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Occupational Health Clinic
1211 21st Ave. South
Suite 640 Medical Arts Building
Nashville, TN 37212
FROM THE RESOURCE LIBRARY
Vanderbilt Surveillance Program Screening Requirements
Compliance with all applicable Vanderbilt Occupational Health medical surveillance and fitness for duty programs is required and compliance status is automatically imported into the Vanderbilt University Medical Center Performance Evaluation System (VPES).
Employees may view their own compliance status for individual programs through the Health & Wellness Information Portal. All medical screening requirements applicable to the individual’s job and department are included in compliance status. Items marked as “VPES Items” are hazard programs whose compliance status is sent to VPES for use in employee evaluations.
Supervisors may view compliance status for individual programs (without medical information) through the “Record of Compliance in OHC” report on MyVandy, accessible from the VUMC homepage.
Below is a list of all requirements included in the Immunization & Screening Compliance field on the Policy & Safety Compliance page within VPES.
- Hepatitis B: Per VUMC policy OP 30 – 10.07 Immunization Program for Faculty/Staff, employees whose jobs involve contact with patients, blood, body fluids or human tissue must either complete the hepatitis B vaccine series, or submit a signed declination form.
- Measles: Per VUMC policy OP 30 – 10.07 Immunization Program for Faculty/Staff, employees born on or after 1/1/1957 must provide proof of vaccination or immunity to measles. For details, see New Employee Evaluations.
- Mumps: Per VUMC policy OP 30 – 10.07 Immunization Program for Faculty/Staff, employees born on or after 1/1/1957 must provide proof of vaccination or immunity to mumps. For details, see New Employee Evaluations.
- Rubella: Per VUMC policy OP 30 – 10.07 Immunization Program for Faculty/Staff, all VUMC faculty/staff must provide proof of vaccination or immunity to rubella (German measles). For details, see New Employee Evaluations.
- Varicella: Per VUMC policy OP 30 – 10.07 Immunization Program for Faculty/Staff, employees born on or after 1/1/1957 must provide proof of vaccination or immunity to varicella (chickenpox). For details, see New Employee Evaluations.
- Tuberculosis (Annual): Per VUMC Policy OP 30-10.14 Tuberculin (TB) Testing for Faculty/Staff, annual TB skin testing is required for VUMC faculty and staff, except those departments without patient contact which have been exempted.
- N-95 Respirator: Per VUMC Policy SA 10 – 10.14 Respiratory Protection, individuals who care for patients on airborne precautions, or who enter occupied negative pressure must have an initial medical clearance to wear a respirator, and undergo fit testing annually. Fit testing is provided by Vanderbilt Environmental Health and Safety (VEHS).
- Animal Care: Division of Animal Care employees and all faculty and staff involved in research utilizing animals must be enrolled in the Occupational Health and Safety Program. This includes initial and subsequent annual completion of an animal allergy questionnaire as well as species-specific services based on animal exposure. Rabies vaccine and follow-up blood draws to check immune status are required for individuals working with dogs or bats. A herpes B physical exam is required for those working with macaques (and TB skin testing compliance is required for individuals working with any non-human primate). A Q fever exam is required annually for those with occupational exposure to sheep. For rabies vaccination or testing, and the animal allergy survey, compliance can be met by completing the appropriate services or by turning in a signed declination form to Occupational Health.
- Noise: Personnel exposed to high levels of occupational noise, as identified by VEHS, are required to participate in the Hearing Conservation Program, which includes baseline and annual hearing tests, per the OSHA noise standard 1910.95. Individuals enrolled in this program include Lifeflight crew, Lifeflight Event Medicine personnel, groundskeepers, power plant personnel, and Division of Animal Care technicians who work in the cage wash area.
- Formaldehyde: Individuals exposed to formaldehyde at levels above the action level as designated by the OSHA formaldehyde standard 1910.1048 are required to participate in the Formaldehyde Medical Surveillance Program. This program includes pre-placement and annual physical exam and pulmonary function tests, and a baseline medical clearance for respirator use. Individuals enrolled in this program include first year pathology residents, faculty who use cadavers to teach anatomy, staff who embalm bodies, and surgical pathology staff who are exposed as determined by VEHS. Medical Surveillance is required in the Formaldehyde Exposure Control Policy.
- Pesticides: Plant Operations Pesticide Shop staff who spray organophosphate pesticides are required to participate in the Pesticides Medical Surveillance Program. This program includes pre-placement and annual physical examination as well as blood tests to monitor for pesticide exposure. Pesticides are likewise included in OSHA’s list of air contaminants to which an employee’s exposure should be limited (see OSHA standard 1910.1000).
- Decontamination Team: VUH and VCH Emergency Department faculty and staff who have been designated and trained to dress out and work in the decontamination line during an emergency event are required to participate in the Decontamination Team Medical Surveillance program. This includes completion of a medical questionnaire and appropriate follow-up (if needed) to determine medical fitness to wear the required respirator and gear. In addition, medical clearance must once again be confirmed prior to dressing out at the time of an event and at regular intervals during the course of that event. Medical clearance requirements are likewise outlined in the VUH decontamination plan and the VCH decontamination plan protocol.
- Hazmat: Vanderbilt Environmental Health & Safety staff who routinely handle hazardous waste for disposal and assist in clean up of chemical spills are required to participate in the HAZMAT Medical Surveillance Program. The screening includes a pre-placement and annual physical examination, appropriate lab work, and clearance for respirator use. Medical requirements are outlined in the Vanderbilt Environmental Health and Safety HazMat team Chemical Incident Emergency Response Plan, as well as in OSHA standard 1910.120, “Hazardous Waste Operations and Emergency Response”.
- Child Care: Childcare workers at Susan Gray School, Vanderbilt Child and Family Center, and Mama Lere Hearing School are required to have a physical exam every 3 years or as otherwise necessary to meet TN Department of Education requirements (see section 1240-04-03-.05 (9) c and d).
- Lifeflight: LifeFlight faculty and staff who transport patients on aircraft are required to participate in the Lifeflight Fitness For Duty Program. This program includes pre-placement and annual physical examinations, including vision and hearing screening. Medical Screening Requirements are outlined in the applicable Lifeflight Departmental Policy and are consistent with Tennessee Department of Health EMS Flight Crew licensure requirements (see section 1200-12-1-.05 (5)(b)3). These individuals are also required to be enrolled in the Hearing Conservation Program.
- Medical Transport Systems: Individuals who are medical transport team members, including those on the Lifeflight and Neonatal Transport teams, must participate in the Medical Transport Systems surveillance program. This includes an annual medical questionnaire to ensure safe and quality patient care. The Survey also provides an opportunity for the individual to request an accommodation if necessary. The survey meets the medical surveillance requirements for certification by the Commission on Accreditation of Medical Transport Systems (CAMTS).
- Police and Security: Police and Security officer candidates, including police officer trainee, police officer certified, sergeant, lieutenant, and detective are required to enroll in the Vanderbilt Police Fitness For Duty Program. This includes a pre-placement physical examination with emphasis on cardiovascular fitness. Lab work for total cholesterol and HDL is also obtained, and referral for stress testing or other cardiac evaluation is done on a case-by-case basis.
- Standardized Patient: Individuals functioning as standardized patients for medical student education and training are required to participate in the Standardized Patient Fitness For Duty Program. This program includes pre-placement physical examination. The employee will be provided a copy of the physical exam findings so that he or she can best determine ability to participate in specific simulated exams. Requirements are outlined in the Standardized Patient Job Description.
- MRI: Individuals working near MRI magnets are required to complete an annual MRI Screening Form to ensure that they do not have an implanted device or other condition that would make it unsafe for them to be near the MRI. This program follows the recommendations of the American College of Radiology Guidance Document for Safe MRI Practices.
- Traffic and Parking: Vanderbilt shuttle and Vandy Van drivers are required to undergo a Commercial Driver Medical Examination by Occupational Health to obtain and renew their Commercial Drivers’ License medical certification. The medical certification is required as outlined by the Department of Transportation’s Federal Motor Carrier Safety Administration Medical Program in order to drive a commercial vehicle, such as the Vanderbilt shuttles and vans. The frequency of the necessary examination and any other additional medical evaluations is determined on an individual basis and follows the DOT guidelines.