Medical Monitoring Services

The vendor required to provide medical monitoring services for include:
-  HAZWOPER
•    Provide HAZWOPER occupational related medical examinations.
•    Perform examinations in two parts. 
•    Part one will include required clinical testing. 
•    When clinical test results are available, part two will include a physical examination and evaluation of test results performed by a physician.
•    Able to schedule and provide the examinations with two weeks advanced notice over a two consecutive day time period.
•    All applicable federal, state and local laws and regulations regarding the performance of medical examinations including, but not limited to, certifications for publicly licensed health care practitioners (PLHCP), disposal of medical wastes, calibration and maintenance of equipment, and so forth. 
•    Any and all accreditations for the facilities, services, and programs covering the services they will provide under this contract.
- Medical examination
•    The medical examination is designated for employees having duties associated with hazardous waste operations based on USEPA publications 9285.1-03, "standard operating safety guides" and must meet the requirements of osha 29 cfr 1910.120 and 29 cfr 1910.134. 
•    The medical examination for asbestos inspectors must meet the requirements of osha 29 cfr 1910.10d1 and 29 cfr 1910.134. 
•    The examination is to determine an individual's fitness for duty, including the ability to work while wearing protective equipment.
- Occupational and medical history
•    Make sure the worker has filled out an occupational and medical history questionnaire. review the questionnaire before seeing the worker. in the examining room, discuss the questionnaire with the worker, paying special attention to prior occupational exposures to chemical and physical hazards.
•    Do a complete medical history emphasizing these systems: nervous, skin, lung, blood-forming, cardiovascular, gastrointestinal, genitourinary, reproductive, eye, ear, nose, and throat.
•    Review past illnesses and chronic diseases, particularly atopic diseases such as eczema and asthma, lung diseases, and cardiovascular disease.
•    Review symptoms, especially shortness of breath or labored breathing on exertion, other chronic respiratory symptoms, chest pain, high blood pressure, and heat tolerance.
•    Identify individuals who are vulnerable to particular substances (e.g. someone with a history of severe asthmatic reaction to a specific chemical).
•    Record and discuss relevant lifestyle habits (e.g. cigarette smoking, alcohol and drug use) and hobbies.
- Physical examination
•    Height, weight, pulse, respiration, and blood pressure.
•    Head, nose, and throat. 
•    Eyes - include vision tests that measure visual acuity, depth perception, and color vision. 
•    A qualified medical assistant or physician should administer these tests. 
•    Vision quality is essential to safety, the accurate reading of instruments and labels, the avoidance of physical hazards, and for appropriate response to color-coded labels and signals.
•    Ears - include an audiometric screening, performed at 500, 1,000, 2,000, 3,000, 4,000 and 6,000 hertz (HZ) pure tone in an approved sound attenuating booth. 
•    Tests should be administered by a trained medical assistant and reviewed by an audiologist or a physician familiar in audiometric evaluation. 
•    The integrity of the eardrums can provide a route of entry for chemicals into the body. 
•    The physician evaluating employees with perforated eardrums should consider the environmental conditions of the job and discuss possible specific safety control with the employee's agency medical monitoring coordinator, and other health professionals before deciding whether such individuals can safely work on site.
•    Conduct a comprehensive physical examination of body organs, focusing on the pulmonary, cardiovascular, and musculoskeletal systems.
•    Chest (heart and lungs).
•    Peripheral vascular system.
•    Abdomen (including hernia exam).
•    Spine and other components of the musculoskeletal system.
•    Genitourinary system. nervous system.
•    Identify conditions that could increase susceptibility to heat stroke, such as obesity and lack of physical exercise.
•    Identify conditions that could affect respirator use, such as missing or arthritic fingers, facial scars, dentures, poor eyesight, or perforated eardrums.

- Contract Period/Term: 3 years