(

)
.. 2554

(
) .. 2554

. 02-5918172, 02-5904514, 02-5918381
02-5904388, 02-5918381
E-MAIL : OCCSERVICE@HOTMAIL.COM
MEDIA.ENVOCC@GMAIL.COM

:
1
: .. 2554

: 1,500
ISBN
: 978-616-11-0526-6

Hospital Accreditation (HA) (Healthy setting)

(HA)

3 (
)



(HA) (HPH)

.. 2554

11

17
( RAH.03)

23
( RAH.04)
(Self - Risk Assessment in Hospital)
24
(RAH.05)
25

26

1 :
( RAH.01)
2 : ( RAH.02)
3 : (Work Instruction Manual)
4 :

5 :
6 :
7 :
( RAH.06)
8 :

27
40
43
45
49
51
53
59

( 1)

1
(.)
(.) ( RAH.05)
2 ./.

4
1
/

( RAH.01)
//

5

( RAH.02)
6 //

5

//

8
( RAH.03)

9

RAH.03
2
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( SRAH.1)
( RAH.06)
( SRAH.1) ./.
10

( RAH.03)
1-4 . . .
5
. . . .

 1 ()

./.

1-4

.+

.+

. 5

3
1 : 3
1)
2)
3)

2 :
6
1)

2)

3)
4)
5)

6)

3 :
2
1)

2)

1.

2.
2.1

2.2

3. 1)
( RAH.03)

5 2 ( RAH.04)


4.


1 (

)
2 (

)
3 (



)
4 (
)
5 (
/
3 )
6

1
1.
1.1
3
/
1.2

1.3

2.
2.1

2.2 2 / 6
3.

3.1

3.2

1 2 3 4 5

1
3.3

2
4.
4.1 (
RAH01
)
4.2 4.1
4.3 4.1
4.4

4.5

4.6
4.7

5.
5.1
5.2
( )

1 2 3 4 5

2 ()
5.3
5.4
5.5

6.
6.1
6.2

6.3

6.4
1
7.
7.1
-
-
- /

1 2 3 4 5

10

2 ()
7.2

8. //
3 (/ 2)
9.
9.1
9.2
10.

10.1
10.2

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3

1 2 3 4 5

11

2.2 2 /
6

1.3

2.
2.1

1
1.
1.1

3
/
1.2

2 /
6
/

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3

(HA)

,,

12

RAH01

( 5)

4.1

5.2 ( 1 )

4.3
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()

(
)

4.2 4.1

3.3

2
4.

4.1 (

RAH01
)

1 ()
3.

3.1

3.2

13

5.2
(
)

4.7

5.
5.1

4.5

4.6

2 ()
4.4

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14

6.4
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6.2

6.3

6.
6.1

5.5

5.4

2 ()
5.3

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/
1

15

7.2

8. //

2 ()
7.

7.1
-

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16

10.3

3 (/
2)
9.
9.1

9.2

10.

10.1

10.2

17

RAH.03

2

(OB)

/
/

C
NC (OB)
/
1
1.

1.1

3
/

1
1. .....................................................................................................................................................................................................
2. .................................................
3. /..........................................

18

1 ()
1.2

1.3

2.
2.1

2.2 2 /
6
3.

3.1

3.2

C
NC (OB)

19

1 ()
3.3

2
4.

4.1 (

RAH01
)
4.2
4.1
4.3
4.2
4.4

4.5

4.6

4.7

C
NC (OB)

20

2
()
5.
5.1
5.2
/ (
)
5.3

5.4

5.5

6.
6.1
6.2

6.3

6.4
1

C
NC (OB)

21

2
()
7.

7.1

-
- /

7.2

8. //

C
NC (OB)

22

3
(/ 2)
9.

9.1

9.2

10.

10.1

10.2

10.3

C
NC (OB)

 RAH.04

1. ..................................................................................................
2. .....................................................................................................
3.
3.1 ..........................................................................................................................
3.2 ..........................................................................................................................
3.3 ..........................................................................................................................
3.4 ..........................................................................................................................
4. (
RAH.03)
/

(OB)

/
( RAH.03)
C

NC

5.
5.1
........................................................................................................................
5.2
- /
1. ................................................................................................................
2. ................................................................................................................
3. ................................................................................................................
- /
1. ................................................................................................................
2. ................................................................................................................
3. ................................................................................................................
4. ................................................................................................................
5.3
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................

23

 SRAH.1

(Self - Risk Assessment in Hospital)

1. ....................................................................................................................
2. ......................................................................................................................
3.
3.1 ..........................................................................................................................................
3.2 ..........................................................................................................................................
3.3 ..........................................................................................................................................
3.4 ..........................................................................................................................................
3.5 ..........................................................................................................................................
4.
4.1
..........................................................................................................
4.2
4.2.1 /
1. ..........................................................................................................................
2. ..........................................................................................................................
3. ..........................................................................................................................
4.2.2 /
1. ..........................................................................................................................
2. ..........................................................................................................................
3. ..........................................................................................................................
5.
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................

24

 RAH.05

1. ................................................................................................................................
2. ..................................................................................................................
.............................................................................................................................
3. ...................................................................................
4. / ...............................

..........................................................
()
.........................................................

.....................................................
(....................................................)
.........................................................

25



.. 2547

.. 2549

2540
.. 2541
.
21 2543

2546
HA :
. .. 2543
NIOSH, Document Criterior for Health Care Workers 1988.

26

( RAH.01)

27

 RAH.01

................................................................................................................................
.................................................................................................................................................
.........................................................................................................................
.........................................................................................................................................
/............................................................................................................
.............................................................................................................

()

1.
2.
3.
4.
5.
6.

6.1
6.2
6.3
7.
..................................................................................
8.
..................................................................................

28

1.

2.

3.

4.

5.

6.

29

30

(B)

*
( 1 2) ( 3 4) (
6 9)

...........................................

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(3)
(2)
(1)
(1)
()
(3)
(3 4)
()
(2)
(1 2)

31

(B)

*
( 1 2) ( 3 4)
( 6 9)

1.
2.
3.
4.
5.

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(1)
()
(3)
(3)
(2)
(1)
(3 4)
()
(2)
(1 2)

32

(B)

*
( 1 2) ( 3 4)
( 6 9)

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(3)
(2)
(1)
(1)
()
(3)
(3 4)
()
(2)
(1 2)

33

(B)

*
( 1 2) ( 3 4)
( 6 9)

...........................................

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(1)
()
(3)
(3)
(2)
(1)
(3 4)
()
(2)
(1 2)

34

(B)

*
( 1 2) ( 3 4)
( 6 9)

/
.............................................

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(1)
()
(3)
(3)
(2)
(1)
(3 4)
()
(2)
(1 2)

35

(B)

*
( 1 2) ( 3 4)
( 6 9)

1.
2.
3.

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(3)
(2)
(1)
(1)
()
(3)
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()
(2)
(1 2)

36

(B)

*
( 1 2) ( 3 4)
( 6 9)

..................................

/
(A)

* (C) =

(A)x(B)
/
(6 9)

(1)
()
(3)
(3)
(2)
(1)
(3 4)
()
(2)
(1 2)

37

(A)

(B)

= (A) x (B)

(6 9)
(3 4)
(1 2)


..................................................................................................................................

...........................................................................................................................

................................................................................................................

......................................................................................................................

............................................................................................................................

.............................................................................................................

............................................................................................................................

38

=
x

(1)

(1)

(2)

(3)

1
2
3

(2)

2
4

(3)

39

( RAH.02)

40


***

***

1.
2.

3.

4. (1a.-1d.)
4.1
4.2
4.3

4.4

5. (2a.-2e.)
5.1

5.2

5.3
5.4

5.5

6.
6.1

6.2

41

42

:
:

2.
3.
1.
2a.
2c. 2d. 2e.
3a.
3b.
2b.
1a.
1b.
1d.
1c.
/

()

(Work Instruction Manual)

43


(Work Instruction Manual)
(Work Instruction Manual)

Job safety analysis (JSA)

back injuries /hernias

sprains and strains
mental disorders





biosolid

44

(Preplacement medical examination)

45


(Preplacement medical examination)

1. Routine blood tests
Complete blood count
Fasting blood sugar or 2-hr postprandial
Renal function tests
Creatinine
SGOT (AST)
SGPT (ALT)
Serology for syphilis
Serology for rubella
Others at the physicians discretion, guide by the workers medical history
2. Routine urinalysis
3. Chest X-ray, posterior and anteria and lateral
4. Skin testing for TB
5. Vision tests (near and far, with and without correction) and tonometry
6. Audiogram, speech range
7. Spirometry
8. A record of the occupational history of the worker should be included in
the pleplacement examination.

46

CBC
U/A
Stool Exam
CXR

2 /

35
Cholesterol
Triglyceride
LDL/HDL
FBS
BUN Creatinine
Uric acid
Electrocardiography
35

mammography 2-3 /
Pap Smear
40

50
EKG
5 /

47


Vaccine

Pregnancy

HIV
Severe*
Renal Diabetes Alcohol
Infection immuno- failure
and alcohol
suppression
cirrhosis

BCG
Hepatitis B
Influenza
Mumps
Measles
Rubella
Meningococcus
Rabies
Tetanus /
Diphtheria t
Pneumococcus

C
R
RSS
C

C
R
R
R**

C
R
R
C

UI
R
R
R

UI
R
R
R

UI
R
R
R

UI
UI
R

UI
UI
R

UI
UI
R

Rt
UI
R

UI
UI
R

UI
UI
R

UI

: Mobidity and Mortality Weekly Report (MMWR) December 26, 1997, Vol 46
No. RR-18
*

Leukemia, Lymphoma,
generalized malignancy

HIV
Recommended
Contraindicated
Use if indicated

t
RSS
R**
R
C
UI

48

49


1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

//
/

()

50

51


.............................................
......................................................
/...........(1)......................................................................
......................................................................................
......................................
..........................................................................................................................................................
//.................................................................................................
()......................................................................................................
().............................................................................
.................................................................................................
//...........................................................................................................



(1)
(2)
(3)
(4) (
).............................................................................................................................................
........(2).............................................................
....................................................................................................................................................................
....................................................................................................................................................................

.............................................
(1)
(2)
1

52

( RAH.06)

53

 RAH.06

( 3-5)

...............................

1.

2.

1. 3-5
2.
2554 ..- ..
2553
---------------------------------------------------------------------------------------------------------
1
1. ..................
2.
2.1
2.1.1 . 2.1.2 .
2.1.3 .
2.2 ..........................................................
2.3 .............................................................
......................
3. ...........................................
4.
1. ( 1 )
1.1 HA 1.2 HPH 1.3 ISO..................... 1.4 ...................
1.5 ().............................................................................
2.
54

5. .........................
5.1 ...............................
.............................
5.2 24 ............ 25-44 ................
45 .................
5.3 ( .)........................
5.4 ()......................
5.5 .. (Subcontract/Outsource)....................
5.6 ........................
2

()

-
-
-
-

-
-

-
-
-
-
- ()

55

()

-
-

-
- ()

-
-
( /
)
- ()

56

.
1. xu....................
2. BMI >22.9 kg/m2........................
(: BMI )...............
kg/m2 .......................
3. ()........................
()................
4. TG > 200 mg/dl......................
5. ()...........................
()...................
6. ().....................
7. ()......................
8. ().......................
9. ().........................
10. ().........................
11. ().........................
12. ..................................... .........................
.
1.
2.
3.
4.
5.

.......................
.........................
........................
.......................
.........................

5.1 Obstructive pattern...... ........................
5.2 Restrictive pattern
.........................
5.3 Mixed pattern
.........................

57


6. ....................
7.
......................

7.1 ......................
7.2 ......................
7.3
......................
. ...........................

1. ......................
2. ......................
3. ( 1 2 ) ......................
4. ......................
5. ......................
6. ................................... ......................

............................................................................................................................
................................................................................. ................/................./.................

58

59

(
)
:
1)
2)
3)

:
1)

2)

3)

4)

5) ..

6)

7)

8)

9)

10)

11)

12)

13)

60

1-12

61