[MCOH-EH] Post Offer New Hire Physical

[Miriam H. Alexander]

We do pre-placement health assessments performed by an RN who does very focused assessments based on the physical demands of the job and someone's focused medical questionnaire.  We are most concerned with people with Musculoskeletal signs and symptoms  and diseases, going into a physically demanding position or someone with significant autoimmune conditions or on an immunosuppressant medication to ensure that we can maximize their safety in the environment and minimize future liability to the employer.

Our RN's are backed up by NP's.  We find that these exams uncover many risk factors for unsafe situations that we wouldn't want to support.  All of our evaluations are post-hire and are therefore pre-placement.  The outcome of our evaluations results in an accommodation request. This often can get resolved OR can get accommodated or necessitates a change in job title.

Our preplacement process plus a number of other factors have allowed our workers comp costs per 100 dollars of payroll to be some of the very lowest in the State.

Miriam Alexander, MD, MPH
Medical Director for Employee Health and Wellness
LifeBridge Health
2401 W.Belvedere Ave., Hoffberger 54
Baltimore, MD 21215
Phone: 410-601-0563
Mobile: 410-206-0579
Fax: 410-601-4643
Mhalexan at lifebridgehealth.org<mailto:Mhalexan at lifebridgehealth.org>


From: MCOH-EH <mcoh-eh-bounces+mhalexan=lifebridgehealth.org at mylist.net> On Behalf Of Olson, Amy via MCOH-EH
Sent: Wednesday, January 21, 2026 11:40 AM
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Cc: Olson, Amy <aolson3 at phoenixchildrens.com>
Subject: Re: [MCOH-EH] Post Offer New Hire Physical


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I have worked at three different organizations for the past 12 years and not one of these hospitals did we do physicals. We call it a New Hire Screening and we do the very things you list in your post.

Amy Olson COHN-S, MS, RN
Director- Occupational Health

[cid:image001.png at 01DC8B99.0FDEF780]
1919 E. Thomas Rd. Phoenix, AZ 85016
aolson3 at phoenixchildrens.com<mailto:aolson3 at phoenixchildrens.com>
(602) 933-5647



From: MCOH-EH <mcoh-eh-bounces+aolson3=phoenixchildrens.com at mylist.net<mailto:mcoh-eh-bounces+aolson3=phoenixchildrens.com at mylist.net>> On Behalf Of Higazi, Patricia via MCOH-EH
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Cc: Higazi, Patricia <Patricia.Higazi at chkd.org<mailto:Patricia.Higazi at chkd.org>>
Subject: [EXTERNAL] [MCOH-EH] Post Offer New Hire Physical

Has anyone stopped doing physicals for new hires (other than below)? We are considering doing a brief questionnaire, titers, immunizations, UDS, color vision for those doing POCT, respirator clearance, and fit testing There may be state requirements

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Has anyone stopped doing physicals for new hires (other than below)?

We are considering doing a brief questionnaire, titers, immunizations, UDS, color vision for those doing POCT, respirator clearance, and fit testing

There may be state requirements for some, but is anyone aware of a federal requirement to do more?

Thank you

Patricia Higazi MSN RN COHN
Occupational Health Director
Children's Hospital of The King's Daughters
Norfolk, Virginia
Tel: 757 668 7491
Fax: (757) 668 8775
Email: patricia.higazi at chkd.org<mailto:patricia.higazi at chkd.org>

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