[MCOH-EH] Post Offer New Hire Physical

[Swift, Melanie D., M.D., M.P.H.]

RNs can serve as the PLHCP if their state license allows them to perform this type of evaluation independently. https://www.osha.gov/laws-regs/standardinterpretations/2014-09-02-0

Melanie Swift, MD, MPH
Professor of Medicine
Vice Chair, Division of Public Health, Infectious Diseases and Occupational Medicine
Medical Director, Mayo Clinic Physician Health Center<https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/referrals>
Associate Medical Director, Occupational Health Service
Vice Chair, Institutional Biosafety Committee
Phone 507.284.2560
_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<http://www.mayoclinic.org/>


From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Angeli Mancuso via MCOH-EH
Sent: Thursday, January 22, 2026 10:57 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Angeli Mancuso <a1mancus at sbch.org>
Subject: [EXTERNAL] Re: [MCOH-EH] Post Offer New Hire Physical

External Email Notice: This message was sent by someone outside Mayo Clinic.
Amy -

How did the organizations you worked with handle Respiratory Clearance before a fit test? If the form was not evaluated by a physician, who was identified as a PLHCP? My interpretation is that an advanced practice provider (NP or PA) could be that person but an RN could not...I'd love to be wrong.


  *   The employer must identify a physician or other licensed health care professional (PLHCP) to perform all medical evaluations using the medical questionnaire in Appendix C of the Respiratory Protection standard or a medical examination that obtains the same information.
  *   The employer must ensure that a followup medical examination is provided for any employee who gives a positive response to any question among questions 1 through 8 in Part A Section 2, of Appendix C, or whose initial medical examination demonstrates the need for a follow-up medical examination. The employer must provide the employee with an opportunity to discuss the questionnaire and examination results with the PLHCP.

Kindly,
Angeli
Angeli Mancuso, RN | Cottage Health
Manager, Workforce Development
also providing leadership to Employee Health & Safety
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From: MCOH-EH <mcoh-eh-bounces+a1mancus=sbch.org at mylist.net<mailto:mcoh-eh-bounces+a1mancus=sbch.org at mylist.net>> On Behalf Of Olson, Amy via MCOH-EH
Sent: Wednesday, January 21, 2026 8:40 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Olson, Amy <aolson3 at phoenixchildrens.com<mailto:aolson3 at phoenixchildrens.com>>
Subject: [EXT:] Re: [MCOH-EH] Post Offer New Hire Physical

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
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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:image002.png at 01DC8C65.AB0836A0]
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
Sent: Tuesday, January 20, 2026 1:59 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
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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