Although I conceptually agree with your thoughts on this, the task is huge. I also agree with Warner that this would be an HR nightmare. Again, we base our decisions on fitness for duty on work performance. The one thing we do is review transfers. This is mainly a paper review. However, if the employee is going to a more physically demanding job and they have had accommodations already, it provides us the opportunity to review and update as needed.

Phil Adamo, M.D., MPH
Baystate Health, Springfield MA 


 
On Mar 24, 2016, at 5:31 PM, Hudson, T. Warner <TW, the task is Hudson@mednet.ucla.edu> wrote:

We are not doing that here; you are right…  annual TB test and TB questionnaire plus flu vaccine (or mask) is what we do.  Taking on what you are describing here at this time would be herculean and fraught with all sorts of issues; ADA, legal, labor relations, staffing, operations overload, etc.
 
Best of luck though,
 
Warner
 
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231  ID 27132
 
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Galaid Edward I
Sent: Thursday, March 24, 2016 2:26 PM
To: mcoh-eh@mylist.net; Occ-Env-Med-L@listserv.unc.edu
Subject: [MCOH-EH] Annual health evals for hospital employees
 
XPosting MCOH and OEM-L.
 
We are re-evaluating our annual health eval for hospital employees.  Currently it’s just the minimum that we have to… just the TST and symptom survey. 
 
There are a couple of things that I think would be worthwhile to be checked on an annual basis, because they aren’t static determinations, and our employee population is aging.  I’d would be interested in the lists’ thoughts.     
 
Looking at those involved in direct patient care and others here in safety sensitive positions.   Considering annual checks of near and far visual acuity, a BMI, and a med list review.  The vision is pretty straight forward…being able to properly perform essential job functions…..  The other two focus on impairment of situational awareness, executive functioning, judgement and vigilance.   Get a BMI (as arguably a rough screen) for OSA, and do a med reconciliation for sedating meds or polypharmacy.  Based upon findings, encourage going back to personal MD for further assessment with a “Dear Doctor” letter.
 
Shared ideas or experience with these issues appreciated.
 
Ed Galaid
 
Edward I. Galaid, MD, MPH
ABIM, ABPM
Medical Director, Occupational Health Partners
Roper St. Francis Healthcare   Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health
843-906-0519
 
 

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