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Exams- Physicals

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Toxicology Surveillance:

In some critical fields, employees must work in environments where hazardous chemicals are present. At Runde Occupational and Environmental Physicians, we’ll help you keep your employees safer by assisting with your medical surveillance program. Our experienced and dedicated staff at Runde Occupational and Environmental Physicians, PC works closely with employers to provide biomonitoring of lead and other toxins to keep the employees who do necessary work in a dangerous environment safer.

We provide medical surveillance through regular physical examinations to keep your employees safe and healthy. With our medical surveillance program, we can help identify problems so you can limit exposure and reduce the risk of illnesses and lawsuits. Keep your valuable employees safe with a medical surveillance program from Runde Occupational and Environmental Professionals, PC.

DOT physicals/ Post–employment / pre–placement physical exams:

Runde Occupational and Environmental Physicians, PC offers physical exams for your new employees, or to help your current employees remain healthy. We offer different levels of physical exams; basic physical, baseline testing of new employees, DOT physical screenings. Dr. Runde is on the National Registry of Certified Medical Examiners.

Our employee physicals may include vision testing, hearing exams (preferably in conjunction with our hearing conservation program) and strength and fitness testing (which can be used in conjunction with our baseline testing). We also offer EKG’s, pulmonary function testing, chest x–rays (off–site) and blood work in our lab. Our physicals can include drug screening for new employees, or you can take advantage of our drug and alcohol screens separately.

Our dedicated staff tries to accommodate requests for physical exams as soon as possible, often in the same day, to minimize delays and inconvenience for you.

Respiratory Physicals:

Some jobs require use of respirators: firefighters, body shop workers (spray paint), etc. Workers exposed to hazardous dusts, gasses, aerosols and fumes on the job site require the use of respirators and respiratory training

An employee receives a Respiratory Certification by completing the OSHA Respiratory Medical Examination questionnaire, which is examined by our board certified occupational health physician. In some cases, further examination by our medical professionals may be necessary for certification.

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Respirator fit testing can be conducted to ensure the specific respirator used by the employee is functional and the employee is trained in its use. The fit test looks for exactly that – does it fit the employee and does it work properly? This is required for all employees who wear a respirator, or potentially could wear a respirator.

THERE ARE 3 PARTS TO A RESPIRATORY PROTECTION PROGRAM:

  1. Respirator Clearance
    • The first step in the program is to evaluate for one's medical fitness to use a respirator. At a bare minimum, the Respirator Medical Examination questionnaire must be completed (in some cases, further examination may be necessary for certification). Ideally, a physical examination and soirometry should be performed to make the best medical decision.

  2. Pulmonary Function Test (Spirometry)
    • Pulmonary function testing, or spirometry, is a way to measure lung function. It measures the volume and speed of air that is exhaled/inhaled. A baseline test of lung function can be used to compare with regular screenings during employment to help maintain respiratory health.

  3. Respirator Fit Test
    • Respirator fit testing is conducted to ensure the specific respirator used by the employee is functional and the employee is trained in its use. The fit test looks for exactly that–does it fit the employee and does it work properly? This is required for all employees who wear respirators, or potentially could wear a respirator, such as for escape purposes.

    • There are two types of fit tests: Qualitative and Quantitative. The Qualitative test is conducted with bitrex. The Quantitative test is used for full face masks and half masks; it measures how many particles get through. At ROEP, PC, we use the Portacount Fit Testing machine, which measures the particulate in the ambient air and compares it to the particulate measured inside the mask, to achieve a minimum ratio for safety. This test shows how well the mask fits and how well the filters keep out gases and fumes. This test is required for all full face masks and can also be used to ensure the quality of half face masks.
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