Fairview Range JobCare

Audiometric Testing Fire Brigade
NFPA 1500 7.18 The Fire Department shall engage in a hearing conservation program to identify and reduce or eliminate potentially harmful sources of noise in the work environment.

OSHA 29 CFR 1910.95 (c) Hearing Conservation Program

OSHA 29 CFR 1910.95 (g) (1) The employer shall establish and maintain an audiometric testing program…by making audiometric testing available to all employees whose exposures equal or exceed an 8-hour time-weighted average of 85 decibels.

Fairview Range JobCare staff members are Certified Occupational Hearing Conservationists who conduct audiometric testing as part of the hearing conservation team, to prevent hearing loss among occupational workers.

Audiometric Testing services are available and can be brought on-site to your location. Our portable booth and equipment has been calibrated and is sound monitored to allow for testing compliance.

Audiometric Testing - MSHA
30 CFR PART 62 Occupational Noise Exposure

30 CFR 62.100 …mandatory health standards for each surface and underground metal, nonmetal, and coal mine subject to Federal Mine Safety and Health Act of 1977.

30 CFR 62.170 The mine operator must provide audiometric tests…at no cost to the miner.

30 CFR 62.170 (b) “Annual Audiogram”. After the baseline audiogram is established, the mine operator must continue to offer subsequent audiometric tests at intervals not exceeding 12 months for as long as the miner remains in the hearing conservation program.

Fairview Range JobCare staff members are Certified Occupational Hearing Conservationists (COHC) who conduct audiometric testing as part of the hearing conservation team, to prevent hearing loss among occupational workers.

Audiometric Testing services are available and can be brought on-site to your location with our mobile services trailer. Our portable booths and equipment have been calibrated and are sound monitored to ensure testing compliance

Audiometric Testing - OSHA

OSHA 29 CFR 1910.95 (c) Hearing Conservation Program

OSHA 29 CFR 1910.95 (c) The employer shall establish and maintain an audiometric testing program…by making audiometric testing available to all employees whose exposures equal or exceed an 8-hour time-weighted average of 85 decibels.

NFPA 1500 7.18 The Fire Department shall engage in a hearing conservation program to identify and reduce or eliminate potentially harmful sources of noise in the work environment.

JobCare staff members are Certified Occupational Hearing Conservationists (COHC) who conduct audiometric testing as part of the hearing conservation team, to prevent hearing loss among occupational workers.

Audiometric Testing services can be brought on-site to your location with our mobile services trailer. Our portable booths and equipment have been calibrated and are sound monitored to ensure testing compliance.

The National Registry
All medical certificates issued to interstate truck and bus drivers must come from medical examiners listed on the National Registry. Our provider, Jay Hildenbrand, DC operates under the Federal guidelines for performing DOT physicals and is certified on the National Registry.

DOT physicals can be scheduled conveniently for you or your organization. Our examination incorporated required medical assessment including vision, hearing, blood pressure/ pulse and urine specimen testing as well as review of medical history. Usual time to finish an exam is between 15-20 minutes. Same Day appointments are often available.

On-site Clinics Available
We understand the importance of a healthy work force. We offer a wide range of employer specific occupational health services designed to improve the health of your employees. Also, we can perform DOT physicals as well as other services at your place or organization. Contact us for more information.

We also provide:

• Pre-employment physicals
• Drug and alcohol testing
• Injury Prevention education
• Immunizations
• Health & Wellness Education
• Healthfair Screenings

Fairview Range JobCare can assist your company with your workplace drug and alcohol testing services for the Department of Transportation (DOT) and Non-DOT screenings. Urine drug screening, hair analysis drug screening, and Breath Alcohol Testing (BAT) services are available for pre-employment, random, and post-accident and reasonable suspicion testing.

We also offer DOT Consortium Services for random drug screening in compliance with DOT regulations. Fairview Range JobCare can meet the needs of a quality random selection program. We work with DSI/Quest and utilize a computer based, scientifically valid method of selection in accordance with the U.S. Department of Transportation. Eligible participants are entered into the computer program, which then generates the random selections. Quarterly selections are distributed randomly throughout the required time frame so as not to establish a pattern for the frequency or timing of the testing. Your company is provided with quarterly reporting data to meet the requirements of the US DOT. Our staff are certified collectors under 49 CFR PART 40 to meet your federal requirements.

Firefighter Annual Assessment Basic SCBA User Exam
Fairview Range JobCare will work with you to meet your OSHA compliance needs. Our staff members are experienced in health education and occupational healthalong with first hand firefighter experience. We provide quality testing services with a working knowledge of the environment our clients are exposed to.

Our Annual Basic SCBA user exam consists of:

• Health History Review
• Vital Signs Assessment
• Resting 12-lead EKG
• Pulmonary Function Testing
• Non-drug urine Testing
• Mandatory OSHA Medical Questionnaire
• Supporting standards for reference include:

OSHA 1910.156 (b) (2) The employer shall not permit employees with known heart disease, epilepsy, or emphysema, to participate in fire brigade emergency activities…

OSHA 1910.134 (e) (1) The employer shall provide a medical evaluation to determine the employee’s ability to use a respirator…

OSHA 1910.120 (f) Medical surveillance…at least once every 12 months for each employee…

Our team is supported by licensed healthcare providers who specialize in occupational health issues. Testing will be reviewed and interpreted based on screening results. Confidential, individual reports are provided for each participant. The Fire Chief is provided with a listing of clearance for firefighting and any recommendations for follow-up if necessary.

To discuss details and costs regarding this service, call 218-312-3017.

Blood Pressure
High blood pressure is when blood moves through the arteries at a higher pressure than normal. High blood pressure is a “silent disease” and should be monitored at least every two years, or as often as advised.

Lipid Profile Screening/Glucose Screening
It is recommended that healthy adults with no other risk factors for heart disease be tested with a fasting lipid profile once every five years. The sample is collected from a finger stick and results are available in 7 minutes. The profile results are total cholesterol, HDL (good), LDL (bad), triglycerides, TC/HDL ratio (heart disease risk ratio), and glucose.

Body Mass Index (BMI)
Body Mass Index definition, or BMI, is a number from the results of a calculation using a person’s weight and height. The results of the BMI formula are used as a tool to screen a person for potential weight problems due to body fat. Excess weight and body fat could put a person at risk for certain diseases such as high blood pressure, high cholesterol and type 2 diabetes just to name a few.

Grip Strength
The vast majority of our daily tasks involve our hands. The grip test gives us insight into how our hands, and upper body, are functioning. By addressing issues early, we can reduce the effects of what is occurring, both at work and at home. This test is performed by using the grip dynamometer.

The clients test results are reviewed with the nurse and informational brochures are available

Hepatitis B Vaccine
Hepatitis B vaccine can prevent hepatitis B. Anyone at risk for exposure to blood or body fluids should receive the three doses of hepatitis B vaccine according to the CDC recommended schedule, which includes emergency medical response and public safety workers.

Tetanus, Diphtheria, and Pertussis Vaccine (Td or Tdap)
Tdap Vaccine can protect adolescents and adults from Tetanus, Diphtheria and Pertussis. Tetanus (lockjaw) causes painful muscle tightening and stiffness. Diphtheria causes a thick coating to form in the back of the throat which can lead to breathing problems. Pertussis (Whooping Cough) severe coughing spells causing difficulty breathing. Tdap is especially important for healthcare professionals and anyone having close contact with a baby younger than 12 months.

Td protects against tetanus and diphtheria, but not pertussis. A Td booster should be given every 5-10 years. It is recommended a Tdap be given as one of these boosters if you have never received a Tdap before.

Influenza Vaccine
Influenza is a serious respiratory disease caused by a virus that spreads from infected persons to the nose or throat of others. Influenza vaccine can prevent influenza or allow for a milder case of the infection. Inactivated (killed) influenza vaccine is recommended annually during the flu season.

Measles, Mumps, and Rubella Vaccine (MMR)
Measles, Mumps, and Rubella are contagious diseases which can lead to serious illness and permanent physical damage. Children should get two doses of MMR vaccine, usually: First dose: 12 through 15 months of age; Second dose: 4 through 6 years of age. Adults in high-risk groups, such as health care workers, emergency medical response workers, students entering colleges, and international travelers should receive a total of two doses of MMR vaccine. A third dose of MMR might be recommended in certain mumps outbreak situations.

Varicella Vaccine
Varicella (chickenpox) is a common childhood viral disease spread through person-to-person contact which is usually mild, but it can be serious including complications, especially in infants and adults. Children 12 months through 12 years should get two doses of chickenpox vaccine, usually: First dose: 12 through 15 months of age; Second dose: 4 through 6 years of age. People 13 years of age and older who have never had chickenpox or received chickenpox vaccine should get two doses at least 28 days apart.

Lipid Profile Screening/Glucose Screening
It is recommended that healthy adults with no other risk factors for heart disease be tested with a fasting lipid profile once every five years. The sample is collected from a finger stick and results are available in 7 minutes. The profile results are total cholesterol, HDL (good), LDL (bad), triglycerides, TC/HDL ratio (heart disease risk ratio), and glucose. The clients test results are reviewed with the nurse and informational brochures are available.

Employment Screening
Primary prevention and health promotion are health protection measures that prevent injury and illness. Primary prevention of illness and injury in the workplace is a major factor in cost savings to employers.

JobCare offers a variety of services to assist employers in providing a work environment safe for employees, as well as assisting with screening employees to determine physical abilities to perform the work required.

Post-Offer Health Assessment
Health assessments are performed by an Occupational Health nurse to determine significant illnesses, injuries, or current health problems requiring referral and/or follow-up with a physician. The assessment may include a drug testing component and/or compliance screening such as hearing, respirator fit testing, etc. to meet regulatory requirements. The job offer is contingent on passing screening parameters set forth by the employer, determined by type of work to be performed.

Post-Offer Physical Screening
A physical component of post-offer assessment performed by an Occupational Therapist which determines the applicants physical abilities to perform the essential functions of the designated job. Essential Functions are the tasks that create the position.

The Pulmonary Function Test (PFT) is a group of breathing maneuvers that assess the function of the lungs. JobCare utilizes the Pulmonary Function Test to evaluate an employee’s ability to wear a respirator safely.

The Pulmonary Function Test will consist of:

Spirometry—the main measurements include: forced expiratory volume in one second (FEV1) and forced vital capacity (FVC)

Testing of lung function is important in assisting the physician in the diagnosis and management of patients with respiratory ailments. The results of tests are compared with charts of normal values based on age, sex, and height. If values are less than 80% of the normal values, then you are more likely to have some type of lung disease. The results of the individual tests may help the doctor diagnose a specific disorder.

Fairview Range JobCare utilizes the NHANES III reference equations for data analysis to comply with industry standards.

Respirator Fit Testing
*Compliant with NFPA 1500 Standards

Fairview Range JobCare is equipped to provide Quantitative Fit Testing with state-of-the-art PORTACOUNT® Testers. Quantitative fit testing (QNFT) eliminates the subjectivity of QLFT. The PORTACOUNT® calculates the fit factor ratio by objectively measuring the particle concentration surrounding the mask and any particles that may have leaked beyond the respirator seal. This objective test is not affected by the person’s sense of smell, taste, or sensitivity to irritant chemicals. Quantitative fit testing is recommended to ensure the highest level of respiratory protection thereby minimizing exposure and potential liability.

SCBA such as a full face negative-pressure respirator used for hazard levels above 10 times the permissible exposure limit (PEL) must be fit tested using quantitative fit testing with a minimum fit factor of 500, as well as positive-pressure respirators used in demand-mode.

N95 particulate respirators are the OSHA and CDC standard for ambulance personnel providing protection against exposure to smallpox, tuberculosis, anthrax, and SARS, Avian Flu, and H191 (Swine Flu). Fit testing is mandated.

The Mantoux tuberculin skin test (TST) or the TB blood test can be used to test for M. tuberculosis infection. Additional tests are required to confirm TB disease. TB disease has multiple signs and symptoms and is spread from person to person through the air. Others can breathe the TB germs into their lungs and contract TB infection. TB infection is not contagious and does not have signs and symptoms. If someone with TB infection is not treated with medicine they could develop TB disease.

You should get tested if:

• You have spent time with a person with known or suspected TB disease.
• You are emergency medical response personnel, transporting and performing procedures on an individual with suspected or confirmed TB, or a public safety worker.
• You have a health condition that puts you at high risk for TB disease.
• You live in, or have visited, a community where TB disease is more common.

Fire Fighters and Ambulance
OSHA's Fire Brigade Standard - 1910.156
OSHA's Occupational Noise Exposure Standard - 1910.95 (c) and 1910.95 (g) (1)The employer shall establish and maintain an audiometric testing program…
OSHA's Respiratory Protection Program Standard - 1910.134 (e) (1) The employer shall provide a medical evaluation to determine the employee's ability to use a respirator…

Audiometric Testing
OSHA's Occupational Noise Exposure Standard - 1910.95
MSHA's Occupational Noise Exposure Standard - 30 CFR PART 62
MSHA's Occupational Noise Exposure Standards Purpose and Scope - 30 CFR § 62.100 …mandatory health standards…subject to Federal Mine Safety and Health Act of 1977.
MSHA's Occupational Noise Exposure Standard - 30 CFR § 62.170 The mine operator must provide audiometric tests…at no cost to the miner.
MSHA's Occupational Noise Exposure Standard - 30 CFR § 62.170 (b) Annual Audiogram
OSHA's Hearing Conservation Program Standard - 1910.95 (c) (1) The employer shall administer…whenever employee noise exposures equal or exceed an 8-hour time-weighted average sound level (TWA) of 85 decibels…

Respirator Fit Testing
OSHA's Respiratory Protection Standard - 1910.34
OSHA's information on Fit Testing - (from 1910.134)
MSHA's Selection, fit, use, and maintenance of approved respirator Standard - 30 CFR § 72.710

The U.S. Department of Transportation
The U.S. Department of Transportation U.S. DOT Rule - 49 CFR Part 40 (PDF)

CDC Vaccine Information Statements
Hepatitis B
Tetanus/Diphtheria/(Pertussis) (Td/Tdap)
Influenza Vaccine - Seasonal Inactivated
Measles/Mumps/Rubella (MMR)
Varicella (Chickenpox)