[MCOH-EH] Post Offer New Hire Physical

[David S. Cockrum]

Angeli-

At both of the medical organizations at which I have worked (Nebraska and now NH0, registered nurses have been considered to meet the intent of PLHCP. Currently, we have the employee health nurses review the respiratory clearance form. If all responses are negative or non-relevant (e.g. taking meds for HTN is not an issue with N-95 respirators), the nurses sign. If any issues are identified that require clarification, the nurse may still talk to the candidate, and the form is then forwarded to one of our providers to review and either sign or recommend a direct physical exam.

The inclusion of RNs as PLHCP is, in my experience, a state statute issue. If your state includes RNs in the definition of licensed medical professionals, then they meet this intent and you could choose to follow this pattern. So I suggest you check either with your state’s nursing licensing authority or with your organizations OGC if you are uncertain about this designation – just to be safe.

David

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Angeli Mancuso via MCOH-EH
Sent: Thursday, January 22, 2026 11:57 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Angeli Mancuso <a1mancus at sbch.org>
Subject: Re: [MCOH-EH] Post Offer New Hire Physical **EXTERNAL**

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

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
Retain | Recruit | Reimagine
805-319-0359
a1mancus at sbch.org<mailto:a1mancus at sbch.org>
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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

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 01DC8C5C.FD067150]
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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