Good afternoon Craig.
In terms of physical evaluations, we have worked with HR and our rehabilitation department to design physical performance testing that corresponds to the essential functions of the job. This testing is done in the rehabilitation department and reported to occupational health. This testing is only done for jobs that require higher levels of exertion.
We ask if any physical accommodations are necessary and if so, a focused H&P is performed in occupational health with recommendation for any restrictions or accommodation.
For those who will be under an OSHA standard, the corresponding baseline evaluation is performed.
Laboratory testing for all includes a T spot if not previously TB positive, and viral titers if vaccination records are not presented.
For those working with “Hazardous Drugs” we have them do a medical history form and baseline testing the corresponds to the types of potential exposure.
Douglas M Wendland, MD, MPH
St. Luke's Occupational Medicine
We are reviewing our preplacement medical evaluations for HCWs.
We may not require a hands-on physical exam for all staff, and may base that on actual injury rates by department, etc. For all HCWs, we will review their pre-placement questionnaire (for indications to do a hands-on physical exam) vaccines, etc.
I am curious as to what others of you may be doing to make the process more streamlined, yet effective?
Craig D. Thorne, M.D., MPH, MBA
Chief Medical Director, Occupational Medicine and Business Health Services
(203) 687-5281 mobile
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