Medical Surveillance

1. Medical Surveillance Purpose • To ensure that one can tolerate the physiological burden associated with wearing a respirator.

2. Medical Surveillance Considerations: • Medical Condition of Employee • Type of Respirator • Job/Workplace Conditions

3. Medical Surveillance • Required before fit testing • Performed by physician or other LHCP • medical evaluation v. medical examination • Evaluation may consist of a medical questionnaire or medical exam that obtains the same info as the questionnaire (Appendix C)

4. Medical Surveillance • Follow-up medical exam is required for any positive response to the questionnaire • Medical exam shall include any procedures that the PLHCP deems necessary

5. Medical Surveillance • Supplemental info to LHCP: • type and weight of respirator • duration and frequency of use • expected physical work effort • additional PPE to be worn • expected temp./humidity extremes • copy of written respiratory protection program and of the standard

6. Medical Surveillance Medical Determination • Written Recommendation from PLHCP • limitations on respirator use due to medical condition or workplace conditions • the need, if any, for follow-up evaluations • statement that employee has received recommendation from PLHCP • Provision for employer to provide a PAPR

7. Medical Surveillance Additional evaluations based on info from: • Employee • PLHCP, supervisor, or program administrator • Fit testing and program evaluation • Workplace changes that may increase burden