THE SEVERITY AND INTENSITY OF THE LABOR PROCESS OF EMERGENCY MEDICAL WORKERS IN THE MODERNIZATION OF HEALTH CARE

Background. Professional activity of emergency workers has a number of features that can have an adverse impact on the health of workers. Modern conditions dictate the need for special attention to the issues of rationalization of work and rest of medical workers. Aim. The purpose of physiological and hygienic work was to substantiate the severity and intensity of the labor process of the personnel of mobile emergency medical teams in modern conditions. Materials and Methods. The object of the study is 43 mobile emergency medical teams (doctors – 67, paramedics – 235). Assessment of the severity and intensity of the labor process was carried out in accordance with P 2.2.2006-05. 2.2. «Occupational health. Guidelines for hygienic assessment of working conditions and labor process. Criteria and classification of working conditions» working time, content analysis, comparative and statistical analysis using Microsoft Excel 2003, Statistica 6.0. The data of the survey of employees and automated information systems (GLONASS, AIS «Skoraya pomosch») are analyzed. Results. The proportion of time spent on core activities of emergency medical teams is the most significant among linear mobile teams (13%). From a third to half of the working time of all teams goes to support activities (moving to the place of call and medical support along the way). The average travel time of the teams in question had no statistically significant seasonal differences. 39-59% of the time of change of medical personnel of emergency medical teams is spent on official activities. The severity of the labor process of medical personnel of emergency medical teams is mainly determined by the weight of the lifted and moved cargo manually, body slopes. The General class of working conditions on the severity of the labor process in all ambulance crews can be attributed to the severe second degree. In assessing the intensity of the labor process in terms of intellectual and emotional stress, the nature of the work performed, as well as the mode of work revealed the Third class of working conditions (harmful) of the third degree. Conclusions. Most of the time spent by ambulance crews is related to support activities related to the movement of vehicles. As a result of the study, the work of emergency medical workers is attributed to the severity and intensity of the harmful second and third degrees, respectively. The data obtained require the development of preventive measures aimed at preserving the health of this group of medical workers.