Occupational Health Product List and Descriptions

DOT Physicals

Ease of use

• VF offers an electronic solution through eScreen

What is performed?

• Examinations are performed in accordance with DOT regulations and include:
  • Health History/review with provider
  • Vision Testing
  • Hearing
  • Vital signs (blood pressure, pulse, height and weight)
  • Laboratory testing
    • Protein, blood and sugar levels
    • Evidence of diabetes or renal impairment
  • General Physical exam
    • Determines if the body is ‘abnormal’ in any way that can prohibit a job function
    • Skin, cardiovascular, back/spine, hernia, abdomen, etc.

What is provided?

• General certification of pass/fail
• Full report upon request
• Driver Card made available upon request to client
  • Employee will receive at clinic

nonDOT Physical

Ease of Use

• VF offers an electronic solution through eScreen

What is performed?

• Mirror of the Federally Regulated DOT Physical:
  • Health History/review with provider
  • Vision Testing
  • Hearing
  • Vital signs (blood pressure, pulse, height and weight)
  • Laboratory testing
    • Protein, blood and sugar levels
    • Evidence of diabetes or renal impairment
  • General Physical exam
    • Determines if the body is ‘abnormal’ in any way that can prohibit a job function
    • Skin, cardiovascular, back/spine, hernia, abdomen, etc.

What is provided?

• General certification of pass/fail
• Full report upon request

Lift Tests

• Standalone order
• 50 or 75 lbs
• Evaluates an individual’s ability to safely lift a given weight

Biometric Screen

• Height, Weight, blood pressure, BMI, lipid plus glucose
• Online Scheduling and reporting

Tuberculosis Testing

• TB Skin - Step 1
  • Determines if the individual has developed an immune response the bacterium that causes TB
  • If positive or if the person has had a positive TB test in the past, a chest X-ray may be indicated to determine whether the person has active or latent TB
•  TB Skin - Step 2
  • Used to detect individuals with past TB infection who now have diminished skin test reactivity. It requires placement/reading of two separate skin tests
•  Chest X-Ray
  • Projection radiograph of the chest used to diagnose conditions affecting the chest, its contents and nearby structures
  • 2 different views
    • View 1 Front/Back
    • View 2 Front/Back and lateral views
• QuantiFERON
  • Blood Test
  • Interferon-γ release assay (IGRA) that tests for the detection of TB Mycobacterium
•  T-Spot
  • Blood Test
  • Tests for the detection of T Cells that have been specifically activated by Mycobacterium Tuberculosis Antigens
    • *This product is considered Out of Network and higher fee’s are associated*
      

Titers

What is a Titers Test?

A blood test that checks an individual's immune status to vaccines or a disease they may have come in contact with in the past

• Hep B
  • Hepatitis B virus
• MMR
  • Mumps
  • Measles
  • Rubella
• Varicella
  • Chickenpox

Vision/Audiograms

• Vision Test Ishihara
  • Color blindness test for Red and Green deficiencies
  • Examiner will hold up a colored plate that contains a number made of dots
    • Those who are affected by color blindness, will have a difficulties seeing the number
• Vision Test Snellen
  • Eye chart used by eye care professionals
  • Contains 11 lines of block letters, progressively going from large to small
• Vision Test Jaeger
  • Using printed letters of different sizes that test the acuity of near vision
• Vision Test Titmus
  • Tests for acuity (near: 14 inch, far: 20 ft), 
  • Depth/color perception
  • Muscle balance (lateral and vertical phoria) 
  • Horizontal visual fields (peripheral vision of 130° in each eye) 
  • Performed using a single lightweight, compact, and easy-to-use instrument
• Audiogram
  • A way to measure a person’s hearing loss
  • Range from 100 Hz to 6,000 Hz
  • Produced using a piece of test equipment called an audiometer, which allows different frequencies to be presented to the subject 
  • Calibrated headphones are used at various levels

Vaccines

• Varicella Vaccine
  • Protects against the viral disease commonly known as chickenpox, Herpes zoster, and Postherpetic neuralgia
• TDAP Vaccine
  • Protects against three potentially life-threatening bacterial diseases: Tetanus, Diphtheria, and Pertussis (whooping cough)
• Hepatitis B Vaccine
  • Protects against the Hepatitis B virus. 
  • This immunization is administered in a series of 3 vaccines
    • Second dose given 4 weeks after the first, and the third dose 5 months after the second
• Meningococcal Vaccination
  • Can help prevent meningococcal disease, which is any type of illness caused by Neisseria Meningitidis bacteria
• MMR Vaccine
  
  • Protects against the measles, mumps and rubella

Other Occupational Health Services

• OSHA Respirator Questionnaire
  • When OSHA requires a respirator, the employee must fill out a questionnaire
    • Determines if the employee is physically/psychologically able to wear a respirator
  • Must be reviewed by a physician or licensed healthcare professional
  • Based on response, the healthcare professional could require additional testing
    • Physical, X-Ray, etc
• Pulmonary Function/Spirometry
  • Measures how well the lungs take in and release air
• Respirator Fit Test
  • Qualitative
    • Pass/fail to confirm if a respirator masks fits correctly
    • Taste/smell are used to test
    • Individuals should bring in their own mask as the ones the clinic may have are different that what will be used in the workplace
  • Quantitative
    • Measures the ‘leakage’ into the respirator using an agent
    • Capable of measuring fit factors from 100 - 10,000+