University of Virginia Health System

              Specific Services We Provide 

Alcohol/Drug Testing with Medical Review Officer Services
Services offered include: 
-Completion of identification check and forms as indicated
-Collection and labeling of urine specimen-pre hire, random, post-accident, DOT/non DOT
-Performance of breath alcohol testing as indicated
-Appropriate reporting of laboratory results
-Medical Review Officer (MRO) Services
-Coordination of services with Faculty and Employee  
-Assistance Program (FEAP) when necessary
-Secure retention of medical records
-24 hour on call Drug and Alcohol Testing Services

 Animal Protocol Medical Evaluation
Services offered include:
-Nursing review of completed questionnaire
-Clinical evaluation for any problems and needs identified
-Further evaluation as indicated for use of protective 
  equipment
-Notification to employer, via computer program, of work status
-Secure retention of medical record

Blood and Body Fluid Exposure Evaluation
Services offered include:
-Nursing evaluation of exposure site and source information
-Laboratory baseline screening 
-Physician evaluation for possible post-exposure prophylaxis if high-
 risk exposure
-Counseling regarding exposure risk and prevention of exposure to
 others
-Followup laboratory screening
-Secure retention of medical record

CPR Classes
The goal of every CPR class is to fight heart disease and strokes.
Services offered include:
-CPR – Family and friends (adult, infant & child) your choice
-Heart Saver (adult, infant and child) your choice
-Heart Saver and AED (adult with Automatic External Defibulator)
-Basic Life Support for Health care Providers (adult, infant
 and child plus AED) a must course for potential instructors
-Instructor CPR

Environmental Exposure Evaluation
Services offered include:
-Nursing evaluation of exposure circumstances and medical status
-Clinician evaluation if indicated for severity of symptoms or need for  
 medical treatment;  Toxicology consultation if necessary
-Notification of appropriate situation-evaluating agency, such as
 Environmental Health and Safety documentation of exposure and evaluation
 notification to employer of work status if indicated
-Secure retention of medical record 

Ergonomic/Worksite Evaluation referrals

Fitness for Duty
Services offered include:
-Physician review of medical history and therapies with employee
-Physical examination as indicated
-Physician collection and review of work recommendations from primary care
  providers
-Written communication of work recommendations to employer and employee
-Secure retention of medical record

 Fitness for Work
Services offered include:
-Nursing assessment of medical condition or symptoms
-Clinician evaluation of employee if necessary
-Initiation of followup evaluation if urgent
-Notification to employer of work status
-Secure retention of medical record

Hearing Protection Evaluation  
(See OSHA/Hazardous Material Surveillance Evaluation)

Immunizations including Influenza and Hepatitis B vaccine
Services offered include:
-Nursing review of health history, immunization status, contraindications to
 vaccination
-Immunization administration (hepatitis B, tetanus, varicella, rubella, rabies,
 and influenza) and follow-up as indicated (titers, exams for reactions,etc.)
-Documentation of immunization status
-Notification to employer of work status if indicated
-Secure retention of medical record

Infectious Disease Exposure Evaluation
Services offered include:
-Nursing contact of individual exposed
-Nursing assessment of exposure
-Clinician treatment for necessary prophylaxis if work-related exposure
-Referral to primary care provider for treatment of non-work-related
 exposure
-Notification to employer of work status if indicated
-Secure retention of medical record

Medical Evaluation Program  

New Employee Assessment
Services offered include:
-Nursing review of completed health history
-Administration of indicated vaccinations or screening tests
-Referral for further evaluation as necessary
-Notification to employer of work status if indicated
-Secure retention of medical record

Nutrition Counseling
-Individual/family/group counseling
-Weight loss and maintenance
-Heart healthy diet
-Pregnancy and post-natal diet
-Sports nutrition
-Eating disorders
-Women's nutrition issues
-Vegetarian diets
-Child and teen nutrition
(See Risk Reduction Programs)

OSHA/Hazardous Material Surveillance Evaluation
Services offered include:
-Medical history review
-Occupational history/ exposure review
-Completion/review of appropriate questionnaires for specific hazardous 
  material
-Physical examination
-Laboratory testing as indicated
-Special testing as required, including pulmonary function testing,
 audiometric testing, electrocardiography
-Immunizations as indicated
-Written recommendations to employer regarding work status
-Written communication to employee, with review of findings of evaluation
  and recommendations
-Secure retention of medical record

Health Risk Appraisal (HRA)
-The HRA Questionnaire is a Personal Wellness Profile used to help identify certain cardiovascular health risks as it relates to family history, lifestyle habits and mental health.  In conjunction with the questionnaire, physical measurements such as blood pressure, blood cholesterol levels, glucose level and body mass index are factored in to generate individual Personal Wellness Profiles.

-The HRA participant receives updated health risk information which can be used to make lifestyle changes and take control of managing their own health.  It further allows them to share this information with their PCP and become better partners with him/her.

-Prior to Screening Day:  Participant makes an appointment for their screening and the questionnaire will be mailed to the participant for completion.  The questionnaire must be brought with them on the day of the screening.  The physical measurements take approximately 15-20 minutes and include the following:
                                     Height
                                     Weight
                                     Blood lipid values, including cholesterol
                                     Blood Pressure

Risk Reduction Programs
Services offered include:
-Executive risk reduction program
-Cardiovascular program
-Company specific programs
-Nutritional counseling 
-Exercise/weight control program
-Other requests:  if services cannot be provided through Occupational
 Health Services, the customer will be assisted in procuring the necessary
 services through sources of service at the University of Virginia or in the
 community.

Routine Physical Exams required for work

Tuberculosis Screening
Services offered include:
-Nursing review of PPD status and history
-Administration of PPD
-PPD reading at 48-72 hours, and recording of results 
-Evaluation of positive PPD with symptom review and chest radiograph
-Physician evaluation for discussion of positive PPD and consideration of
 prophylaxis or medical treatment
-Notification to employer of work status if indicated
-Secure retention of medical record

Worker’s Compensation injury evaluation and care
Services offered include:
-Completion of report of injury/illness and choice from panel of physicians
-Medical evaluation and examination
-Written communication of work restrictions and follow-up appointment date
-Referral for specialized evaluation or additional treatment as necessary,  
  with followup in Occupational Health Services
-Completion of all injury/illness/treatment documentation
-Timely transfer of documentation information to Worker’s Compensation
  management team
-Secure retention of medical record