1a1 au,"0t&,9o #aora#

a1"9?, 1" 1"9a01a, 4or !o94"0,a!&20 1" a!!"1"0t", o "0;"r9"1a1 4ro;",&o0a#

a 0&%"# 9u01&a#. La ;r"!u"0t" 9a0&4u#a!&20 1" #o, 4a!&"0t", #o, "#"%a1o, 0&%"#",

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,

!o0,!&"0t"9"0t" 9u!7a, otra, ,&0 t"0"r !o0o!&9&"0to 1" ,u 9a0&4u#a!&206

4u1&"01o u0 u"0 0=9"ro 1" "##a, o!a,&o0ar &rr&ta!&o0",6 4ro!",o, 1"

,"0,&&@a!&206 1a5o, ,or" 1&%"r,o, 2r-a0o,6 9a#;or9a!&o0", !o0-80&ta,6

9uta!&o0", " &0!#u,&%" !?0!"r. E# "!@"9a a#8r-&!o 4ro;",&o0a# ", u0o 1" #o,

4ro!",o, 9?, ;r"!u"0t", "0tr" "# 4"r,o0a# ,a0&tar&o6 ",4"!&a#9"0t" "0 #a,

"0;"r9"ra,6 au1a0t", 1" !&ru-$a6 4"r,o0a# 1" #aorator&o, otro,> 1"&1o a#

!o0ta!to r"4"t&1o !o0 4ro1u!to, /u$9&!o,6 9"1&!a9"0to,6 a0",t8,&!o,6

a0t&,84t&!o,6 a,$ !o9o #a, 4r?!t&!a, 1" ;r"!u"0t", #a%a1o, !"4#a1o, 1" #a,

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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EL 7o,4&ta# Sa0ta B?rara6 u0o 1" #o, 9?, a0t&-uo, 1" Bo#&%&a Su1a98r&!a6 ;u"

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"r0?01"@.

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"# !ru!" 1" #a !o0,tru!!&20 ," "1&;&!2 u0a !a4#a 1o01" ," !"#"raa0 9&,a, 4ara

#o, "0;"r9o,.

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Sa0ta B?rara: #o, R"#&-&o,o, ua0 1" 1&a0o, )*Q)K'6 "# Cu"r4o M81&!o 1" #a

So!&"1a1 u9a0&tar&a Sa0 V&!"0t" 1" Pa=# )KHQ)KKH6 a 4art&r 1" )K 1" #a,

r"#&-&o,a, ,&"r%a, 1" Mar$a6 Co0-r"-a!&20 1"1&!a1a a# !u&1a1o 1" #o, "0;"r9o,

;u01a1a 4or Sa0ta Mar$a So#"1a1 Torr"@ a!o,ta "0 Ma1r&1 "# ) 1" a-o,to 1"

)K).

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t"r!"r 0&%"#6 /u" r&01a at"0!&20 9u#t&1&,!&4#&0ar&a !o0 1&;"r"0t", ",4"!&a#&1a1",6

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La %&,&20 ", "# 1" S"r "# 9"3or 7o,4&ta# 9o1"#o 1" t"r!"r 0&%"#6 !o0 -",t&20

,a0&tar&a a,&,t"0!&a 1" "

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4o#a!&20 9?, "

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4ro"!to,6 "0 to1o, #o, 0&%"#", a19&0&,trat&%o, o4"rat&%o, 1"# ,"!tor. M"3orar #a !a#&1a1 "0 "# 9a0"3o 1" #a &0;or9a!&20 4ro1u!!&20 1" 1ato,6

4or 4art" 1"# S&,t"9a Na!&o0a# 1" I0;or9a!&206 t"01&"0t" a -"0"rar&0;or9a!&20 !o0;&a#" 4ara ,u,t"0tar #a to9a 1" 1"!&,&o0", 4#a0&;&!a!&20 "

&0%",t&-a!&20. Co0tr&u&r "0 #a r"1u!!&20 1" #a 9or&Q9orta#&1a1 -"0"ra#6 9"1&a0t" u0a

tar"a ";"!t&%a #a &0,ta#a!&20 1" &0;ra",tru!tura "/u&4a9&"0to, a1"!ua1o,

/u" ;a!&t"0 "# a!!",o 1" #a 4o#a!&20 a r"!&&r at"0!&20 1" !a#&1a1 !o0

"0;o/u" ,o!&a# " &0t"r!u#tura#.

UNIDAD DE TERAPIA INTENSIVA PEDIATRICA

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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0u"%o 0o,o!o9&o6 /u"1a01o "0 "# o,4&ta# Sa0ta B?rara "# ,"r%&!&o 1"

"9"r-"0!&a, P"1&?tr&!a, #a U0&1a1 1" Cu&1a1o, I0t"0,&%o, P"1&?tr&!o,.


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r"!ur,o 7u9a0o 1" ",4"!&a#&1a1 a #o, 9&,9o,6 "# ,"r%&!&o !o9"0@2 a ;u0!&o0ar

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!u"0ta !o0 u0 a9&"0t" 4ara a&,#a9&"0to 1" "0;"r9o, &0;"!to !o0ta-&o,o,

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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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).Q Cu?# ", ,u "1a1

a. 1" ' a5o,

. ' a H a5o,

!. H a * a5o,

1. M?, 1" * a5o,

'.Q u8 0&%"# 1" N&%"# a!a189&!o 1" 4o,t -ra1o 7a a#!a0@a1o

a. S&0 Po,-ra1o.

. E,4!. M81&!o u&r=r-&!o.

!. E,4!. O,t"tr&!&a N"o0ato#o-$a.

1. E,4!. Sa#u1 P=#&!a.

". Otra Po,-ra1o.

H.Q Cu?0to, a5o, traa3a "0 "# 7o,4&ta#

a. 1" ) a5o.

. ) a a5o,.

!. a )( a5o,

1. M?, 1" )( a5o,

*.Q Cua0to, a5o, traa3a "0 "# S"r%&!&o 1" Cu&1a1o, I0t"0,&%o,

a. 1" ) a5o.

. ) a a5o,.


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!. a )( a5o,

1. M?, 1" )( a5o,

.Q D" 1201" otu%o #o, !o0o!&9&"0to, ,or" #o, r&",-o, #aora#",

a. For9a!&20 "0 Pr"-ra1o.

. For9a!&20 1" 4o,t -ra1o.

!. E0 #a I0,t&tu!&20.

. Otra ;u"0t"

.Q E0 "# ,"r%&!&o "


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a. "4at&t&, A

. "4at&t&, B

!. Var&!"#a

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". I0;#u"0@a

)(.Q u8 T&4o, 1" 9u",tra /u" 9a0&4u#a !o0 9aor ;r"!u"0!&a

a. Sa0-r"

. Or&0a

!. "!",

1. E,4uto

". T"3&1o, &o4,&a,

)).Q M"0!&o0", #a, !o01&!&o0", ;$,&!o, a9&"0ta#", /u" #" &0!o9o1a0

a. Var&a!&o0", 1" T"94"ratura.

. Ru&1o, Fu"rt",.

!. Po!o ",4a!&o 4ara !&r!u#ar.

1. Ma#a !a#&1a1 1"# a&r".

". Ma#a u9&0a!&20.

;. O#or", 9o#",to,.

-. P&,o r",a#a1&@o.

7. La%a9a0o, 1u!7a,.


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&. E,4a!&o, 1",t&0a1o, 4ara !a9&ar,".

3. Ba5o,

)'.Q M"0!&o0", #a, !o01&!&o0", 9"!?0&!a, /u" #" &0!o9o1a0.

a. Ma#a, !o01&!&o0", "#8!tr&!a,.

. Fa##a, 1" "/u&4o, "#8!tr&!o,.

!. E,!a4" 1" o


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).Q C29o ", "# 1",!a0,o 1ura0t" #a 3or0a1a #aora#

a. No 1",!a0,a.

. I0,u;&!&"0t".

. Su;&!&"0t".

).Q Cu?# ", #a &0t"0,&1a1 1" traa3o 1ura0t" ,u 3or0a1a #aora#

a. A!"4ta#".

. I0t"0,o

. Mu &0t"0,o

)K.Q C29o ,o0 ,u, r"#a!&o0", 1" traa3o !o0 "# r",to 1"# "/u&4o 1" ,a#u1

a. Ar920&!o

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).Q Su;r&2 a!!&1"0t", !o0 9at"r&a# 4u0@o!orta0t"

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'*.Q Co0tra3o a#-u0a E0;"r9"1a1 &0%a#&1a0t" 4ro1u!&1a 4or #a "


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'.Q C29o !a#&;&!ar$a ,u 0&%"# 1" Str",, 4ro1u!&1o 4or #a a!t&%&1a1 #aora#

a. N&0-u0o

. To#"ra#"

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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


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H.QE0tr" #a, 9"1&1a, 4r"%"0t&%a, 4ara 7a!"r ;r"0t" a #o, r&",-o, 1"r&%a1o, 1" #a

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K.QPara 4o1"r !o0tro#ar #a, !o01&!&o0", 1" ,"-ur&1a1 ", 0"!",ar&o &1"0t&;&!ar

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a. E# !o#or a9ar#o ,&-0&;&!a a1%"rt"0!&a 1" 4"#&-ro. E# !o#or #a0!o ,&-0&;&!a 0or9a#&1a1

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Protocolo Felipa Gomez Rebisado

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