[Rischi lavorativi in ambiente sanitario]




     

Microclimate


In order to prevent the effects arising from thermic stress due to failure of the thermoregulation mechanisms, microclimatic indices of stress have been devised in order to point out the existence of thermic stress risk as a result of metabolic situations or excessive physical strain. An example of such indices is represented by the WBGT (Wet Bulb Globe Thermometer): depending on its value, the job can be carried out continuously (heavy, medium and light jobs) or, on the other hand, with compulsory hourly intervals.
As a result of the general improvement of the microclimatic conditions in the working environment and of the adoption, in many working sites, of air conditioning systems, more complex indices have been developed in order to verify the existence of subjective conditions of thermic wellbeing. Among the so-called thermic comfort (mental condition of satisfaction in relation to the thermic environment) indices, the most used is the PMV (Predicte Mean Vote) of Fanger. The PMV index is based on the new elaboration of the equation of thermic balance, taking into account the combination of:
(i) air temperature
(ii) average radiant temperature
(iii) air speed
(iv) vapour pressure of the air
(v) measured energetic expenditure
(vi) thermic resistance of clothing (in Clo)
The index predicts the subjective thermic sensation on a scale with 7 steps (ranging from +3 very hot to -3 very cold) as expressed by subjects exposed to the same microclimatic conditions. The ISO/DP regulation 7730 recommends PMV values between +0.5 and -0.5 to maintain thermic comfort.
Thermic stress prevention is carried out by acting on the different components of the thermic balance equation both by reducing the production of endogenous heat and by increasing the heat produced. In the first case it is possible to act on the characteristics of the operative task, in the second case on the environmental parameters.
On the wards, advisable air temperature should range from 20°C to 24°C during the winter and from 22°C to 26°C in the summer, with relative humidity values included in a wide range (35-70%) and air speed less than 0.2-0.3 m/sec. As far as the so-called care wards (such as operating theatres) are concerned, air temperature and humidity values should be sensibly higher (humidity values around 50-60%). As far as offices are concerned, air temperature values should range between 20°C and 24°C and humidity values between 40 and 70%, with air speed around 0.1 m/sec.

 

[collegamenti]




Ambulatories


Mortuary and autopsy rooms


Diagnostic services


Pharmacy


Clinical wards


Operating theatres


General services


Administrative offices


Ambulatories


Mortuary and autopsy rooms


Diagnostic services


Carpentry


Pharmacy


Record activity


Clerical work


Counter work


Electrotechnical shop


Machine shop


Clinical wards


Operating theatres


Typography


Microclimate