URINE DRUG TESTING

(Pre-employment, random, for-cause, post accident, DOT, etc) All urine drug screens included the cost of Medical Review Officer Services. Testing procedures include extra processes to identify the use of adulterants.

• Non-DOT urine drug screen
  
• Panel 5
  
• Amphetamines, Cocaine Metabolites, Marijuana Metabolites, Opiatesand Phencyclidine
  
• Panel 9
  
• In addition to Panel 5, includes Barbiturates,
• Benzodiazapines,Methadone, and ropoxyphene.
  
• DOT urine drug screen
  
• NIDA 5 - Amphetamines, Cocaine Metabolites, Marijuana Metabolites, Opiates and Phencyclidine

BREATH ALCOHOL TESTING

All breath alcohol tests are performed by certified “Breath Alcohol Technicians” and includes the cost of confirmation of positive results. The evidential breath testing (EBT) equipment used for this service is approved by the National Highway Safety Administration. Prior to testing, the individual will be required to sign a testing form (U.S. Department of Transportation (DOT) or non-regulated) Breath Alcohol Testing Form”, which documents the individual will submit to a breath alcohol testing, the name of the Breath Alcohol Technician conducting the test, and the results of the test. The procedure for breath alcohol testing is available on request.

Results will be given to the employer in a confidential manner. Such reports may be in writing, in person, or by telephone or electronic means. The Breath Alcohol Technician shall ensure immediate transmission of results that require the employer to prevent the employee from performing a safety sensitive function.

MEDICAL REVIEW OFFICER SERVICES

Medical Review Officer (MRO) services are available for interpretation of drug test results. The MRO is a licensed physician knowledgeable in the medical use of prescription drugs and the pharmacology and toxicology of illicit drugs. For all positive test results the MRO will conduct a medical interview by phone or in person, including review of medical history or any relevant biomedical factors, prior to reporting a positive result to the Company. The MRO will advise the individual of the right to have the secondary split specimen tested if the request is made within 72 hours of the notification of a verified positive result. If the MRO is unable to reach the individual who has tested positive after several attempts over five (5) business days, the MRO will notify the Company and request the Company ask the individual to contact the MRO.

RANDOM PROGRAMS AND CONSORTIUM POOLS

United Occupational Medicine will provide “computerized randomization services” for drug and/or alcohol testing at the employer’s request. Testing is required at least quarterly to meet federal DOT regulations. Employers not regulated under DOT regulations may set their own frequency and numbers based on Company policy. It is the Company’s responsibility to provide United Occupational Medicine with an accurate employee list at the same frequency of the requested random draws. United Occupational Medicine manages several Consortium Pools for both large and small employers. The Company will receive quarterly and annual reports indicating the number of employees tested and the number of positive tests.

WORKSITE NURSING SERVICES

United Occupational Medicine at United Health Services Hospitals provides Worksite Nursing Services from four (4) to forty (40) hours per week based on the Company’s needs. Services are rendered by Registered Professional Nurses experienced in Occupational Health Nursing. The Occupational Health Nurse may provide the normal range of Company Nurse Services which may include:
Provide pre-employment and annual nurse assessments including height, weight, blood pressure, vision testing, and urine multistix.

Coordinate and assist in scheduling the appropriate OSHA required medical surveillance programs per Company’s needs.
Audiometric programs, to the extent that Company equipment is available.

Sick call and first aid services, providing first aid services in accordance with regulations and guidelines specified under the Occupational Safety and Health Act of 1970 and 29 CFR Part 1904.
Perform Ergonomic Evaluations of work stations and make appropriate recommendations.

Administration of approved medications in accordance with physician protocol.

Administration of immunization updates, facilitation of travel immunizations.

Participate, where appropriate, in Company Wellness Programs.
Active participation on Safety Committees, Ergonomic Committees, etc. The Occupational Health Nurse may act as the Case Manager for Workers’ Compensation and Disability Claims at the Company’s request. Duties may include:

• Secure and review Injury Reports and report with appropriate employee authorization pertinent information, as defined by the Company, to the Safety Committee or as directed.
  
• Prepare and file Workers’ Compensation Form C-2.
  
• Secure documentation, with appropriate employee authorization, from medical providers on necessity for absence from work due to Workers’ Compensation covered injury/illness.
  
• Monitor employees after Workers’ Compensation covered injury/illness to reduce lost work time and assist employee in early return to work.
  
• Assist the Company in identifying light and/or modified duty assignments.
  
• Coordinate and communicate with employees, physicians, department and insurance carriers the most feasible return to work.

TUBERCULIN SKIN TESTING PPD (Mantoux)

United Occupational Medicine will administer baseline, annual, and post-exposure Mantoux Skin Testing for the Company. The employee will be questioned regarding previous skin testing results. If an employee reports a history of a positive skin test, further tuberculin skin testing will not be performed. Those employees reporting positive skin test will complete a Tuberculosis Screen. If there are no physical symptoms, nothing further will be required. If there are positive findings from the questionnaire, employee will be referred to their primary care physician or the Broome County Health Department Chest Clinic.

The intradermal skin testing is done with 0.1 ml of 5 TU PPD test material (Tubersol), using a tuberculin syringe with a 27 gauge needle. The test must be interpreted by United Occupational Medicine 48 to 72 hours after administration. If the individual does not return within the 72 hour period, the test will be repeated on the other arm after seven (7) days or more after the initial skin test. Interpretations will be made according to the “Positive Tuberculin Skin Test Table”. Individuals who are positive converters will be referred to their private medical doctor or the Broome County Health Department Chest Clinic. Testing following a suspected exposure to tuberculosis will occur as follows: if a Mantoux Skin Test has not been done within the past 12 months, a baseline test will be done and then repeated twelve (12) weeks post-exposure.