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Occupational Medicine Services

Occupational Medicine Services

Department of Transportation (DOT) Exams

DOT exams are provided on a pre-placement and then biennial basis. As experts in the ever-changing landscape of standards and procedures Premier Occupational Health assumes responsibility for the computerized reminder system tracking employee examination dates and notifying the respective contact of upcoming exams.

DOT Physical Exam Helpful Information

The tips discussed below are helpful for the medical examiner to make a determination of medical fitness. Bringing in the information does not mean there is a guarantee of passing the exam. Additional information may be required from your health care professional(s) before a determination will be made.

ALL DRIVERS

  • Bring a complete list of ALL of your medications. Ensure you know the dosage and how often you take each medication. Please include the doctor(s) name and address. If there are more than one prescribing doctor, list the doctor name and address for the different medications.
  • Know the proper spelling of the name and address of any personal care physician(s), and bring that information with you at the time of the exam. If you have more than one doctor you see for different conditions, ensure you know the information for all your physicians
  • It is a good idea to DOWNLOAD the medical exam, and fill out the Driver section (The first two pages of the exam) before your visit. The medical exam can be found at the following website address:
    • https://www.fmcsa.dot.gov/medical/driver-medical-requirements/medical-applications-and-forms
  • If there is any information missing on the medical exam form at the time of the exam, you will be disqualified from driving until all the information is gathered. Another complete exam will be necessary in order to be requalified for driving commercially.
  • If you have a current one-year card, ensure that you have all relevant information necessary for your exam. It is a good idea to schedule the exam 45 days in advance, but definitely at least 30 days before your current card expires. If there is any more medical information needed, you may still be able to drive up to 45 days using your old certificate.

Drivers diagnosed with Diabetes

  • Bring your blood sugar monitor or blood sugar logs to your appointment
  • Bring your most recent lab tests (including your HgA1C) ideally no more than 6 months’ old

Drivers wearing corrective lenses or using hearing aids

  • Bring your glasses, contacts and/or hearing aids to your exam.

Drivers diagnosed with sleep apnea

  • Bring a reading from your machine documenting compliance in the use of the machine
  • Bring your notes from the last visit with your sleep doctor ideally no more than 6 months’ old
  • Additional information from your sleep doctor may be required
  • PLAN AHEAD – typically there are additional notes required for drivers with this issue. Schedule the exam 45 days before the driver’s current Medical certificate expires.

Drivers prescribed any controlled substance, or taking any medication that cause drowsiness, etc.

  • Bring a note and medical records from your personal care professional regarding the use of the medication, and the information should include any restrictions from driving while taking each medication.
  • Your personal care professional will need to attest to the safety of the driver, while taking medication that may affect safety.

Drivers with any heart-related treatment or care

  • Notes from your cardiologist, as well as your primary care professional may be necessary. The notes must include all medications, treatment, and history of care for any heart-related conditions. The treating cardiologist must attest to the safety of the driver.
  • Further information may be required including stress tests, labs, etc.
  • PLAN AHEAD – typically there are additional notes required for drivers with this issue. Schedule the exam 45 days before the driver’s current Medical certificate expires.

Drivers taking any blood thinners

  • Notes from your treating primary care professional will be necessary.
  • Current lab readings may also be necessary

Additional Information

  • The clinic follows the DOT "Best Practices" approach to maximize the safety of the driver and others that share the road.
  • Every exam is reported to the DOT. Michigan State Police and the Secretary of State monitor all exams, including incomplete exams from any certified medical examiners.
  • The DOT-FMCSA is committed to having safe drivers on the road. This is a Federal mandate, and we encourage every driver to go the DOT website and read the information on the Driver medical program.
  • Second opinions are allowed. What is not allowed is omitting information on medications or health history on the second opinion. It is best to bring in all information from the first exam to another medical examiner.
  • More information can be found about the new forms and procedures at: https://nationalregistry.fmcsa.dot.gov/ResourceCenter/documents/FAQs%20New%20Driver%20Examination%20Forms%20011216.pdf

Department of Transportation Medical Examination Report Form

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Drug and Alcohol Testing Program

Drug Testing Could Save You Money!

Did you know many insurance companies offer a 3% to 5% discount on the workers' compensation premium for employers who participate in a drug testing program?  In most cases, the insured must perform pre-employment, post-accident, just cause and random testing to qualify for the discount. 

Our occupational medicine clinic can help you with a drug testing program and help ensure that you are providing a drug free, safe workplace for your employees.  We offer pre-placement, post-accident, drug testing for cause and random testing at our clinic

We can also serve as your drug screen collection site.  We have in-house labs we work with or can collect and send out a sample to any lab area employers may have a contract with. Substance Abuse Professionals are available through our Employee Assistance Program should you have a positive result.

Random Drug and Alcohol Testing

Our occupational medicine clinic also has all the tools to provide you with a complete random drug and alcohol testing program.  Whether you are required to have a program due to Department of Transportation requirements or just want to make sure you are indeed providing a drug free work place, we can help.

  • Random Testing Program Management -- our software allows us to scientifically select employees from your employee pool for random drug and/or alcohol testing.
  • Certified Drug Screen Collection -- Certified drug screen collection site.  We are able to collect any drug screen using your chain of custody form as well as provide DOT and non-DOT drug screens using our"house" labs. 
  • Breath Alcohol Testing (BAT) -- BAT certified technicians.

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eScreen

Recently, COMP began offering drug testing results in minutes through the eScreen program. eScreen is the industry's only 15-minute negative urine drug screening and integrated web-based result reporting service.

Employers now have the ability to monitor the testing status of prospective employees online and receive web-based negative drug and breath alcohol test results within 15 minutes while storing all relevant testing information.

The quick results of the eScreen service allow employers to increase the odds of securing their first choice candidates.

Learn more by visiting eScreen.com

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Hearing Program

Work Related Hearing Loss

Work related hearing loss continues to be a critical workplace safety and health issue.  The National Institute for Occupational Safety and Health named hearing loss one of the 21 priority areas for research in the next century.  Noise-induced hearing loss is 100 percent preventable but once acquired, hearing loss is permanent and irreversible.  Therefore, prevention measures must be taken by employers and workers to ensure the protection of workers' hearing.

The costs associated with hearing loss are very high.  For the national workforce, occupational hearing loss costs an estimated $242.4 million per year in disability alone.

McLaren Port Huron Industrial Health can help you with your hearing program.  We offer COHC technicians who can come on-site and perform state of the art hearing tests.  Industrial Health also offers education and training for your employees in regard to hearing health.  Also, Industrial Health can help you determine if an employee's hearing loss is work related or not.

Occupational hearing loss can be a serious issue.  Contact Industrial Health to find out more about our hearing program and see how a local provider can help you make sure your employees aren't victims to workplace noise-induced hearing loss.

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Immunizations

  • Hepatitis A & B Series
  • TB PPD Mantoux
  • Tetanus Diphtheria
  • Influenza (Flu)

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Mobile Health

McLaren Port Huron's Industrial Health mobile health and on-site services bring many of our services to you.

Our mobile health van is a large 40-foot mobile unit that we use to bring services directly to your door.  It is a mobile clinic on wheels that can be set up and ready to use in a short period of time.

Our on-site services allow us to offer the best in education in training to your doorstep.

Here is a list of the services that we can provide:

  • Drug and Alcohol Testing
  • Respirator Physical Exams
  • Quantitative Respirator Fit Testing
  • Respirator Education and Training
  • Hearing Tests
  • Hearing Education and Training
  • DOT/DOE Physical Exams
  • First Aid Training
  • CPR / AED Training
  • Blood Borne Pathogen Training
  • Emergency Oxygen Administration Training
  • Hazard Communication Training
  • Sports Physicals 

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Pre-Employment Physicals

pre-employment physicals

The pre-placement exam is performed after a person has been offered a job. The exam is performed with attention to the job duties, including physical requirements.

Following the examination, the physician provides a written opinion about the person's suitability for performing the job without health and safety risk to self and others. Medically conditional information is not divulged on this form. This form of communication usually is a standard form that is placed in the employees file. Specific medical records remain at the health facility and are maintained only by the medical staff.

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Respiratory Protection

Industrial Health Respiratory Protection Program

Safety + Health magazine listed OSHA's Top 10 most cited standards in the December 2005 issue. Respiratory Protection was listed as the fourth highest cited standard. Issues that caused employers to be cited included failure to establish a program, failure to have an employee medically cleared for respirator use and failure to have employees fit tested annually.

McLaren Port Huron Industrial Health can help you with your entire respiratory protection program. Our team of experts can help you make sure your program is up to date and in compliance. We have all the equipment needed to properly fit test your employees and make sure they are safe from any respiratory hazards.

The protection standards are a part of MIOSHA PART 451. Here are some links to help you with understanding the program:

  • Respirator FIT Testing Facial Hair Guidelines

  • Michigan Department of Labor and Economic Growth MIOSHA-Consultation Education and Training Division Respiratory Protection Part 451 Powerpoint

  • Michigan Department of Labor and Economic Growth Director's Office Occupational Health Standards.

Best of all, we can bring our services to you with the Take Care-a-Van.

For more information on respiratory protection, please contact Carter Hitesman at (810) 982-8016.

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Specialty Services

Offering the following in specialty services:

  • Supervisor and Employee Substance Abuse Training
  • Development of Injury Prevention Programs
  • Back Safety Training
  • First Aid Training
  • Blood Borne Pathogens
  • CPR Training
  • Walk Through Assessment
  • Ergonomic Assessment

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