HomeMy WebLinkAboutexhibit 2- medical protocolCity of Miami, Florida
Pre -Employment Physical Examination Services RFP 03-04-079
Attachment A
Medical Protocol
(Physical Examinations -
Employment, Promotional and Miscellaneous)
A. PHYSICAL EXAMINATION COMPONENTS
PHASE I
1. MEDICAL HISTORY SHEET:
Examinee will complete a family and personal medical
history to be reviewed by the physician with him/her at
the time of the physical exam.
2. LABOgATORY WORK -UP
a. Complete Blood Count (CBC), with Differential
b. Biochemistry Profile-25, Complete Lipid Profile
with ratios, and TSH
c. RPR
d. Urinalysis (Microscopic)
e. EKG - with rhythm strip
3. PPD SKIN TEST -performed by Mantoux Method (required).
4. EYE TEST
The acuity test should screen for both near and for
distance acuity on a scientifically accurate instrument
that checks for keenness of vision, depth perception,
balance of eye muscles, and the ability to
differentiate colors. Examination should be conducted
with and without corrective lenses. There are specific
vision requirements for police officer and firefighter
applicants. Requirements are as follows:
Price Officer Vijion Reauirents: 20/50 each eye,
separately without corrective lenses of any kind -
including contact lenses; 20/30 with glasses (NO
CONTACT LENSES ALLOWED).
Firefighter Vision Requirements: Far visual acuity
shall be at least 20/30 binocular, corrected with
contact lenses or spectacles. Far visual acuity
uncorrected shall be at least 20/100 binocular for
wearers of hard contacts or spectacles.
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CUy of Mlami, Florida
Pre -Employment Physical Examination Services RFP 03-04-079
5. AUDIOLOGICAL CHECK:
Will test the normal hearing range, 500 to 4000 HERTZ,
using high quality equipment.
Provide written interpretation of results.
PHASE II
A. PHYSICAL EXAMINATION BY: Inspection, Palpation
Percussion, Auscultation
Must be performed by Board Certified Physician
To include the following:
Vital - TPR, Blood pressure (both arms)
Height
Weight
General Appearance
Head, scalp, face
Neck (thyroid, lymphs, vessels)
Endocrine system
Eyes (fundi, focus) general
Ocular motility
Pupils (equality and reactivness)
Ears (internal and external canals and cerumen,)
Ear drums (perforation.
Nose (sinuses)
Mouth (tongue, teeth, and gums)
Throat (condition of tonsils)
Lungs, chest (OPTIONAL - include breasts; PHYSICIAN
WILL OFFER TO PERFORM BREAST EXAMINATION)
Heart (thrust, size, rhythm, sounds)
Abdomen, Viscera (check for hernias) -EVALUATION BY
INSPECTION, PALPATION, PERCUSSION & AUSCULTATION)
External Genitalia - EVALUATION BY INSPECTION,
PALPATION, PERCUSSION & AUSCULTATION)
ANUS AND RECTUM - EVALUATION BY VISUAL INSPECTION FOR
HEMORRHOIDS & FISSURES.
Upper extremities (strength, range of motion)
Lower extremities (strength, range of motion)
Vascular System (varicosities, etc.) Spine, other
musculoskeletal
Skin (scars, rashes,) lymphatics
Mental Status, memory, orientation, judgement, affect
Neurological
Equilibrium
•
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City of Miami, Florida
Pre -Employment Physical Examination Services RFP 03-04-079
B. Addit$onal/OPtional Items - reauired for Police Officer.
Public Service Aide (PSA). Police Auxiliary, Sr. Citizen
Guard (CATE). Firefighters and I.D. Technicians
ADDITIONAL
1. Chest X-ray (POLICE AND FIRE)
Anterior/posterior and lateral views.
Provide written interpretation of results. Deliver
results to the Department of Employee Relations within
72 hours.
2. HIV Testing and Counseling - Required for Fire
(HOWEVER, FIRE APPLICANT HAS OPTION TO DECLINE HIV
TEST) and ID Technician employment physical.
3. Hepatitis A, B, and C Screening - Required for I.D.
Technician, SWORN FIRE AND POLICE APPLICANTS)
employment physical.
OPTIONAL
1. Back X-ray (requested by City as needed)
Provide two views of the back; lumbo-sacral spine and
pelvis.
Provide written interpretation of results.
2. Pulmonary Function Test (requested by City as needed)
Provide three (3) valid tracings of a forced vital
capacity from which the Forced Expiratory Volume in one
second can be delivered.
3. Blood Type and Rh Typing (requested by City as needed)
4. Rubella Titer (requested by City as needed)
5. Rubella -Immunization (requested by City as needed)
6. Tetanus vaccine (requested by City as needed)
7. Review and provide written interpretation and/or
medical resume of employee/applicant medical records
from another agency.
8. Cardiovascular Stress Test
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