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Fairview JobCare Occupational Health Services

At Fairview Range JobCare, we understand the importance of a healthy workforce. That's why we offer a wide range of employer-specific occupational health services to improve the health of your employees. Work-related injuries impact employee well-being, productivity and performance−and the business bottom line. Our Goal is to enhance the health, awareness and safety of business & industry.

About Us

Working in partnership with you, our business philosophy is simple: provide high-quality, cost-effective work surveillance and health screening, injury and illness prevention, treatment and employee health management services on-site or out of our office location. We work to keep employees on the job, or to return them to work as quickly and safely as possible following injury or illness.

JobCare offers qualified specialists to provide select health care services to employers on the Iron Range and Northern Minnesota. Our specialists are trained and certified according to the Council for Accreditation in Occupational Hearing Conservation (CAOHC), NIOSH, OSHA, and MSHA requirements, to ensure your compliance needs. They also are trained under the Isernhagen Work Systems and are experts in delivering quality service and maintaining surveillance test data.

Contact Us

Contact us today to discuss how we can meet your occupational testing needs.

Fairview JobCare Occupational Health Services
Fairview Plaza
1200 East 25th Street, Suite 120
Hibbing, MN 55746-3897
Phone: (218) 312-3017
Fax: (218) 312-3020
email: dthornt1@range.fairview.org

Services

Audiometric Testing

Audiometric Testing Fire Brigade

NFPA 1500 7.18 The Fire Department shall engage in a hearing conservation program to identify and reduce or eliminate potentially harmful sources of noise in the work environment.

OSHA 29 CFR 1910.95 (c) Hearing Conservation Program
OSHA 29 CFR 1910.95 (g) (1) The employer shall establish and maintain an audiometric testing program…by making audiometric testing available to all employees whose exposures equal or exceed an 8-hour time-weighted average of 85 decibels.

Fairview Range JobCare staff members are Certified Occupational Hearing Conservationists who conduct audiometric testing as part of the hearing conservation team, to prevent hearing loss among occupational workers.


Audiometric Testing services are available and can be brought on-site to your location. Our portable booth and equipment has been calibrated and is sound monitored to allow for testing compliance. 


Audiometric Testing - MSHA

30 CFR PART 62 Occupational Noise Exposure

30 CFR 62.100 …mandatory health standards for each surface and underground metal, nonmetal, and coal mine subject to Federal Mine Safety and Health Act of 1977.

30 CFR 62.170 The mine operator must provide audiometric tests…at no cost to the miner.

30 CFR 62.170 (b) “Annual Audiogram”. After the baseline audiogram is established, the mine operator must continue to offer subsequent audiometric tests at intervals not exceeding 12 months for as long as the miner remains in the hearing conservation program.

Fairview Range JobCare staff members are Certified Occupational Hearing Conservationists (COHC) who conduct audiometric testing as part of the hearing conservation team, to prevent hearing loss among occupational workers.

Audiometric Testing services are available and can be brought on-site to your location with our mobile services trailer. Our portable booths and equipment have been calibrated and are sound monitored to ensure testing compliance.


Audiometric Testing - OSHA
OSHA 29 CFR 1910.95 (c) Hearing Conservation Program

OSHA 29 CFR 1910.95 (c) The employer shall establish and maintain an audiometric testing program…by making audiometric testing available to all employees whose exposures equal or exceed an 8-hour time-weighted average of 85 decibels.

NFPA 1500 7.18 The Fire Department shall engage in a hearing conservation program to identify and reduce or eliminate potentially harmful sources of noise in the work environment.

JobCare staff members are Certified Occupational Hearing Conservationists (COHC) who conduct audiometric testing as part of the hearing conservation team, to prevent hearing loss among occupational workers.

Audiometric Testing services can be brought on-site to your location with our mobile services trailer. Our portable booths and equipment have been calibrated and are sound monitored to ensure testing compliance.

Basic Life Support Classes

Fairview Range JobCare Occupational Health Services in conjunction with Fairview Range Medical Centeri is a training center for the American Heart Association, offering Basic Life Support (BLS) for healthcare providers, and basic life support (CPR and Automatic External Defibrillator (AED) for non-healthcare providers in the workplace and community on a contract basis.

Training sessions are tailored to the customer’s specific needs whether it is at the workplace or in a classroom setting.

Our staff members are AHA certified instructors and are experienced in health education, occupational health, critical care, and emergency nursing along with first hand firefighter experience and training in HAZMAT Response. We instruct all our courses in accordance with the AHA guidelines and the most current standards in CPR and First Aid.

List of Classes:
◾Training for Lay Rescuers
◾Heartsaver CPR
◾Heartsaver First Aid
◾Heartsaver AED
◾CPR for Family and Friends
◾Training for Healthcare providers – Initial Provider Course
◾BLS for Healthcare Providers – Renewal Course

DOT Services

Fairview Range JobCare can assist you to meet the needs of a quality random selection program. We work with CMS/MedTox and utilize a computer based, scientifically valid method of selection in accordance with the U.S. Department of Transportation. Eligible participants are entered into the computer program, which then generates the random selections. Quarterly or monthly selections are distributed randomly throughout the required time frame so as not to establish a pattern for the frequency or timing of the testing.


Your company is provided with quarterly and annual reporting data to meet the requirements of the US DOT. Our staff are certified collectors under 49 CFR PART 40 to meet your federal requirements.

Drug & Alcohol Workplace Testing

 The economic and human costs of drug and alcohol use are astounding. Numerous studies, reports and surveys suggest that substance abuse is having a profoundly negative affect on the workplace in terms of decreased productivity and increased accidents, absenteeism, turnover, and medical costs.


According to results of a National Institute on Drug Abuse (NIDA) sponsored survey, drug-using employees are 2.2 times more likely to request early dismissal or time off, 2.5 times more likely to have absences of eight days or more, three times more likely to be late for work, 3.6 times more likely to be involved in a workplace accident, and five times more likely to file a workers’ compensation claim.

Fairview Range JobCare can assist your company with your workplace drug and alcohol testing services for the Department of Transportation (DOT) and Non-DOT screenings. Urine drug screening, hair analysis drug screening, and Breath Alcohol Testing (BAT) services are available for pre-employment, random, and post-accident and reasonable suspicion testing. We are excited to announce that we have recently partnered with eScreen Drug Testing Technology to provide rapid drug screening through the first instant, automated, on-site drug-testing device, which provides negative results within minutes versus the industry standard of forty-eight to seventy-two hours. To learn more about the benefits of eScreen rapid drug screening, please view the ebrochures found at the bottom of this page. To read more about our partnership and view press release, visit our news and events tab of our website! We also offer DOT Consortium Services for random drug screening in compliance with DOT regulations. We utilize MedTox Laboratories and United States Drug Testing Laboratories, Inc.

We can also assist your company to meet the five components of a program, such as a Medical Review Officer, training, education and establishing an Employee Assistance Program (EAP) to complement these services.

Employee Assistance Program

Save time and  money, time and energy by implementing an employee assistance program which can address issues such as:


o   Turnover
o   Absenteeism
o   Conflicts between employees
o   Alcohol and drug issues
o   Decreased performance
o   Personal/family problems affecting work performance

Our Employee assistance program, the Employee HELP System, has been in place since 1984. We have provided services for our system, Fairview Range, and for numerous external companies as well.

Our program is designed to help address and resolve problems and concerns of employees and their families. We also provide several resources for employers including training, assistance with job-related concerns, and consultation. 


To discuss details and costs regarding this service, call 218-362-6664 or 1-800-450-4020.

EMS & Firefighter Services

As might be expected, EMS and fire fighters are at increased risk of back injury compared to other professions secondary to rigorous physical requirements of the occupation. The International Association of Fire Fighters' annual Death and Injury Survey reveals that sprains and strains routinely account for approximately 50% of all line-of-duty injuries and back injuries account for approximately 50% of all line-of-duty injury retirements each year.

◾Approximately 8 of 10 Americans will injure their back sometime during their life
◾96% of back injuries are due to cumulative trauma
◾Back pain is the most common and expensive work-related injury
◾Back pain costs to the employee are immeasurable

Fairview Range JobCare's back program consists of educational and practical, ‘hands on' components.

Participants will learn basic spinal anatomy and the role of the intervertebral disk and muscular system during movement. Participants will also learn the importance of spinal alignment and the pressure to the disks in various awkward lifting postures. Core lifting techniques will be demonstrated and put to practical use during common patient evacuation scenarios.

Functional Capacity Evaluation

What is an FCE?


An FCE is an objective evaluation of a person’s physical abilities and limitations to do general, work-related tasks. The physical ability is based on frequency and resistance of an activity during an 8-hour day and 40-hour week.

The FCE provides information on functions performed on many jobs to include the ability to lift or carry, push/pull, how much bending or rotating can be sustained, positional tolerance, hand coordination, balance, and mobility. This identifies critical factors in physical abilities or limitations.

The result of the evaluation is a thorough understanding of a person’s physical capabilities to do specified work tasks. It is standardized, it measures the overall physical function of an individual, and the information can be extrapolated to fit different scenarios and different occupations.

Our goals of this assessment are:
◾To assess the functional capability of an individual.
◾To interpret the findings in terms of strategy for return-to-work and safe work standards.
◾To assist in making accurate decisions regarding an early and safe return to productivity.
◾To assist in making objective decisions on physical limitations.

Each assessment includes:
◾A client history review
◾A musculoskeletal assessment to determine strengths and/or limitations in strength and range of motion
◾A functional activities performance assessment involving: ◦lifting and carrying

◦sitting, standing, and balance

◦bending and stooping

◦other work related tasks

◾An objective report which is prompt, clear, and concise
◾A conference can be arranged with client, employer, case manager and evaluator to discuss the FCE results.

This assessment is performed by an Occupational Therapist who is a vital element to the Fairview Range JobCare Team and is trained under the Isernhagen Work Systems.


Healthfair Screenings

Blood Pressure
High blood pressure is when blood moves through the arteries at a higher pressure than normal. High blood pressure is a “silent disease” and should be monitored at least every two years, or as often as advised.

Ankle Brachial Pressure Index (ABPI)

The Ankle Brachial Pressure Index (ABPI) is the ratio of the blood pressure in the lower legs to the blood pressure in the arms. Compared to the arm, lower blood pressure in the leg is a symptom of blocked arteries (Peripheral Vascular Disease).

Heel Bone Density
Low heel bone density may be a symptom of Osteoporosis. This screening is performed by using an ultrasound machine and test results are available within two minutes.

Lipid Profile Screening/Glucose Screening
It is recommended that healthy adults with no other risk factors for heart disease be tested with a fasting lipid profile once every five years. The sample is collected from a finger stick and results are available in 7 minutes. The profile results are total cholesterol, HDL (good), LDL (bad), VLDL, triglycerides, TC/HDL ratio (heart disease risk ratio), and glucose.

A1c Screening
The A1c sample is collected from a finger stick and results are available in 8 minutes. This screening tool gives a picture of the average amount of glucose in the blood over the last few months and isn’t affected by having eaten before the test.

Body Mass Index (BMI)

Body Mass Index definition, or BMI, is a number from the results of a calculation using a person’s weight and height.  The results of the BMI formula are used as a tool to screen a person for potential weight problems due to body fat. Excess weight and body fat could put a person at risk for certain diseases such as high blood pressure, high cholesterol and type 2 diabetes just to name a few. This test is performed using calipers to measure skin folds.

Grip Strength
The vast majority of our daily tasks involve our hands. The grip test gives us insight into how our hands, and upper body, are functioning. By addressing issues early, we can reduce the effects of what is occurring, both at work and at home. This test is performed by using the grip dynamometer.

The clients test results are reviewed with the nurse and informational brochures are available.


Immunizations

Hepatitis B Vaccine

Hepatitis B is a bloodborne virus which can cause serious acute and chronic liver infection and potential liver damage and death. Each year it is estimated that 140,000 Americans get infected with hepatitis B virus (HBV). HBV is 100 times more infectious than HIV, and can live on a dry surface for at least 7 days.

Hepatitis B vaccine can prevent hepatitis B. Anyone at risk for exposure to blood or body fluids should receive the three doses of hepatitis B vaccine according to the CDC recommended schedule, which includes emergency medical response and public safety workers.


Tetanus, Diphtheria, and Pertussis Vaccine (Td or Tdap)
Tetanus is a serious disease caused by bacteria entering the body through a wound such as a scratch, cut, burn, animal bite, or splinter. Diphtheria bacteria enter the body through person-to-person contact and produce powerful toxins affecting the muscles, throat, and tonsils and are common in our environment. Pertussis (Whooping cough) bacteria enter the body through person to person contact and cause a highly contagious disease with upper respiratory infection symptoms and severe coughing spells and vomiting. At this time, Tdap is licenses for only one lifetime dose per person (adolescents and adults). Td is given as a booster dose recommended every 10 years and more often if needed.

Influenza Vaccine
Influenza is a serious respiratory disease caused by a virus that spreads from infected persons to the nose or throat of others. It causes an average of 36,000 deaths each year in the U.S. most among the elderly. Influenza vaccine can prevent influenza or allow for a milder case of the infection. Inactivated (killed) influenza vaccine is recommended annually during the flu season.

Measles, Mumps, and Rubella Vaccine (MMR)

Measles, Mumps, and Rubella are contagious diseases which can lead to serious illness and permanent physical damage. Most people have been vaccinated for these diseases during childhood, or are considered naturally immune from exposure if born before 1957. Adults in high-risk groups, such as health care workers, emergency medical response workers, students entering colleges, and international travelers should receive a total of two doses of MMR vaccine. Also, if you were previously vaccinated with killed measles vaccine or with an unknown vaccine between 1963 and 1967 you should receive two doses of MMR.

Varicella Vaccine
Varicella (chickenpox) is a common childhood viral disease spread through person-to-person contact which is usually mild, but it can be serious including complications, especially in infants and adults. It causes a rash, itching, fever, and tiredness. People 13 years of age and older who have never had chickenpox or received chickenpox vaccine should get two doses at least 28 days apart.

Lipid Profile & A1c Screening

Lipid Profile Screening
It is recommended that healthy adults with no other risk factors for heart disease be tested with a fasting lipid profile once every five years. The sample is collected from a finger stick and results are available in 7 minutes. The profile results are total cholesterol, HDL (good), LDL (bad), VLDL, triglycerides, TC/HDL ratio (heart disease risk ratio), and glucose. The clients test results are reviewed with the nurse and informational brochures are available.

A1c Screening
The A1c sample is collected from a finger stick and results are available in 8 minutes. This screening tool gives a picture of the average amount of glucose in the blood over the last few months and isn’t affected by having eaten before the test. The goal of those with pre-diabetes or diabetes is to keep their blood glucose levels as close to normal as possible. This helps to minimize the complications caused by chronically elevated glucose levels, such as progressive damage to body organs like the kidneys, eyes, cardiovascular system, and nerves. Criteria for performing this screening tool would include a fasting blood sugar >100 mg/dl or a non-fasting blood sugar > 140 mg/dl.


Pulmonary & Respiratory Services

The Pulmonary Function Test (PFT) is a group of breathing maneuvers that assess the function of the lungs. JobCare utilizes the Pulmonary Function Test to evaluate an employee’s ability to wear a respirator safely.

The Pulmonary Function Test will consist of:

Spirometry—the main measurements include: forced expiratory volume in one second (FEV1) and forced vital capacity (FVC)

Testing of lung function is important in assisting the physician in the diagnosis and management of patients with respiratory ailments. The results of tests are compared with charts of normal values based on age, sex, and height. If values are less than 80% of the normal values, then you are more likely to have some type of lung disease. The results of the individual tests may help the doctor diagnose a specific disorder.

Fairview Range JobCare utilizes the NHANES III reference equations for data analysis to comply with industry standards.

Post Offer Health Assessment & Physical Screening

Employment Screening

Primary prevention and health promotion are health protection measures that prevent injury and illness. Primary prevention of illness and injury in the workplace is a major factor in cost savings to employers.

JobCare offers a variety of services to assist employers in providing a work environment safe for employees, as well as assisting with screening employees to determine physical abilities to perform the work required.

Post-Offer Health Assessment
Health assessments are performed by an Occupational Health nurse to determine significant illnesses, injuries, or current health problems requiring referral and/or follow-up with a physician. The assessment may include a drug testing component and/or compliance screening such as hearing, respirator fit testing, etc. to meet regulatory requirements. The job offer is contingent on passing screening parameters set forth by the employer, determined by type of work to be performed.

Post-Offer Physical Screening
A physical component of post-offer assessment performed by an Occupational Therapist which determines the applicants physical abilities to perform the essential functions of the designated job. Essential Functions are the tasks that create the position.

Tobacco Cessation Classes

Fairview Range offers American Cancer Society’s Freshstart tobacco cessation support classes. Classes are instructed by Registered Nurses and Respiratory Therapists who are also certified as Tobacco Cessation Training Specialists. 


The primary goal of Freshstart is to help participants plan a successful quit attempt. Anyone who wants to quit using tobacco may participate. 


Sessions are one hour long and registration is first come, first served. (Class size is limited to 10 people).
Cost is $20 but it will be refunded if you attend all 4 sessions. 


Pre-registration is required. 218-312-3012 

Tuberculosis Exposure Screening

A TB skin test (Mantoux) is the best way to tell if you have Tuberculosis infection. TB disease has multiple signs and symptoms and is spread from person to person through the air. Others can breathe the TB germs into their lungs and contract TB infection. TB infection is not contagious and does not have signs and symptoms. If someone with TB infection is not treated with medicine they could develop TB disease.


 You should get tested if:
◾You have spent time with a person with known or suspected TB disease.
◾You are emergency medical response personnel, transporting and performing procedures on an individual with suspected or confirmed TB, or a public safety worker.
◾You have a health condition that puts you at high risk for TB disease.
◾You live in a community where TB disease is more common.

JobCare Resources

 Resources

OSHA
MSHA
Minnesota Department of Labor & Industry
International Association of Fire Fighters
Centers for Disease Control and Prevention
The National Institute for Occupational Safety and Health (NIOSH)
United States Department of Transportation
U.S. Department of Transportation Pipeline and Hazardous Materials Safety Administration


Fire Fighters and Ambulance
OSHA's Fire Brigade Standard - 1910.156
OSHA's Occupational Noise Exposure Standard - 1910.95 (c) and 1910.95 (g) (1) The employer shall establish and maintain an audiometric testing program…
IAFF/IAFC Fire Service Joint Labor/Management Wellness-Fitness Initiative
OSHA's Respiratory Protection Program Standard - 1910.134 (e) (1) The employer shall provide a medical evaluation to determine the employee's ability to use a respirator…
The International Association of Fire Fighters' annual Death and Injury Survey reveals…
OSHA's Hazardous Waste Operations and Emergency Response Standard - 1910.120 (f) Medical surveillance…at least once every twelve months for each employee…


Audiometric Testing
OSHA's Occupational Noise Exposure Standard - 1910.95
MSHA's Occupational Noise Exposure Standard - 30 CFR PART 62
MSHA's Occupational Noise Exposure Standards Purpose and Scope - 30 CFR § 62.100 …mandatory health standards…subject to Federal Mine Safety and Health Act of 1977.
MSHA's Occupational Noise Exposure Standard - 30 CFR § 62.170 The mine operator must provide audiometric tests…at no cost to the miner.
MSHA's Occupational Noise Exposure Standard - 30 CFR § 62.170 (b) Annual Audiogram
OSHA's Hearing Conservation Program Standard - 1910.95 (c) (1) The employer shall administer…whenever employee noise exposures equal or exceed an 8-hour time-weighted average sound level (TWA) of 85 decibels…


Respirator Fit Testing
OSHA's Respiratory Protection Standard - 1910.34
OSHA's information on Fit Testing - (from 1910.134)
MSHA's Selection, fit, use, and maintenance of approved respirator Standard - 30 CFR § 72.710

The U.S. Department of Transportation 
◾  The U.S. Department of Transportation U.S. DOT Rule - 49 CFR Part 40 (PDF)


Minnesota Workman's Comp

Minnesota Statues - 176.103 Medical Health Care Review
Minnesota Statutes - 176.135 Treatment; Appliances; Supplies
Minnesota Statutes - 176.138 Medical Data; Access
Minnesota Statutes - 176.155 Examinations Subdivision 1. Employer's physician. The injured employee…by the employer's physician


Chemicals
CAS Chemical substance search and identification


Hazardous Materials
Title 49 CFR 172.101 Table (List of Hazardous Materials)


CDC Vaccine Information Statements
Hepatitis B 
Tetanus/Diphtheria/(Pertussis) (Td/Tdap) 
Influenza Vaccine - Seasonal Inactivated  
Measles/Mumps/Rubella (MMR
Varicella (Chickenpox) 




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