After the initial medical evaluation, we use the following 3 questions in an online questionnaire. A person who answers yes to any one is automatically referred to the Occ Med Service.

 

Since your most recent medical evaluation for respirator use, has your health worsened in any way or have you developed a medical condition that may interfere with your ability to wear the previously fit tested respirator?

 

Have you been told by a health care professional, your supervisor, or the respirator program administrator that you should be medically reevaluated?

 

Has there been a change in workplace conditions, for example, physical work effort, protective clothing or temperature, that has resulted in a substantial increase in the physical burden on you?

 

Lawrence D. Budnick, MD, MPH

Director, Occupational Medicine Service

Associate Professor of Medicine

Rutgers University - New Jersey Medical School

65 Bergen Street, Suite GA-167, Newark, NJ 07107

tel 973.972.2900

fax 973.972.2904

lawrence.budnick@rutgers.edu

 

CONFIDENTIALITY NOTICE: This email communication may contain private, confidential, or legally privileged information intended for the sole use of the designated and/or duly authorized recipient(s). If you are not the intended recipient or have received this email in error, please notify me immediately by email and permanently delete all copies of this email, including all attachments without reading them. If you are the intended recipient, please secure the contents in a manner that conforms to all applicable state and/or federal requirements related to privacy and confidentiality of such information. Thank you.

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Monday, February 08, 2016 5:01 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Respiratory Fit Testing

 

No we use a shorter version that basically asks for updated information or changes

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Tebolt, Allison
Sent: Monday, February 08, 2016 4:18 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Respiratory Fit Testing

 

No, only at time of hire, then an abridged questionnaire as part of their annual health screening.

 

From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org@mylist.net] On Behalf Of Conlin, Diane
Sent: Monday, February 08, 2016 4:15 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Respiratory Fit Testing

 

Looking to see what others do for the Fit Testing questionnaire for the N95 – do you provide the full form each year?

 

 

Diane Conlin, RN

Employee Health  & Safety

St Joe’s and Midway

Health East Care System

St. Paul, MN 55103

 

Office: 651-232-4487

Fax: 651-326-3083

 

dlconlin@healtheast.org

 

 

 

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