Occupational Medicine
Enhance
Information provided by Working Well, Occupational Healthcare.
These utilities are provided as a reference only and are not to be
interpreted as legal advice for a worker’s compensation claim. They may
be utilized as a guide and may be able to provide clarification on
worker’s compensation terminology and processes. Again, this guide is
not a legal document and those seeking legal council should contact the
Indiana Work Comp board at
www.in.gov/wcb and/or seek the advice of a legal professional.
American College of Occupational and Environmental Medicine Guidelines:
Acoem.org/guidelines
Careers in Occupational and Environmental Medicine
A Guide to High Value Physician Services
Occupational and Environmental Medicine Competencies
Two main objectives of Occupational Medicine is prevention and
treatment of work related injuries. Occupational Medicine clinics
provide medical services for the workplace. Typical services include
pre-placement physical exams, annual medical exams (for example, DOT
physicals), injury treatment, and routine surveillance as required by
regulatory organizations, such as OSHA. Other services can range from
providing vaccinations (i.e. flu vaccine) to ergonomic evaluations of
the job site.
Occupational Medicine physicians understand the needs of the workplace.
They develop a relationship with the employer to understand the needs
of each individual workplace. This goal is achieved through a
combination of discussion, review of job descriptions, understanding of
job site safety, and knowledge of applicable regulations pertaining to
the occupation.
Here are links to OSHA.
http://www.osha.gov/Publications/osha3000.pdf
http://www.osha.gov/OshDoc/data_RecordkeepingFacts/RKfactsheet2.pdf
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What to expect in the section More Info
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Definition of roles within sector and common terms used More Info
When dealing with Occupational Medicine there are some words or
terms that many people have not heard of or might have heard the term
but are not sure of the meaning. Here is a brief description of some
key words or terms in association with Occupational Medicine.
DOT Physical- A physical exam, required
by the Department of Transportation, for all drivers who operate a
commercial motor vehicle (CMV). For more information on qualifications
and DOT guidelines.
www.fmcsa.dot.gov
DOT Drug Screen- A urine drug screen
following the protocol set forth by the Department of Transportation.
Used for employees who perform “safety sensitive” duties.
www.dot.gov/ost/dapc/NEW_DOCS/part40.html#
5 Panel Drug Screen- The five drugs that are tested are amphetamines, cocaine, marijuana, opiates and PCP.
MRO- Medical Review Officer is a licensed
physician who interprets drug testing data and makes a final
determination of the test result. Responsibilities include reviewing
documents for errors, interviewing donors with non-negative results,
determining if there is a legitimate medical explanation for a
non-negative result, and providing feedback to employers, collection
sites, laboratories, and federal agency representatives. Only a
certified MRO may make a determination on DOT regulated drug tests.
FCE- Functional Capacity Evaluation - is a series of tests to evaluate a person’s capability to perform a certain job.
Audiogram- An audiogram is a standard way
of representing a person's hearing loss. If an employee is subject to
noise levels within limits set by OSHA employees should start with a
baseline audiogram and tested yearly.
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=9735
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Federal and State Laws and guidelines to be effective More Info
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The explanation of how/why/where of the section More Info
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Utilities and forms need to support the user More Info
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Web resources, associations, meeting or support groups to link to More Info
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Listed classes, educational resources, certifications or training to expand knowledge More Info
OSHA sets the federal guidelines and each state has their own
guidelines. Indiana’s is IOSHA. IOSHA provides a program called InSafe.
InSafe, is a free service that includes on-site consultation, group
training and many other services to ensure the safety of Hoosier
workers.
http://www.in.gov/dol/insafe.htm
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Links to articles, white papers or research to explain policies and procedures More Info
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Prerecorded links to Webinars More Info
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Partners, products or other services available to support and service your needs More Info
In order to stay in compliance with DOT drug screen standards, the
urine specimen must be sent to a SAMHSA (Substance Abuse and Mental
Health Services Administration) certified lab. Quest Diagnostics is a
SAMHSA certified lab
www.questdiagnostics.com
Labs- Alverno Clinical Laboratory
www.alvernoclinicallabs.com
Information coming soon.