GENERAL HEALTH ASSESSMENT EXAMINATION (New
Hire, Annual, Periodic)
RESPIRATOR CLEARANCE EXAMINATIONS (29 CFR
1910.134)
Respirator Clearance Exams are performed prior to the employee being fit tested or required to use a respirator and to current employees who annually give positive responses to any questions among question 1 through 8 of the below sited questionnaire.
The following services will be routinely performed as part of a Respirator Clearance Examination:
- OSHA Respirator Medical
History Questionnaire
- Review of
Medical/Occupational History
- Medical Exam and Counseling
Report
- Height /Weight
- Blood Pressure
- Pulmonary Function Screen
- Urine Dip for sugar and
protein.
RESPIRATOR CLEARANCE EXAMINATIONS FOR
OCCUPATIONAL EXPOSURE TO TUBERCULOSIS (29 CFR 1910.139)
All individuals will be required to complete an
OSHA Respirator Medical Evaluation Questionnaire and Tuberculosis Screen. Based on the
review of the questionnaire and screen, if no pertinent medical conditions are identified,
the employer will receive the “Medical Screening Statement”. After review of the
above questionnaires, individuals with a positive history and/or symptoms will be
scheduled for a Respirator Clearance Examination.
The following services will be routinely performed as part of a Respirator Clearance
Examination:
- Review of
Medical/Occupational History
- Medical Exam and
Counseling Report
- Height /Weight
- Blood Pressure
- Pulmonary Function Screen
- Urine Dip for sugar and
protein.
ASBESTOS MEDICAL SURVEILLANCE (29 CFR
1910.1001)
The following services will be routinely
performed for Asbestos Medical Surveillance Examinations:
- Administration of the
Asbestos Initial Medical Questionnaire Part 1 or Part 2 (Periodic Exams)
- Asbestos Medical
Surveillance Employee Questionnaire Report
- Medical Exam and Counseling
Report
- Height/Weight
- Blood Pressure
- Stool test for occult blood
- Pulmonary Function Screen In
addition, a two-view chest x-ray will be performed according CFR 1910.1001 recommended
frequency table and pre-assignment to occupation with asbestos exposure.
| Years of Exposure |
Age of Employee: |
|
15 - 35 |
35 - 45 |
45+ |
| 0 - 10 |
Every 5 Years |
Every 5 Years |
Every 5 Years |
| 10+ |
Every 5 Years |
Every 2 Years |
Every Year |
|
All chest x-rays will be interpreted by a radiologist with “B” Reader
Certification and according to the International Classification of Radiographs for
Pneumoconiosis (LO-U/C).
FORMALDEHYDE MEDICAL SURVEILLANCE (29 CFR
1910.1048)
The following services will be routinely
performed for Formaldehyde
Medical
Surveillance Exams:
- Completion of initial
“Formaldehyde Medical Surveillance” Questionnaire or an Update
- Medical Exam and Counseling
Report
- Height/Weight
- Blood Pressure
- Urine Dip for sugar and
protein
- Pulmonary Function Screen
HAZARDOUS MATERIALS (HAZMAT) RESPONSE TEAM
EXAMS (29 CFR 1910-120)
The following services will be routinely
performed as part of a HAZMAT Examination:
- OSHA Respirator Medical
Evaluation Questionnaire
- Review of
Medical/Occupational history
- Height/Weight
- Audiogram, Pulmonary
Function Screen
- Chemistry Profile
- Electrocardiogram for age 35
and over
- Physical Examination
- Blood Pressure
- Vision
- Complete Blood Count
- Routine Urinalysis
Lead Medical Surveillance(29 CFR 1910.1025)
The following services will be routinely
performed as part of a Lead Medical Surveillance Examination:
- OSHA Respirator Medical
Evaluation Questionnaire
- Review of
Medical/Occupational History
- Height/Weight, Pulmonary
Function Screen
- Chemistry Profile, Blood
Lead, Physical Examination
- Blood Pressure
- Complete Blood Count
- Routine Urinalysis
- Zinc Protoporphyrin
Hazardous Waste Operations Examinations (29
CFR 1910.120)
The following services will be routinely
performed as part of the Hazardous Waste Operations Examination:
- OSHA Respirator Medical
Evaluation Questionnaire
- Review of
Medical/Occupational History
- Height/Weight
- Audiogram, Pulmonary
Function Screen
- Chemistry Profile
- Electrocardiogram
- Serum PCB, Physical
Examination
- Blood Pressure
- Vision
- Complete Blood Count
- Urinalysis, Blood Lead
- Stool for Occult Blood
- Trglycerides
- Liver Profile
- Urine Heavy Metal Screen
- RBC Cholinesterase.
AUDIOMETRICS (29 CFR 1910.95)
United Occupational Medicine will perform
baseline and annual audiograms for the Company. All audiograms will be performed by a
certified hearing conservationist. Any abnormal audiograms which demonstrate a standard
threshold shift will be reviewed by a certified, hearing conservationist with
recommendations being forwarded to the Company.
The employee will be asked to complete and sign a “Hearing Conservation Program”
form.
In accordance with OSHA Standard 29 CFR 1910.95 (g) (8), if a comparison of the annual
audiogram to the baseline audiogram indicates a standard threshold shift, the employee
shall be informed by the employer of this fact in writing within twenty-one (21) days of
the determination. The Company will be responsible for complying with this OSHA Standard.
Please note: Individuals scheduled for testing must not be exposed to any loud
noise environment (e.g. bowling, motorcycles, target shooting, rock concerts, etc.) for a
minimum period of fourteen (14) hours prior to testing; however, hearing protection may be
used as a substitute to exposure to work place noise.
BLOOD BORNE PATHOGEN POST-EXPOSURE FOLLOW-UP
(29 CFR 1910.1030)
United Occupational Medicine has the ability to
provide follow-up care for anyone who has a work- related exposure to blood or body
fluids. The following services are available to meet the requirements OSHA now mandates:
PRE-EXPOSURE
- Hepatitis B Vaccination: a
series of three (3) injections administered at 0, 1 and 6 months.
- If requested,
pre-vaccination Hepatitis Profile can be done to determine antibody status.
- Pre-exposure Hepatitis B
Vaccination and/or antibody status will be billed to employers at the prevailing rates.
POST-EXPOSURE
- Twenty-four (24) hour access
for initial post-exposure services.
- Post-exposure medical
evaluation and follow-up counseling.
- Antiretroviral prophylaxis
for high risk exposures.
- HBV status and update.
- Confidential HIV counseling
and testing. The staff at United Health Services Hospitals are trained HIV Counselors. In
addition, United Health Services Hospitals Infection Control Nurses are available as
needed for consultation.
- The OSHA required employer
report of medical evaluation will be forwarded to the designated company representative.
All records are maintained in a confidential file.
BLOOD BORNE STANDARD TRAINING AND EDUCATION
(29 CFR 1910.1030)
The Company must develop an Exposure Control
Plan that identifies all employees with occupational exposure, the procedure for
evaluation of exposure incidents, a schedule for implementing all provisions of the
standard and educate employees on company plan/policy/procedure. This can be done before
or in coordination with/after United Occupational Medicine training.
United Occupational
Medicine staff can provide the following training and education:
- Explanation of the OSHA Blood borne Standard.
- Explanation of Hepatitis B
and its implication(s).
- Explanation of Hepatitis B
Vaccine.
- Explanation of HIV and its
implication(s).
- Presentation of a video
which defines work place exposure and a question and answer period.
