[MCOH-EH] Pre-Placement Physicals RE: MCOH-EH Digest, Vol 251, Issue 61

Sharon Petersen Sharon.Petersen at imail.org
Thu May 12 10:53:01 PDT 2016
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Like Dr. Galaid we do not perform full pre-placement physicals. We have one advanced practice provider and 40 BSN or MSN registered nurses that perform the pre-placement evaluations. They review the health history form and OSHA respiratory questionnaire and refer red flags to the APP or one of our occupational health physicians.
 
Be well.

Sharon Petersen, MHA, BSN, RN, COHN/CM
Intermountain Healthcare
Director, Employee Health Operations
sharon.petersen at imail.org 



-----Original Message-----
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Sent: Thursday, May 12, 2016 10:29 AM
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Subject: MCOH-EH Digest, Vol 251, Issue 61

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Today's Topics:

   1. Re:  Pre-Placement Physicals (Sajjad_Savul at bayhealth.org)
   2.  Pre-Placement Physicals (Galaid Edward I)
   3. Re:  Pre-Placement Physicals (Steivang, Kristen)
   4. Re:  Pre-Placement Physicals (Sampson, Deborah)


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Message: 1
Date: Thu, 12 May 2016 11:38:51 -0400
From: Sajjad_Savul at bayhealth.org
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: "MCOH/EH" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Pre-Placement Physicals
Message-ID:
	<OF9609331D.F5A332CA-ON85257FB1.0055F491-85257FB1.0055F491 at Bayhealth.Org>
	
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Message: 2
Date: Thu, 12 May 2016 15:44:30 +0000
From: Galaid Edward I <Edward.Galaid at RoperSaintFrancis.com>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Pre-Placement Physicals
Message-ID:
	<FAA0ECAF1FE82745A606A3449B1A355C47B46749 at CARHLADEXMBX01.carealliance.com>
	
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When I came here in 2014, I revamped the medical and occupational history forms that are completed by job candidates, and reviewed by our nurses.  They are not APPs.  They flag issues of concern for me to review.  Sometimes I will see the candidates personally, and sometimes I do a telehealth visit.  Vitals, visual acuity, respiratory protection program are all run by the nurses, with me as backup.

Have pretty much gotten away from the full blown exam like we did "back in the day."

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



-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Thursday, May 12, 2016 11:12 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 60

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When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1.  Pre-Placement Physicals (Durand, David)
   2. Re:  Pre-Placement Physicals (Sampson, Deborah)
   3. Re:  Pre-Placement Physicals (Erika Sweet)


----------------------------------------------------------------------

Message: 1
Date: Thu, 12 May 2016 14:47:24 +0000
From: "Durand, David" <DDurand at stez.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Pre-Placement Physicals
Message-ID:
        <84D63DDFE39CEE448BA57DA09EEDF41DBB29B0E0 at CHIEX018.CHI.catholichealth.net>

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List,

Who performs pre-placement physicals at your facility (physicians, mid-levels, nurses)?

If physicians or mid-levels perform your physicals, why not nurses?

Thank you.

David Durand DO, MPH, MBA
Company Care
5000 North 26th Street, Suite 200
Lincoln, NE 68521
Telephone: (402) 475-6656
Fax: (402) 742-8419

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.
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Message: 2
Date: Thu, 12 May 2016 14:52:59 +0000
From: "Sampson, Deborah" <Deborah.Sampson at snhhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Pre-Placement Physicals
Message-ID:
        <D482F4A6B9121A4783250D7A0FEE17A51B2AE208 at IFMBOX1V.snhmc.org>
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We do not have anyone here who is a 'mid level'.
We do have professional registered nurses who are responsible for pre-employment screening and a seasoned OH APRN for any complex or unusual situations.
Deb

Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

[cid:image002.png at 01D12056.31ABE440]



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Durand, David
Sent: Thursday, May 12, 2016 10:47 AM
To: MCOH/EH
Subject: [MCOH-EH] Pre-Placement Physicals

List,

Who performs pre-placement physicals at your facility (physicians, mid-levels, nurses)?

If physicians or mid-levels perform your physicals, why not nurses?

Thank you.

David Durand DO, MPH, MBA
Company Care
5000 North 26th Street, Suite 200
Lincoln, NE 68521
Telephone: (402) 475-6656
Fax: (402) 742-8419

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.


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Message: 3
Date: Thu, 12 May 2016 15:12:08 +0000
From: Erika Sweet <esweet at dhs.lacounty.gov>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Pre-Placement Physicals
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        <BY2PR09MB0191EEFB5900AD62EB5D4CF2F9730 at BY2PR09MB0191.namprd09.prod.outlook.com>

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All pre-placements exams including and history and physical are performed by a physician or mid-level (NP, PA).

Thanks, Erika
Erika Sweet, RN, MSN, NP, CHON-S
DHS Director of  Employee Health Services Harbor-UCLA Medical Center
1000 West Carson Street, Room B-03
Torrance, CA 90509
Office (310) 222.2360
FAX (310) 222.5326



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sampson, Deborah
Sent: Thursday, May 12, 2016 7:53 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Pre-Placement Physicals

We do not have anyone here who is a 'mid level'.
We do have professional registered nurses who are responsible for pre-employment screening and a seasoned OH APRN for any complex or unusual situations.
Deb

Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

[cid:image002.png at 01D12056.31ABE440]



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Durand, David
Sent: Thursday, May 12, 2016 10:47 AM
To: MCOH/EH
Subject: [MCOH-EH] Pre-Placement Physicals

List,

Who performs pre-placement physicals at your facility (physicians, mid-levels, nurses)?

If physicians or mid-levels perform your physicals, why not nurses?

Thank you.

David Durand DO, MPH, MBA
Company Care
5000 North 26th Street, Suite 200
Lincoln, NE 68521
Telephone: (402) 475-6656
Fax: (402) 742-8419

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.


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Subject: Digest Footer

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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End of MCOH-EH Digest, Vol 251, Issue 60
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Message: 3
Date: Thu, 12 May 2016 16:11:48 +0000
From: "Steivang, Kristen" <Kristen_Steivang at ssmhc.com>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Pre-Placement Physicals
Message-ID:
	<6f800dcd5289449e80c32f5d442508e7 at S927-APEXM11.ds.ad.ssmhc.com>
Content-Type: text/plain; charset="us-ascii"

We used to perform pre-placement physical examinations - performed by either a physician (MD) or NP/PA with an RN doing immunization/ TB review.  We now only require a pre-placement health assessment and these can be fully completed by an RN.  I still complete many of these, but there is no longer a physical examination (eyes, ears, heart lung, etc. ) assessment/evaluation component.  What makes these processes different:  definition and components of an assessment versus an exam.

Kristen

Kristen L. Steivang MSN, RN, ANP-BC, APNP Employee Health Services St. Mary's Hospital
700 S Park St.
Madison  WI 53715
608-258-6995
Fax 608-259-3239


IMPORTANT NOTICE:  This e-mail, and any attachments hereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of this e-mail, and any attachments hereto, is strictly prohibited. If you have received this e-mail in error, please immediately notify me at 608-258-6995 and permanently delete the original and any copy of any e-mail and any printout thereof.


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Durand, David
Sent: Thursday, May 12, 2016 9:47 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Pre-Placement Physicals

List,

Who performs pre-placement physicals at your facility (physicians, mid-levels, nurses)?

If physicians or mid-levels perform your physicals, why not nurses?

Thank you.

David Durand DO, MPH, MBA
Company Care
5000 North 26th Street, Suite 200
Lincoln, NE 68521
Telephone: (402) 475-6656
Fax: (402) 742-8419

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.

________________________________

Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
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Message: 4
Date: Thu, 12 May 2016 16:28:53 +0000
From: "Sampson, Deborah" <Deborah.Sampson at snhhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Pre-Placement Physicals
Message-ID:
	<D482F4A6B9121A4783250D7A0FEE17A51B2AE65E at IFMBOX1V.snhmc.org>
Content-Type: text/plain; charset="utf-8"

Since many nurses receive in depth education in physical assessment, it is within the scope of practice nationwide for nurses with this level of education to do hands on exams. Indeed, many Occupational Health nurses do these often.
Deb

Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

[cid:image002.png at 01D12056.31ABE440]



From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Sajjad_Savul at bayhealth.org
Sent: Thursday, May 12, 2016 11:39 AM
To: MCOH/EH
Cc: MCOH/EH
Subject: Re: [MCOH-EH] Pre-Placement Physicals

Our preplacement physicals are done by physicians and MLP's; this includes detailed medical/work/immunization history.
Nurses perform all pre-employment testing and give immunizations if needed.

I don't think nurses should be performing hands-on physical exams; I believe this was part of the question in the initial email.

Regards,

Saj

Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health

Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705


-----"MCOH-EH" <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> wrote: -----
To: "MCOH/EH" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
From: "Erika Sweet"
Sent by: "MCOH-EH"
Date: 05/12/2016 11:13AM
Subject: Re: [MCOH-EH] Pre-Placement Physicals All pre-placements exams including and history and physical are performed by a physician or mid-level (NP, PA).

Thanks, Erika
Erika Sweet, RN, MSN, NP, CHON-S
DHS Director of  Employee Health Services Harbor-UCLA Medical Center
1000 West Carson Street, Room B-03
Torrance, CA 90509
Office (310) 222.2360
FAX (310) 222.5326



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sampson, Deborah
Sent: Thursday, May 12, 2016 7:53 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Pre-Placement Physicals

We do not have anyone here who is a ?mid level?.
We do have professional registered nurses who are responsible for pre-employment screening and a seasoned OH APRN for any complex or unusual situations.
Deb

Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

[cid:image002.png at 01D12056.31ABE440]



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Durand, David
Sent: Thursday, May 12, 2016 10:47 AM
To: MCOH/EH
Subject: [MCOH-EH] Pre-Placement Physicals

List,

Who performs pre-placement physicals at your facility (physicians, mid-levels, nurses)?

If physicians or mid-levels perform your physicals, why not nurses?

Thank you.

David Durand DO, MPH, MBA
Company Care
5000 North 26th Street, Suite 200
Lincoln, NE 68521
Telephone: (402) 475-6656
Fax: (402) 742-8419

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.


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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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CONFIDENTIALITY NOTICE: The information contained in this e-mail message and any attachment(s) is intended only for the confidential use of the intended recipient(s) named above. This e-mail message and any attachment(s) may contain confidential health information or other confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this e-mail message is not the intended recipient or the employee agent responsible for delivering it to the intended recipient, you should be aware that any dissemination, distribution, copying or action taken in reliance on the content of this e-mail message or any attachment(s) is strictly prohibited. If this e-mail has been received in error, please notify our Risk Management Department at 302-744-7431 and delete or otherwise destroy the original message, any attachment(s) and copies. Thank you for your cooperation.


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Subject: Digest Footer

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
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To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
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