Skip to Content

Occupational Medicine

Occupational MedicineAt UHS Occupational Medicine, our job is to help you reduce workplace hazards and other health issues that can affect employee productivity and, ultimately, customer service and bottom-line success. The services we offer include prevention of illness and injury, ergonomics consultation, matching the right people with the right jobs to avoid accidents, diagnosis and treatment of work-related conditions, and injury and illness follow-up care.

In addition, we are your one-stop source for the full range of employee physical examinations, including new-hire, fitness-for-duty, job placement, OSHA medical surveillance, Department of Transportation, and periodic exams, as well as for drug and alcohol testing, international travel and preventative immunizations, and on-site nursing services.

Our Express Care service specializes in treating the most common types of work-related mishaps, such as cuts, bruises, sprains and strains. It’s a less-expensive alternative to the emergency room, and usually faster than a trip to the family doctor.

UHS Occupational Medicine is here to provide you with a reliable, low-cost way to keep your company as healthy, hazard-free and highly productive as possible. When it comes to workplace wellness, we’re the experts on your team.

*Not all services available at all sites

Contact Us

  • UHS Binghamton General Hospital: 762-2333
  • UHS Delaware Valley Hospital: 865-2414

Services

Express Care

Express Care, located at 33 Mitchell Ave. in Binghamton, is open Monday through Friday from 7:30 a.m. to 4:30 p.m. This walk-in clinic specializes in occupational health care, currently providing services for well over 600 area businesses.

When it comes to work-related injuries, United Occupational Medicine's Express Care is a less-expensive alternative to the emergency room and usually faster than getting in to see the family doctor. Express Care specializes in treating the most common types of work-related mishaps, such as cuts, bruises, sprains and strains.

Both employers and employees like Express Care because of its speed, convenience, quality and prompt client service. As the employer, you can expect a call from an occupational health nurse to let you know when the employee will be able to return to work and whether he or she will need modified or transitional work arrangements until fully recovered.

If additional treatment or services are needed, Express Care staff assist the employee in making arrangements for that care.

Physical Examinations

GENERAL HEALTH ASSESSMENT EXAMINATION (New Hire, Annual, Periodic)

General Health Assessments provide employers with a "snapshot" of the candidate's health status and documentation of pre-existing conditions. For employers regulated by the New York State Department of Health, this exam will meet the regulatory requirements for assessment of health status and freedom from communicable disease. The candidate will complete a full medical history. The exam consists of review of medical history, physical exam, height, weight, blood pressure, vision screen, and urine dip for sugar and protein. Examination results will be reported on the United Occupational Medicine's "Physical Examination" form or a customer designated form. Additional laboratory or radiology services may be ordered on the Customer Request Form at an additional cost.

FITNESS FOR DUTY EXAMINATION

Worried about your employees' readiness to return to work after an extended illness or injury? Let United Occupational Medicine provide you with a second opinion based on our knowledge of your workplace and the physical requirements of the job. The Fitness for Duty exam provides a second opinion on the employees readiness to return to work after an injury or illness. The Company must provide information on the physical requirements of the job for which the employee is being evaluated. The primary treating physician must have released the employee for return-to-work. All medical records and authorizations are to be made available by the employee to the United Occupational Medicine physician at the time the fitness for duty examination is performed. The United Occupational Medicine physician may communicate with the primary treating physician for clarification of the employee's current health status and may make recommendations for further evaluation if the illness or injury indicates such information be obtained. UHS will obtain Company approval prior to such further evaluation. In all cases, the final decision as to the employee's fitness for duty shall be made solely by the Company.

DRIVER EXAMINATIONS (CDL, 19A)

The Driver Exam meets Department of Transportation Federal Highway Administration requirements for CDL holders, Parts 391.41 and 391.43 and Department of Transportation requirements for Bus Drivers (19A). The exam will be reported on the "New York State Motor Truck Association" form. The candidate will be requested to complete the medical history section of the form. The health care provider will review the medical history, perform physical exam, vision screen, blood pressure, pre and post exercise heart rate, urine dip for sugar and protein, and an audiogram. Drivers successfully completing this exam will receive a medical certificate indicating driver qualification for up to two (2) years.

SPECIFIC JOB PLACEMENT EXAMINATIONS

Let us help you put the "right person" in the "right job". United Occupational Medicine will evaluate all your productions jobs and use the gathered information to assist you in matching the "right job" to the "right person". Through self-disclosure, physical findings, strength and flexibility testing, and evaluation for repetitive injury findings the candidate is compared to the actual essential functions (physical requirements) of the proposed job. Securing documentation for pre-existing conditions and prior injuries may reduce your future cost by prevention of re-injury and decrease financial liability for such claims. Job Assessments are a key component of this exam. Together with a company representative, an Occupational Health Nurse will visit each production work site and collect the physical requirements of each job. The results of the Job Assessments will be retained in a database for use in conjunction with each physical exam and a specific job offer. The Company must provide the candidate's proposed job title prior to the exam to facilitate proper screening. The candidate will be requested to complete a medical history, risk assessment, and ability assessment. The health provider will review the medical and occupational history and document pre-existing conditions and/or injuries on the "Physical Examination" form. This evaluation included as part of the exam is a flexibility and repetitive motion screen, height, weight, blood pressure, vision, and urine dip for sugar and protein.

PHYSICAL DEMANDS SCREEN (Lift Test)

A New Hire Physical Demands Screen is an assessment of an employment candidate's ability to perform the physical demands required of the job offered. The Screening is performed in a controlled setting, simulating the physical demands of the job tasks required. The benefit of the new hire screening is to provide the employer with information regarding the candidate's physical ability to perform the job requirements. This screen will enable the employer to make alternate arrangements or accommodations for the employee , if necessary, to increase safety and reduce risk of an injury on the job. The Physical Demands Screen must be preceded by a physical exam with medical clearance prior to lift test performance. A lift test would be contraindicated in candidates with certain acute conditions.

OSHA Examinations

Occupational Safety and Health (OSHA) Examinations

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 UHS Hospitals are trained HIV Counselors. In addition, UHS 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.

Other Examinations

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 UHS 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.

HEPATITIS B IMMUNIZATIONS

United Occupational Medicine will provide a series of Hepatitis B Immunizations to all employees designated by the Company and desiring the vaccinations. The vaccine is a series of three (3) injections given over a six (6) month period. Prior to receiving the vaccine, each recipient will be given the opportunity to have any questions or concerns about the vaccine answered. Each recipient will be required to sign a UHS Hospitals “Hepatitis B Immunization Consent/Declination” form prior to receiving the vaccine.

Industrial Rehabilitation Programs

Needs Assessment

A needs assessment is a process by which appropriate company information related to ergonomics is reviewed and analyzed to determine appropriate recommendations and/or services to reduce ergonomic related problems. The needs assessment would consist of any or all of the following: review of injury data, review of current ergonomic initiatives, and completion of a facility walk through.

Ergonomic Analysis

Assessment of a work process and workstation to identify ergonomic risk factors related to any of the following: workstation, environment, equipment, tools, materials, processes, tasks and/or work practices as it relates to the musculoskeletal system. Recommendations for ergonomic improvements to reduce and/or eliminate identified risk factors and ongoing consultation to assist with possible solutions would also be provided.

Physical Demands Job Analysis

Video analysis process to evaluate a specific job(s) to determine the physical demand requirements of the job(s). Results can be utilized when comparing an employee's physical demand abilities to the job requirements. It also provides information necessary for a job modification program, to place an employee with specific restrictions, and for defining physical demand requirements in job descriptions.

Injury Prevention Training Programs

Various educational programs related to musculoskeletal injury prevention, common work related musculoskeletal disorders and their signs and symptoms, musculoskeletal risk factors, ergonomic solutions to reduce and/or eliminate risk factors, fitness and wellness programs. Educational programs can include new employee orientation, annual employee education, individual employee and/or group education programs, management programs and/or education programs tailored to the specific needs of the company.

Therapeutic Services

Physical/Occupational therapy for the injured employee involving evaluation and treatment necessary in the management of pain and rehabilitation necessary to perform job activity. Ongoing assistance with job/duty modification, determination for full duty return to work readiness and on the job rehabilitation. Evaluation and treatment will be performed utilizing accepted principles, methods and procedures of measurement, prediction, evaluation, and treatment to assess and progress patient's strengths and limitations, and to assist the patient to achieve objective short and long term goals.

Physical Demands Job Analysis

Assessment of an employment candidate's ability to perform the physical demand requirements of the job offered. The screening of physical demands will be performed simulating or performing job tasks required. Results can be utilized to make alternate arrangements or accommodations, if necessary, for the employee to increase safety and reduce risk of on the job injury. (Requires physical demands job analysis.

Onsite Exercise Program

This one-hour training program will provide participants with instruction in performing a general exercise program at the worksite, as well as information on the benefits of a general exercise program to improve muscle tone, reduce fatigue, and increase strength. The program consists of instruction, demonstration, and audience participation in exercise performance. To achieve maximum benefit, a maximum of 15-20 people per program is recommended.

Ergonomic Program Development and Management

Consultation and assistance in the establishment of a company wide injury prevention/ergonomic program including establishment of a committee outlining member roles, developing a written program, provision of necessary training programs, and participation in committee meetings on a regular basis to address injury prevention issues. This program is designed to help companies meet the new OSHA ergonomic standard.

Related Locations