{"id":1237,"date":"2026-05-21T04:00:00","date_gmt":"2026-05-21T07:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1237"},"modified":"2026-05-21T04:00:00","modified_gmt":"2026-05-21T07:00:00","slug":"pgrss-clinica-medicina-trabalho-ocupacional-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-medicina-trabalho-ocupacional-rss\/","title":{"rendered":"PGRSS cl\u00ednica medicina do trabalho ocupacional"},"content":{"rendered":"<h2>Por que medicina do trabalho tem perfil espec\u00edfico<\/h2>\n<p>Cl\u00ednica de medicina do trabalho realiza <strong>exames admissionais<\/strong> + <strong>peri\u00f3dicos (anual\/semestral)<\/strong> + <strong>demissionais<\/strong> + <strong>mudan\u00e7a de fun\u00e7\u00e3o<\/strong> + <strong>retorno ao trabalho<\/strong>. Combina <strong>avalia\u00e7\u00e3o cl\u00ednica<\/strong> + <strong>audiometria<\/strong> + <strong>espirometria<\/strong> + <strong>acuidade visual<\/strong> + <strong>ECG (alguns casos)<\/strong> + <strong>monitoriza\u00e7\u00e3o biol\u00f3gica (NR-7 anexo II \u2014 chumbo, merc\u00fario, benzeno, pesticidas)<\/strong>. Volume alto de pacientes (50-200\/dia em cl\u00ednica m\u00e9dia). Opera sob RDC 222 + RDC 50 + NR-7 (PCMSO) + NR-9 (PGR) + Resolu\u00e7\u00e3o CFM 1.488\/1998.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Tubo coleta sangue (HEMO + glicemia + lipidograma)<\/td>\n<td>E + A1 risco aumentado<\/td>\n<td>5-15 kg<\/td>\n<\/tr>\n<tr>\n<td>Tubo NR-7 anexo II (chumbo, merc\u00fario, benzeno)<\/td>\n<td>E + A1 RA + B (metal pesado)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Bocal espirometria descart\u00e1vel + filtro<\/td>\n<td>A1 baixa<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Oliva audiometria descart\u00e1vel<\/td>\n<td>A1 baixa<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material exame f\u00edsico (luva, esp\u00e1tula)<\/td>\n<td>A1 baixa<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>11-31 kg\/m\u00eas<\/strong> (cl\u00ednica m\u00e9dia).<\/p>\n<h2>Cap\u00edtulo NR-7 monitoramento biol\u00f3gico<\/h2>\n<p>NR-7 anexo II exige monitoramento biol\u00f3gico para trabalhadores expostos:<\/p>\n<ul>\n<li><strong>Chumbo<\/strong>: chumbo no sangue + ALA-D (mensal\/trimestral)<\/li>\n<li><strong>Merc\u00fario<\/strong>: merc\u00fario na urina (mensal)<\/li>\n<li><strong>Benzeno<\/strong>: \u00e1cido S-fenilmercapt\u00farico urin\u00e1rio (semestral)<\/li>\n<li><strong>Pesticidas<\/strong>: colinesterase eritrocit\u00e1ria (semestral)<\/li>\n<\/ul>\n<p>Tubo de coleta + reagente desses exames = <strong>A1 RA + B metal pesado<\/strong> (descarte espec\u00edfico). Coletora especializada com manifesto MTR + chain of custody.<\/p>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio medicina do trabalho:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Cl\u00ednica m\u00e9dia (ocupacional + audio + espiro):<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (com NR-7 metal pesado + biomonitoramento):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Tubo NR-7 chumbo no Grupo D \u2014 \u00e9 A1 RA + B (metal pesado)<\/li>\n<li>Bocal espirometria reutilizado entre pacientes \u2014 descumpre RDC 50<\/li>\n<li>Sem ART espec\u00edfica para escopo NR-7 \u2014 RT precisa habilita\u00e7\u00e3o extra<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica medicina do trabalho<\/a><\/strong> \u2014 cap\u00edtulo NR-7 anexo II + biomonitoramento + alto volume.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de medicina do trabalho: admissional, peri\u00f3dico, biol\u00f3gico, audiometria, espirometria. NR-7 PCMSO.<\/p>\n","protected":false},"author":3,"featured_media":1236,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2169,1345,309,22],"class_list":["post-1237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-medicina-do-trabalho","tag-nr-7-2","tag-pcmso","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1237","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1237"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1237\/revisions"}],"predecessor-version":[{"id":3861,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1237\/revisions\/3861"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1236"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1237"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1237"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}