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
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
From: MCOH-EH <mcoh-eh-bounces@mylist.net>
On Behalf Of Angeli Mancuso via MCOH-EH
Sent: Thursday, January 22, 2026 10:57 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Angeli Mancuso <a1mancus@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
Retain | Recruit | Reimagine
805-319-0359
a1mancus@sbch.org
Book a meeting with me
Send
an Ecard! |
Nominate an Everyday Hero!
From: MCOH-EH <mcoh-eh-bounces+a1mancus=sbch.org@mylist.net>
On Behalf Of Olson, Amy via MCOH-EH
Sent: Wednesday, January 21, 2026 8:40 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Olson, Amy <aolson3@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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|
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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
1919 E. Thomas Rd. Phoenix, AZ 85016
(602) 933-5647
From: MCOH-EH <mcoh-eh-bounces+aolson3=phoenixchildrens.com@mylist.net>
On Behalf Of Higazi, Patricia via MCOH-EH
Sent: Tuesday, January 20, 2026 1:59 PM
To: mcoh-eh@mylist.net
Cc: Higazi, Patricia <Patricia.Higazi@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
**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)?
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@chkd.org
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