Occupational Medicine and Health Insurance System

Skills Laboratory Activity

TOPIC 1: OCCUPATIONAL HISTORY TAKING

General Objectives:
After completion of skill laboratory practice the student will be able to perform basic occupational
anamnesis

Specific Objectives:
At the end of skill laboratory practices, the student will be able to perform the procedure of
occupational History Taking

Syllabus Description
Sub Model Objective
After finishing skill practice of clinical examination, the students will be able to perform
occupational History Taking appropriately and comprehensively

Expected Competencies
Student will be able to demonstrate occupational history taking as a part of the process to
determine an occupational disease

Methods
a. Demonstration
b. Coaching
c. Self-practices
d. Role play

Laboratory Facilities:
a. Class Room
b. Scenario
c. Trainers
d. Student Learning Guide

Equipment
-

Venue
Training room (Skills Laboratory)

Evaluation
a. OSCE
b. Point nodal evaluation

Reference
a. Permenkes No.56 Tahun 2016 tentang Penyelenggaraan Pelayanan Penyakit Akibat Kerja
b. Buku Ajar Ilmu Kedokteran Okupasi, BKS IKM-IKK-IKP
c. Schwerha, J.J. Occupational History. Graduate School Of Public Health. University Of Pittsburgh
Occupational History Taking Checklist Guidelines

Performance Scale
No Procedures 0 1 2
1. Say Basmalah
A. CLIENT ASSESSMENT
2. Greet the patient respectfully and with kindness
Introduce yourself properly, ask identity (name, age, address,
3.
marital status, occupation, etc.) politely with empathy
4. Give attention to the patient, not writing while listening
5. Use an open question to ask a chief complaint
6. Informed consent
B. HISTORY TAKING
Chief complaints
7. Onset of complaint
8. Duration of complaint
9. Frequency of complaint
10. Intensity and quality of complaint, use pain scale if needed
11. Aggravating factors
12. Relieving factors
Associated manifestation, acute (e. g fever, nausea, vomiting) and
13.
chronic (weight loss, malaise, fatigue, anorexia)
14. History of previous treatment/self-medication
15. History of previous illness
B. OCCUPATIONAL HISTORY
1. Working duration
What work do you do? or Do you have a job?
16. or What is your job? or What do you do for a living? (Record name
and address of employer)
17. Is it full time or part time?
How long have you been doing this job?
18. In what year and month did you start? (if possible)
How long is your working day (minute or hours)?
Do you do shifts and what is the shift rotation?
19.
What is typical working day for you (number of days and time
(day/night)?
2. Working activities and Hazard Exposure
20. What tasks do you do?// apa yang dilakukan di tempat kerja?
21. What processes do you work with?// proses apa yang dilakukan?
(tergantung pekerjaannya)
How often did you do the process in a working day? For how long
22.
each day?// seberapa sering? Berapa lama dalam sehari? Apakah
istirahat?
23. What materials do you work with?// alat kerja yang digunakan apa?
Do you have or have you had occupational exposure to fumes,
24. chemicals, dust, loud noises, vibration, radiation or other
occupational hazards?// apakah ada bahaya di tempat kerja seperti
debu, suara bising, getaran, atau hazard lainnya?
3. Hazard Identification
Have you been told that any of these might make you ill, that is, are
25.
hazardous?// Pernahkah Anda diberitahu sebelum bekerja tentang
k3 atau penilaian bahaya di tempat kerja dll?//
26. Do you have a label, hazard sheet or hazard assessment?// ada label
ga atau penilaian bahaya?
 Performance Scale
No Procedures 0 1 2
27. How might you be exposed to this hazard?// ada ga kemungkinan
terpapar dirumah? Atau tempat lain?
28. What is the extent of your exposure to these materials?
4. Hazard control and risk prevention
29. How is exposure controlled?// apakah ada upaya pengendalian
bahaya dari atasan?
30. Is there local extract ventilation?// apakah ada ventilasi atau jendela
atau lainnya?
31. Do you wear special protective clothing?// apakah menggunakan alat
pelindung diri?
32. Do you have any special medical tests because of this work?// pernah
diperiksa ga di tempat kerja? Atau pas awal kerja? Apa aja yg
diperiksa?
Does anyone at work have the same symptoms or other health
33.
problems?// kalo lg gakerja apakah ada keluhan ini bu?
5. External Hazard Exposure
Do you have a second (or third) job?
34. If so, repeat questioning.// punya pekerjaan lain?
35. What are your hobbies and past times?// Apa hobi dan hiburan
Anda?//
36. What daily activities or housework do you do?// Apa kegiatan sehari-
hari atau pekerjaan rumah yang Anda lakukan?
Do any of these hobbies or activities bring you into contact with
37.
chemicals, impure chemicals, breakdown products?// Apakah
salah satu dari hobi atau aktivitas ini membuat Anda
bersentuhan dengan bahan kimia, bahan kimia yang tidak
murni, produk pengurai?
Are there any sources of environmental pollution in your area? For
38.
example, factories, waste sites or contaminated sources of water//
Apakah ada sumber pencemaran lingkungan di daerah Anda?
Misalnya, pabrik, tempat pembuangan sampah, atau sumber air
yang terkontaminasi
6. Previous Occupation
39. What jobs have you had since you left school?// Pekerjaan apa yang
dimiliki sejak meninggalkan sekolah?//
40. Have you served in the Armed Forces?// Apakah Anda pernah
bertugas di Angkatan Bersenjata?
41. Have you worked overseas?// Apakah Anda pernah bekerja di luar
negeri?
Has anyone who worked with you in the past had the same
42.
symptoms or other health problems?// Apakah ada orang
yang pernah bekerja dengan Anda di masa lalu memiliki
gejala yang sama atau masalah kesehatan lainnya?
7. Resume of the history taking
Based on the history above, I conclude that there is a possibility of a
43. relationship between your work and the complaints you are
experiencing at this time. To make sure it will be examined further
Note:
0 = if the student does not do the step
1 = if the student does do the step incomplete/unsatisfactory
2 = if the student does do the step complete & satisfactory