[MCOH-EH] Fire Fighter Exams

jerbiggs at yahoo.com jerbiggs at yahoo.com
Mon Nov 11 15:42:36 PST 2019
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We do about 2000 exams a year.

We schedule them for an hour, about 30 minutes with the MA/RN and  30 minutes with the MD. We have the labs done before to go over them in clinic with the MD as well, hence the 30 minutes at least.

Jeremy Biggs MD MSPH

> On Nov 11, 2019, at 1:00 PM, mcoh-eh-request at mylist.net wrote:
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> Today's Topics:
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>   1.  Fire Fighter Physicals (Anne Mills)
>   2. Re:  Fire Fighter Physicals (kauerbach)
>   3. Re:  Fire Fighter Physicals (Dan Samo)
>   4. Re:  [EXT] Re:  Fire Fighter Physicals (William.Scott)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Sun, 10 Nov 2019 16:32:17 -0500
> From: "Anne Mills" <amills at crhc.org>
> To: <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Fire Fighter Physicals
> Message-ID: <5DC881E1020000940035BCAC at ia1l.crhc.org>
> Content-Type: text/plain; charset="us-ascii"
> 
> Hello,
> 
> Does anyone do fire fighter exams?  If yes, how much clinical time do you schedule?  And what components of the exam are done by the Occ. Health RN?
> 
> Any and all information appreciated!
> 
> Anne
> 
> 
> Anne C. Mills, MSN, RN, COHN-S
> Concord Hospital
> Director Employee Health Services  
> | ( (603) 230-1962| 7 (603) 227-7126
> |  amills at crhc.org
> 
> 
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> ------------------------------
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> Message: 2
> Date: Sun, 10 Nov 2019 17:20:50 -0500
> From: kauerbach <kauerbach at aol.com>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Fire Fighter Physicals
> Message-ID: <0bfik1xwn3u8xmukq7g7olt6.1573424450558 at email.android.com>
> Content-Type: text/plain; charset="utf-8"
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> 
> 
> Half hour to 45 min for pft ekg audio vitals.? Half hour for provider. 20 min for fit testSee NFPA 1582Karl Auerbach MD?Albany NYSent from my Verizon 4G LTE smartphone
> 
> -------- Original message --------
> From: Anne Mills <amills at crhc.org> 
> Date: 11/10/19  16:32  (GMT-05:00) 
> To: mcoh-eh at mylist.net 
> Subject: [MCOH-EH] Fire Fighter Physicals 
> 
> Hello,Does anyone do fire fighter exams?? If yes, how much clinical time do you schedule?? And what components of the exam are done by the Occ. Health RN?Any and all information appreciated!Anne? 
> Anne C. Mills, MSN, RN, COHN-S
> Concord HospitalDirector?Employee Health Services? 
> 
> | ( (603) 230-1962| 7 (603) 227-7126
> |??amills at crhc.org
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> ------------------------------
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> Message: 3
> Date: Mon, 11 Nov 2019 18:07:01 +0100
> From: Dan Samo <dandad at aol.com>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Fire Fighter Physicals
> Message-ID: <09CEC52F-E8CF-4F96-92EA-DC6A769B91F1 at aol.com>
> Content-Type: text/plain; charset="us-ascii"
> 
> We always first had the MA or RN do all the blood work, PFT, audiogram and whatever else was included in the contract (except stress test).  We would often send them on-site to do this.  This way the department would not need to hire firefighters back to cover the men when they had to go to the clinic. Then a week or two later they could see the doctor (sometimes we did that on site too) and then the doc would have all the results, do a history and physical and be able to finish the paperwork with recommendations etc.
> 
> Doctor time would be about half an hour per patient. The data gathering was usually about an hour per patient.
> 
> Hope this helps. 
> 
> Daniel G Samo, MD, FACOEM
> ACOEM Public Safety Medicine Section
> Principle Member NFPA Occupational health and safety TASK GROUP
> 
> Sent from my iPad
> 
>> On Nov 10, 2019, at 10:32 PM, Anne Mills <amills at crhc.org> wrote:
>> 
>> Hello,
>> 
>> Does anyone do fire fighter exams?  If yes, how much clinical time do you schedule?  And what components of the exam are done by the Occ. Health RN?
>> 
>> Any and all information appreciated!
>> 
>> Anne
>> 
>> 
>> Anne C. Mills, MSN, RN, COHN-S
>> Concord Hospital
>> Director Employee Health Services 
>> | ( (603) 230-1962| 7 (603) 227-7126
>> |  amills at crhc.org
>> 
>> ---------------------------------------
>> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
>> List membership is free, but only subscribers may post to the list.
>> To post send messages to: mcoh-eh at mylist.net
>> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
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> ------------------------------
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> Message: 4
> Date: Mon, 11 Nov 2019 19:38:53 +0000
> From: William.Scott <William.Scott at carle.com>
> To: 'MCOH-EH' <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [EXT] Re:  Fire Fighter Physicals
> Message-ID: <6777155f830749848c8bd69b2e508397 at carle.com>
> Content-Type: text/plain; charset="utf-8"
> 
> We follow a similar process. I send a nurse on site to collect data points (Wt, Height, BP, Pulse, PFT, blood work). Then at a convenient time the FFs would schedule their visits and do the audiometric testing, ECG and see the doctor to review the history, perform the PE, and review the results in a consultation fashion with the individual FF. The provider then would do the documentation in the EMR and fill out the forms (PPE, Hazmat clearance, restrictions if needed). Recommendations for follow up would be given if needed.
> 
> Total time with RN 45 mins. Time with provider 30 mins.
> 
> William Scott, MD, MPH, FACOEM
> Carle Foundation Hospital
> Urbana IL
> 
> From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Dan Samo via MCOH-EH
> Sent: Monday, November 11, 2019 11:07 AM
> To: MCOH-EH <mcoh-eh at mylist.net>
> Cc: Dan Samo <dandad at aol.com>
> Subject: [EXT] Re: [MCOH-EH] Fire Fighter Physicals
> 
> 
> _______________________________
> 
> *****EXTERNAL EMAIL SOURCE*****
> 
> We always first had the MA or RN do all the blood work, PFT, audiogram and whatever else was included in the contract (except stress test).  We would often send them on-site to do this.  This way the department would not need to hire firefighters back to cover the men when they had to go to the clinic. Then a week or two later they could see the doctor (sometimes we did that on site too) and then the doc would have all the results, do a history and physical and be able to finish the paperwork with recommendations etc.
> 
> Doctor time would be about half an hour per patient. The data gathering was usually about an hour per patient.
> 
> Hope this helps.
> 
> Daniel G Samo, MD, FACOEM
> ACOEM Public Safety Medicine Section
> Principle Member NFPA Occupational health and safety TASK GROUP
> Sent from my iPad
> 
> On Nov 10, 2019, at 10:32 PM, Anne Mills <amills at crhc.org<mailto:amills at crhc.org>> wrote:
> Hello,
> 
> Does anyone do fire fighter exams?  If yes, how much clinical time do you schedule?  And what components of the exam are done by the Occ. Health RN?
> 
> Any and all information appreciated!
> 
> Anne
> 
> 
> Anne C. Mills, MSN, RN, COHN-S
> Concord Hospital
> Director Employee Health Services
> | ? (603) 230-1962| 7 (603) 227-7126
> |  amills at crhc.org<mailto:amills at crhc.org>
> 
> ---------------------------------------
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