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    Checklist 7 Step of Occupational Diagnosis - 2021-2022

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    wahyu kijang ramadhan
    The document provides details on a skills laboratory activity focused on teaching students the 7 steps for diagnosing occupational diseases. The 7 steps include: 1) confirming the clinical diagnosis, 2) determining workplace exposures, 3) deciding the association between exposures and diseases, 4) assigning the adequacy of exposures, 5) assessing individual risk factors, 6) assessing other risk factors outside the workplace, and 7) deciding if the diagnosis is an occupational disease. The document outlines the objectives, syllabus, facilities, equipment, and evaluation methods for the activity.

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    Checklist 7 Step of Occupational Diagnosis - 2021-2022

    Uploaded by

    wahyu kijang ramadhan
    206 views4 pages
    The document provides details on a skills laboratory activity focused on teaching students the 7 steps for diagnosing occupational diseases. The 7 steps include: 1) confirming the clinical diagnosis, 2) determining workplace exposures, 3) deciding the association between exposures and diseases, 4) assigning the adequacy of exposures, 5) assessing individual risk factors, 6) assessing other risk factors outside the workplace, and 7) deciding if the diagnosis is an occupational disease. The document outlines the objectives, syllabus, facilities, equipment, and evaluation methods for the activity.

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    Checklist 7 Step of Occupational Diagnosis_2021-2022

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    The document provides details on a skills laboratory activity focused on teaching students the 7 steps for diagnosing occupational diseases. The 7 steps include: 1) confirming the clinical diagnosis, 2) determining workplace exposures, 3) deciding the association between exposures and diseases, 4) assigning the adequacy of exposures, 5) assessing individual risk factors, 6) assessing other risk factors outside the workplace, and 7) deciding if the diagnosis is an occupational disease. The document outlines the objectives, syllabus, facilities, equipment, and evaluation methods for the activity.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    206 views4 pages

    Checklist 7 Step of Occupational Diagnosis - 2021-2022

    Uploaded by

    wahyu kijang ramadhan
    The document provides details on a skills laboratory activity focused on teaching students the 7 steps for diagnosing occupational diseases. The 7 steps include: 1) confirming the clinical diagnosis, 2) determining workplace exposures, 3) deciding the association between exposures and diseases, 4) assigning the adequacy of exposures, 5) assessing individual risk factors, 6) assessing other risk factors outside the workplace, and 7) deciding if the diagnosis is an occupational disease. The document outlines the objectives, syllabus, facilities, equipment, and evaluation methods for the activity.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Occupational Medicine and Health Insurance System

    Skills Laboratory Activity


    TOPIC 2: 7 STEPS OF DIAGNOSIS OF OCCUPATIONAL DISEASE
    A.Y 2021/2022

    General Objectives:
    After completion of skill laboratory practice the student will be able to perform principle steps of 7 steps to
    diagnose occupational disease.

    Specific Objectives:
    At the end of skill laboratory practices, the student will be able to perform the procedure of diagnosis of
    occupational disease, including:
    a. Confirm the Clinical Diagnosis
    b. Determine the exposure in workplace
    c. Decide association of exposure and the disease
    d. Assign adequacy of exposure
    e. Assess the individual risk factor
    f. Assess the presence of other risk factors outside the workplace
    g. Decide the diagnosis (occupational disease or not)

    Syllabus Description
    Sub Model Objective
    After finishing skill practice of clinical examination, the students will be able to perform steps to decide an
    occupational disease systematically

    Expected Competencies
    Student will be able to demonstrate process of analysis to determine an occupational disease

    Methods
    a. Demonstration
    b. Coaching
    c. Self-practices

    Laboratory Facilities:
    a. Class Room/Zoom Meeting
    b. Scenario
    c. Journal (about association of exposure and diseases)
    d. Trainers
    e. Student Learning Guide

    Equipment
    Case Scenario, Whiteboard, Board marker pen

    Venue
    Training room (Skills Laboratory)

    Evaluation
    a. OSCE
    b. Point nodal evaluation
    Reference
    Permenkes No.56 Tahun 2016 tentang Penyelenggaraan Pelayanan Penyakit Akibat Kerja
    Permenaker No.5 Tahun 2018 tentang Keselamatan dan Kesehatan Kerja
    Checklist for 7 Steps of Occupational Diagnosis

    Performance Scale
    No Procedure
    0 1 2
    1 Say Basmalah
    Step 1
    2 Mention the appropriate clinical diagnosis

    Step 2
    3 Ask about the occupation of the worker chronologically and hazard faced by
    worker (from all previous and recent jobs)
    1. What work do you do now?
    2. What jobs have you had since you left school?
    3. Have you served in the Armed Forces? or
    4. Have you worked overseas?
    5. Do you have, or have you had occupational exposure to fumes,
    chemicals, dust, loud noises, vibration, radiation or other occupational
    hazards during your working history from the past until now?
    6. Do you think that your illness is related to those hazardous exposure (s)?
    4 Ask about the duration of each working process
    1. Is it full time or part time?
    2. How long have you been doing this job?
    3. In what year and month did you start? (if possible)
    4. How long is your working day (minute or hours)?
    5. Do you do shifts and what is the shift rotation?
    6. What is typical working day for you (number of days and time
    (day/night)?
    7. How often did you do the process in a working day? For how long each
    day?
    5 Ask what goods or product resulting from your work?
    6 Ask determine substance used by workers
    Key questions:
    1. What materials do you work with?
    2. Have you been told that any of these might make you ill, that is, are
    hazardous?
    3. Do you have a label, hazard sheet or hazard assessment?
    4. How might you be exposed to this hazard?
    5. Is there any factory substance list? Including the Material Safety Data
    Sheet (MSDS) for each substance!
    7 Ask about ways and work process
    1. What tasks do you do?
    2. Describe the processes and substances or material do you work with?
    8 Ask about previous history of work accident/diseases
    1. have you ever experienced an occupational accident in the past?
    2. have you ever experienced or diagnosed having an occupational disease
    in the past?
    9 Ask about personal protective equipment used by workers
    1. How is exposure controlled?
    2. Do you wear special protective clothing or personal protective
    equipment?
    10 Conclusion step 2:
    Determine which hazards might affect the patient's disease
    Step 3
    11 Summary of the Evidence based on literatures concerned with hazard-
    disease correlation
    Mention type of evidence-based sources (pathogenesis and pathophysiology
    based on scientific literature, TLV/NAB based on government regulation,
    Performance Scale
    No Procedure
    0 1 2
    Material safety data sheet, Employer previous Medical record, etc)
    Step 4
    12 Mention: Performing Qualitative measurement
    observations on the way, process and working environment with
    consideration of length of working time and working duration.

    13 Mention: Performing Quantitative measurement


    - periodic environmental measurement data/ambient monitoring related to
    hazard
    - biological monitoring data related to case and hazard
    14 Conclusion step 4:
    Determine the conclusion of the qualitative and quantitative hazard
    measurement
    Step 5
    15 Ask about individual factors that contribute to the onset of the disease
    1. Gender (based on epidemiologic data)
    2. Age (based on epidemiologic data)
    3. Habits (based on occupational anamnesis)
    4. family history/genetic (based on occupational anamnesis)
    resume from the anamnesis or ask the worker whether there is a similar
    disease in the family?
    5. history of atopic diseases
    resume from the anamnesis of the clinical diagnosis whether Is there is any
    atopic diseases such as asthma, allergic rhinitis, wheal skin diseases, etc of
    the worker or his/her family
    6. comorbidities.

    16 Conclusion Step 5:
    Resume from these findings whether there is/are comorbidities or individual
    factor related or contributed to the case
    Step 6
    17 Ask other possibilities the presence of hazard outside the workplace
    1. Do you have a second (or third) job?
    2. What are your hobbies now and past times?
    3. What daily activities or housework do you do?
    4. Do any of these hobbies or activities bring you into contact with
    chemicals, impure chemicals, breakdown products?
    5. Are there any sources of environmental pollution in your area? For
    example, factories, waste sites or contaminated sources of water
    6. Smoking habits
    18 Conclusion Step 6:
    Resume from these findings whether there is/are external source of
    hazardous materials or work procedures related or contributed to the case
    Step 7
    16 Decide the Occupational Diagnosis (Occupational Diseases or not)
    17 Say Hamdalah
    PENEGAKAN DIAGNOSIS OKUPASI (MEDICAL RECORD)

    Langkah Diagnosis Pertama


    1. Diagnosis Klinis
    Dasar diagnosis (anamnesis,
    pemeriksaan fisik, pemeriksaan
    penunjang, body map, brief
    survey)
    2. Pajanan di tempat kerja
    Fisik
    Kimia
    Biologi
    Ergonomi
    Psikososial
    3 . Evidence Based (sebutkan
    secara teoritis) pajanan di tempat
    kerja yang menyebabkan
    diagnosis klinis di langkah 1.
    Dasar teorinya apa?
    4. Apakah pajanan cukup
    Masa kerja
    Jumlah jam terpajan/ hari
    Pemakaian APD
    Konsentrasi pajanan
    Lainnnya...........
    Kesimpulan jumlah pajanan dan
    dasar perhitungannya
    5. Apa ada faktor individu yang
    berpengaruh thd timbulnya
    diagnosis klinis? Bila ada,
    sebutkan.
    6 . Apa terpajan bahaya
    potensial yang sama spt di
    langkah 3 luar tempat kerja?
    Bila ada, sebutkan
    7 . Diagnosis Okupasi
    Apa diagnosis klinis ini termsk
    penyakit akibat kerja?
    Bukan penyakit akibat kerja
    (diperberat oleh pekerjaan/
    bukan sama sekali PAK)_
    Butuh pemeriksaan lbh lanjut)?

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