PreEmployment Assessments

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Pre-Employment Assessments

• The Human Resources Perspective

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Why Conduct Pre-Employment Assessments?

• Assure that job candidates are physically capable
  of safely performing essential job functions

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Gottlieb Memorial Hospital

• Located in the Western Suburbs of Chicago
• Not-for-Profit
• Community Hospital
• 245 Beds
• Level II Trauma Center
• 1,400 Employees

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Gottlieb Memorial Hospital (Continued)
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Pre-Employment Physical Process

• Scheduled by Human Resources
• Mandatory for all job classifications
• Purpose
• Assure ability to perform essential job functions
• Prevent transmission of communicable disease
• Detect overt health problems

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Components of Pre-Employment Physical

• Health History
• Medication History
• Vision Testing
• Blood, Urine and PPD Testing
• Back Screening
• OSHA Mandated Fit Testing Questionnaire
• Latex Allergy Questionnaire
• Physical examination by a Licensed Physician

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Health History
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Medication History
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Vision Testing

• Near and distance vision
• Color perception

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Blood Tests

• Candidates are tested for
• Varicella-Zoster
• Rubella
• Mumps
• Rubeola
• Hepatitis B surface antibody

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PPD Testing

• 2-step TB skin test
• If first step is negative, candidate may begin
  work
• If first or second step is positive, candidate is
  held off work and chest x-ray is ordered

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Urine Drug Screening

• Test for amphetamines, barbiturates,
  benzodiazepines, cocaine, marijuana, methadone,
  methamphetamine, ecstasy, opiates, PCP and
  propoxyphene
• Adulterated Specimens or positive results job
  offer rescinded

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Back Screening

• Conducted by Physical Therapy Department
• Simulate job tasks
• Only jobs that require constant lifting, pushing,
  etc. (Housekeepers, Transporters, PCAs)

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OSHA Mandated Fit Testing

• OSHA Respirator Medical Evaluation Questionnaire
  completed and reviewed by RN
• Fit testing occurs at Orientation

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Latex Allergy Questionnaire

• Began screening 10 years ago
• Candidate reviews questionnaire with RN and
  Physician
• May be an accommodation issue

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Physical Examination

• Physician
• Reviews and discusses health history with
  candidate and conducts a physical exam
• Documents medical conditions, treatment or
  restrictions that might impact candidates
  ability to safely perform essential job duties
• 3. Makes recommendations regarding employment
  based on findings and knowledge of job
  requirements

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Physical Job Demands Form

• In addition to Job Description, detailed physical
  demands form developed for each job
  classification
• Specifies required physical abilities (vision,
  manual dexterity, mobility, dynamic strength,
  endurance/stamina, etc.)
• Specifies essential or marginal function and
  frequency

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Communication!!

• Communication between Occupational Health
  provider and Human Resources imperative
• All restrictions reviewed to determine if
  accommodation is required and/or possible
• Consult legal counsel as needed

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Human Resources Role

• Clear understanding of job requirements
• Communicate with Occupational Health provider and
  Department Managers
• Communicate with job candidate

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Questions??