Employment Physical Examinations and Drug and Alcohol Screening Services

The Vendor is required to provide employment and promotional physical examinations, drug and alcohol screening and tuberculosis testing.
- Provide interested hospitals and other medical facilities with the requirements and criteria which will be used to make the selection.
- Employment, employees who seek promotions to positions that require a physical examination, employees who must comply with the omnibus transportation employee testing act, employees involved in an injury or accident at work and employees whose behavior on the job reflects a reasonable suspicion that drug usage is a problem.
- Due to the above-mentioned issues, the County requires Drug/Alcohol Screening for approximately 400-500 applicants/employees each year.
- Provide an Employee Medical History Questionnaire, a Physical Examination form to be completed by the physician, and a Physician’s Recommendation form that specifies the employee’s/applicant’s physical capabilities.
- Provide job descriptions that describe the essential functions of the job and the physical requirements of the position and must be used by the physician to evaluate physical capabilities.
- The performance of these examinations and the records maintained must be consistent from one applicant to the next, we are requesting that only one, or a maximum of two physicians be designated to administer all physicals.
- Audiometric testing shall be performed on each candidate to detect any physical or medical condition that could adversely affect the candidate’s ability to safely perform all essential job tasks.
- provide the County with the maximum recommended physical capacity of the applicant, so that the County can determine what modifications to the job might be made to allow the applicant to perform the essential functions of the job.
- required to investigate ways of reasonably accommodating employees/applicants who are unable to physically perform the job in its current condition, the County will look for ways to modify the job.
- The nature of the disability and the employees’ work may necessitate an opinion as to whether a job can be accommodated for an employees’ particular problem.
- require a physician to assess an employee/applicant’s ability to work a specific job and may require the physician to conduct an on-site evaluation of the work to be performed.
- Initial Drug Screening: The initial test should screen: opiates, cocaine, amphetamines, methamphetamines, barbiturates, cannabinoids, phencyclidine, methaqualone, benzodiazepines, methadone, and propoxyphene.
• The initial test should be an immunoassay-based screen using the enzyme-multiplied immunoassay marketed under the trade name EMIT by SYVA or equal. 
• If the employee or applicant shows positive for drug/alcohol usage, then a conformation screen will need to be conducted.
- Drug Screens– Reasonable suspicion, post-accident/injury, DOT random, and return-to-duty:
• The initial test should screen for: opiates, cocaine, amphetamines, methamphetamines, barbiturates, cannabinoids, phencyclidine, methaqualone, benzodiazepines, methadone, and propoxyphene.
• Instant drug tests will be required for post-accident and post injury review; all results will be confirmed with lab testing. 
• The testing is a two-stage process. 
• First, a screening test is performed. 
• Then a confirmation test is performed for each identified drug using state-of the-art gas chromatography/mass spectrometry (GS/MS) analysis to confirm the results.
- Designation of collection site. Each drug testing program shall have one or more designated collection sites which have all necessary personnel, materials, equipment, facilities, and supervision to provide for the collection, security, temporary storage, and shipping or transportation of urine specimens to a certified drug testing laboratory.
- An independent medical facility may also be utilized as a collection site provided the other applicable requirements of this part are met.
- A designated collection site may be any suitable location where a specimen can be collected under conditions set forth in this part, including a properly equipped mobile facility. 
- A designated collection site shall be a location having an enclosure within which private urination can occur, a toilet for completion of urination (unless a single use collector is used with sufficient capacity to contain the void), and a suitable clean surface for writing. 
- The site must also have a source of water for washing hands, which, if practicable, should be external to the enclosure where urination occurs.
- A facility normally used for other purposes, such as a public restroom or hospital examining room, may be secured by visual inspection to ensure other people are not present and undetected access (e.g., through a rear door not in the view of the collection site person) is not possible.
- Security during collection may be maintained by effective restriction of access to collection materials and specimens.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: July 22, 2025