On Site Medical Services

Audiometric

Hearing evaluations are performed to help detect hearing problems or changes in an employee's hearing ability.  Testing is conducted in a sound attenuating room under the direction of a certified audiology technician.  Employees are evaluated at seven frequencies: 500, 1000, 2000, 3000, 4000, 6000 and 8000 Hz.  All procedures meet or exceed OSHA and ANSI-69 standards. Medical Plaza Mobile Surveillance offers annual trend analysis reports on each employee to conform to federally mandated hearing conservation programs and individual company policies.

Chest X-Ray

MPMS provides 1 and 2 view chest X-rays for physical examinations, according to company needs.  X-rays are processed immediately to help our physicians make appropriate determinations regarding an employee's fitness for duty at the time of the physical.  If required, films can be sent to a certified Radiologist " B" reader for ILO classification or further review.

History & Physical Examinations

All Physical Examinations are designed to meet OSHA, Department of Transportation (DOT) or individual company requirements. Every exam includes the following standard procedures which may be modified to meet specific occupational needs:

• Medical & Occupational History
  A Medical & Occupational History questionnaire is filled out to provide our physicians with important information about past medical problems, previous work exposures and any current symptoms an employee may be experiencing. Family medical history is also included to help identify health problems which may be genetically inherited.

• Physician's Examination
  A " hands on" physical examination is conducted in a private examining room by a licensed medical physician or licensed physician's assistant. The examiner looks at basic body functions to determine current health status and reviews any current or past medical problems the employee may have. The physician will inform the employee of any serious findings which need immediate attention and refer the employee to his or her private physician for further diagnosis or treatment. All medical information that does not directly impact the employee's ability to perform essential job functions is considered strictly confidential.

• Vital Measurements
  Height, weight, blood pressure and pulse are measured and recorded with each physical exam. Abnormal vital signs can be indicative of potential physical problems including hypertension, heart disease and thyroid disease.

• Vision Testing
  Vision testing is required to determine an employee's ability to safely perform regular job duties. A technician specially trained in the use of a Titmus vision screening instrument performs the exam. The exam tests the following:

• Basic Urinalysis
  This test is routinely used to assess sugar and protein levels in the urine, which helps determine the status of the kidneys, bladder and liver. Results can help doctors find diabetes, kidney disease, infections, tumors and other disorders.

Phlebotomy

Pulmonary Function Testing

The pulmonary function test measures lung capacity and efficiency for persons required to perform strenuous cardio-pulmonary tasks or wear a respirator.  PFT's can also help detect respiratory difficulties or diseases, like emphysema.  Individual results are compared to the Knudson norms, as specified by NIOSH, and include the measurements of:

• Forced Expired Volume at 1 second (FEV-1)
• Forced Vital Capacity (FVC)
• Ratio of (FEV-1/FVC) Predicted

Employees receive an OSHA standardized pulmonary classification for respirator use at the end of the examination.

Respirator Fit Testing

OSHA mandated Respirator Fit Testing is performed utilizing TSI Portacount machines. Testing can be performed on most common respirators using manufactured supplied adapters. This allows us to test each individual on the specific mask they wear in the field. We also carry most respirators probed for fit testing. More on Respirator Fit Testing.

Annual Influenza immunization