PRE-EMPLOYMENT PHYSICAL

Pre employment exam and Physical exams and medical tests allow companies to determine a prospective employee’s ability to perform essential job functions. Performed by a licensed physician, the process includes a medical history questionnaire and general wellness exam, with targeted tests and examinations based on occupational duties, conditions and potential job hazards. Fox occupational medical center checks if you are physical for a job physical diagnoses is carried out in strenuous settings. The physician submits a health assessment and fitness recommendation to the company, which can hire the applicant, make reasonable accommodations for those with disabilities or health issues, or withdraw the offer as outlined in the job offer letter. Pre-employment physicals are also called post-offer physical exams.

POST-OFFER PHYSICAL EXAMS

The exam varies based on what field the patient is going into but typically consists of:

Complete occupational/medical history
Musculoskeletal examination
Evaluation of the respiratory system
Gastrointestinal examination
Examination of head, eyes, ears, nose, and throat
Skin and lymphatic examination
Neurological evaluation
Evaluation of the cardiovascular system
Visual acuity and vital signs, including blood pressure, urine dip test

DRUG AND ALCOHOL SCREENING

Drug and alcohol screening may be included in the physical exam or performed at a different facility. Depending on the test ordered (blood, swab, urinalysis or hair sampling), current or recent use of marijuana, alcohol, amphetamines, opiates, cocaine and other drugs can be determined. Company policy dictates which substances are grounds for withdrawing the employment offer and prospective employees are generally not told which substances will be tested.

SENSORY TESTING

Vision and hearing are directly related to job safety. Sensory aids such as eyeglasses or hearing devices are commonplace and allow unrestricted job performance in many instances, but professions that require color differentiation may require testing for color blindness. Jobs requiring vision or hearing beyond what is possible with corrective devices may require more specialized testing.

MUSCULOSKELETAL TESTS

Basic musculoskeletal tests will be performed to test an individual’s range of motion and reflexes. Jobs that require regular heavy lifting, pushing, pulling, climbing, repetitive motion, physically demanding or hazardous duties may require targeted tests. These include bone density tests to detect osteoporosis, isokinetic or isoinertial assessments to determine anaerobic work capacity for jobs requiring strenuous lifting and physical stamina, or carpal tunnel exams to detect injury for workers doing repetitive motion tasks.

CARDIOVASCULAR AND PULMONARY TESTS

Cursory checks of the heart and lungs with a stethoscope and blood pressure cuff is standard procedure, but more involved tests may be required for physically demanding jobs, especially if current or past issues with these vital systems are indicated in your medical history. Cardiac stress test, electrocardiogram or echocardiogram (EKG/ECG) are common cardiovascular tests physical for work. Spirometry plethysmography and gas diffusion tests show lung capacity, blood/oxygen levels, carbon monoxide diffusion, and other lung functions.

INFECTIOUS DISEASE TESTS

Particularly in the medical field or in jobs requiring close contact with others, testing for infectious diseases such as measles, shingles, tuberculosis, mumps, rubella and hepatitis may be required.

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