Occupational Medicine

Sig. Maurizio Pellegri

e-mail: maurizio.pellegri@multimedica.it

OCCUPATIONAL MEDICINE PROCEDURE

Verification of Risk Assessment Document
The MultiMedical Group’s Occupational Medicine Service provides the assistance necessary for the realization of this fundamental document through qualified personnel.

Conferral of the assignment to the Competent Doctor
The Secretariat of the Occupational Medicine Service of the MultiMedical Group provides the assistance necessary to formal fulfilments for the conferral of the assignment of a Competent Doctor chosen from among the various Doctors who collaborate with the Service and who possess the necessary qualifications and/or requirements.

Inspection in company
After the appointment, the Competent Doctor carries out the on-site inspection in the company, at least once a year. The on-site visit allows the collection of information regarding the risk factors present in relation to all company tasks and the determination of a specific medical protocol (Health Plan).

Strength of Health Plan
On the basis of the specific medical protocol, a work plan is drawn up concerning the conduct of health checks on employees according to their duties. The Secretariat of the Occupational Medicine Service, therefore, organizes appointments according to modalities and calendar agreed with the Company on the basis of its specific needs. In addition, the periodic deadlines of the examinations required by the health protocol are also managed.

Execution of medical services – Suitability judgements
On the basis of the Health Plan, the planned medical examinations are carried out and the services can be provided at the various locations of the Occupational Medicine Service or at the Client’s Company through the presence of our medical staff. The Occupational Medicine Service also provides assistance in complying with the medical-legal procedures to be complied with in the event of complaints of occupational diseases.

Periodic Programming
Reminders and subsequent on-site inspections are scheduled to ensure proper assistance on each fulfillment.

Regional visuals
They are executed at varying intervals depending on the risk and in any case dictated by specific laws in force (Legislative Decree 81/08)

In addition:

• Specialist medical advice
• Activities and tasks of the Competent Doctor
• Safety Theme Fomation and Prevention Courses
• Environmental investigations

Preventive visuals in pre-assembling phase
Useful for the Company, which can ascertain the existence of any limitations to expose the worker to environments where there are certain risks, and for the worker, who must not see his health worsen. The preliminary examination is carried out by Doctors Specialists in Occupational Medicine (responsible doctor as per Legislative Decree 81/08).

Pre-expatriation services
Entrusting an employee with work assignments abroad involves the need for preventive checks on his or her health: these will be aimed at the type of activity that the worker must carry out, as well as at the environmental conditions in which the employee will operate.

Mobile units throughout the national territory
The Multimedica Group guarantees coverage of the occupational health service throughout the country. The multi-specialist mobile units are a fully equipped mobile clinic for carrying out diagnostic investigations.

Specialist mobile units are equipped with

• Audiometer and silent cab for evaluation of auditory functionality
• Spirometer and electrocardiograph for the evaluation of respiratory and cardiac function
• Ecograph
• Computer systems
• Local visits and withdrawals
• Local for ophthalmological investigations

Mobile units allow for environmental and biological assessments and sampling. Specimens are transported with the help of special cold storage rooms and containers for biological finds that are the result of original studies – Stability Project – presented at international conferences.

OCCUPATIONAL MEDICINE MANAGER

Dr. Giacomino Miceli

COMPETENT DOCTORS

Dr. Biava Pier Mario
Dr. Borlotti Maria Teresa
Dr.ssa Conti Elisabetta
Dr. Decinti Marzia
Dr.ssa Di Carlo Sonia
Dr. Frosi Alberto
Dr. Gagliardi Marcello
Dr. Gallo Enrico
Dr. Maltoni Riccardo
Dr. Meliti Giuseppe
Dr. Mischi Marco
Dr. Silva Giulia

AUDIOMETRIC TECHNICIAN

Dr. Chiara Lanzani

Unified Text 81/2008
Recently updated, this Consolidated Act replaces the old Law 626 in the field of occupational safety.

Documents

Download Consolidated Act 81/2008

Download the amendment of 3 August 2009

As part of our visits / services provided to companies, we report our protocols drawn up in accordance with current legislation.

1 – Protocol Eye Examination for Workers with Video Screens

2 – VisioTest protocol for screeners

3 – Tetanus Vaccination Protocol

4 – Hepatitis B Vaccination Protocol

1 – Eye Examination Protocol for workers in video terminals.

Opthalmological examination:

• • Anamnesis (job-related)
  • Visual acuity for each eye in the natural

.

• Visus with best correction
• Ophthalmoscopic examination in miosis (fundus)
• Interpupillary distance
• Anterior segment examination with biomicroscope (adnexa and conjunctiva, cornea and crystalline lens)
• Ocular tension
• Lachrymal Functionality (inspection)
• Chromatic sense (highlight color blindness ISHIARA test)
• Keratometry/Refractometry
• Eventual lenses prescription

Optical examination:

• History
• Ocular motility
• Stereoscopic sense
• Objective and subjective functional convergence
• Accommodation

Useful information for the employee .

It is recommended to bring documentation of previous visits, glasses, if in use; contact lens wearers, it is reported to equip themselves to be able to remove them at the time.

2 – VisioTest protocol for screenwashers

The VisioTest allows for the following visual screening tests to be performed:

Distant Vision Test:.

• Acuity measurement
• Astigmatism detection
• Hypermetropia detection with additional lenses
• Binocular checks
• Stereoscopic vision
• Ametropia trend with bichromatic test
• Vertical and horizontal hole detection
• Color perception with Ishihara tables

Test in close-up view:

• Acuity measurement
• Astigmatism detection
• Hypermetropia detection with additional lenses
• Binocular checks
• Stereoscopic vision
• Ametropia trend with bichromatic test
• Vertical and horizontal hole detection

On average, the tests take about 1 minute per person.

The VisioTest must be understood as a screening test, then as a first selection of subjects with no obvious pathology, from subjects with obvious visual pathology.
It may be necessary, for the purposes of the judgment of suitability for the specific task drawn up by the competent doctor, a second level of investigation, more in-depth, through specialist eye examination.

It is also compiled an evaluation sheet of the musculoskeletal system, the oculo-visual apparatus, psychological and psychosomatic disorders in relation to the use of video terminals.

3 – Protocol for tetanus vaccination.

According to the regulations L. 292/63 D.P.R. 1301/65 L. 419/68 D.M. 3/75 the employer must subject its staff “at risk” to tetanus vaccination. We remind you that among the staff “at risk” include:

• agricultural workers
• breeders
• canters
• straders
• construction workers
• asphalt workers
• paper and cardboard workers
• Wood workers
• metallurgists and metalworkers
• maritime and port workers

The screening involves 3 administrations:

1 DOSE .
2 DOSES AT 6/8 WEEKS AFTER THE FIRST .
3 DOSES AT 6/12 MONTHS FROM THE FIRST.

It is then expected a first booster after 4/5 years and then every 9/10 years.

4 – Protocol for Hepatitis B vaccination.

If the pre-vaccine control examinations give a negative result, we will proceed with the cycle of 3 administrations in the times indicated:

1st DOSE .
2nd dose after 1 month from the first.
3rd DOSE AFTER 6 MONTHS FROM FIRST

After 1 month from the 3rd dose repeat: Hbs AB Quantitative dosage.

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