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

 

 

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.

 

 

 

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

 

1919 E. Thomas Rd. Phoenix, AZ 85016

aolson3@phoenixchildrens.com

(602) 933-5647

 

 

 

 

**WARNING** DO NOT CLICK links or attachments unless you recognize the sender: prvs=048118e432=mcoh-eh-bounces+aolson3=phoenixchildrens.com@mylist.net.

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

 

 

Upcoming PTO 1/15 -1/18

 

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