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PROTECTING YOU AND YOUR EMPLOYEES. By using: POST-OFFER,PRE-PLACEMENT SCREENINGS Bruce A. Jacobsen PT, M.Ed. Coordinator of Industrial Rehabilitation Services 203-789-3490. Also know as…. Pre-work Screening, PWS Return to Work Screenings, RTWS Physical Demand Screenings, PDS
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PROTECTING YOU AND YOUR EMPLOYEES By using: POST-OFFER,PRE-PLACEMENT SCREENINGS Bruce A. Jacobsen PT, M.Ed. Coordinator of Industrial Rehabilitation Services 203-789-3490 Occupational Health Plus/Worker Health Solutions
Also know as… • Pre-work Screening, PWS • Return to Work Screenings, RTWS • Physical Demand Screenings, PDS • Functional Capacity Evaluations, FCEs • Limited functional Capacity Evaluations • Ability Screenings Occupational Health Plus/Worker Health Solutions
A Post-offer, Pre-placement screening is a screening that tests an applicant’s ability to perform the physical demands of a specific job. Occupational Health Plus/Worker Health Solutions
Purpose: Job Matching • Definition: Matching an applicant’s and/or employee’s physical abilities to a job’s essential physical demand requirements. • An objective measure to help hire the right people for a specific job. Occupational Health Plus/Worker Health Solutions
Job Match Grid Occupational Health Plus/Worker Health Solutions
Post-offer, Pre-employment Screening • Derived from a Functional Job Description. • Specifically, the physical demands of the job. • Department of Labor Physical Demands: • Lifts, push & pull forces, carries, crawling , kneeling, crouching, climbing, hand grip forces, hand coordination activities (gross and fine motor). Occupational Health Plus/Worker Health Solutions
Additional Considerations • Positive culture of safety. • Ergonomic applications. • Employee and Employer safety ownership. • PDS are only a part of work safety programs. • A snapshot of a person’s abilities Occupational Health Plus/Worker Health Solutions
Benefits of PDS • Establishes a baseline level of physical abilities at time of hire. • Reduction in first 90-day injuries (WorkWell Systems, Inc.). • More realistic return to work options if injured later on. • Introduction to safe material handling; coaching. Occupational Health Plus/Worker Health Solutions
Benefits continued… • Can identify if a screening failure is due to conditioning vs. pathologic vs. poor body mechanic issues. • Considered non-discriminatory if based on the essential job functions. • Helps to assure an injured employee is physically ready to return to work. Occupational Health Plus/Worker Health Solutions
Cost Considerations • Adds to hiring cost, as an additional service. • Based on the PDS pass rate of a specific job, more applicants may need to be screened. (examples: CANs and EMTs). • HR vs. safety/risk view points • Again, helps identify if applicants have the essential physical abilities to perform the job. • The idea is to help reduce WC costs. Occupational Health Plus/Worker Health Solutions
Legislation • American Disability Act (ADA) • 3 situations for testing • Pre-employment • Job Transfers • Return to work clearance • Work and non-work related injuries • Equal Employment Opportunity Commission (EEOC) looks at non-discriminatory application of the screenings. Occupational Health Plus/Worker Health Solutions
Physical Limiting Factors. • Muscle weakness. • Weak quadriceps • Pathologies. • osteoarthritis • Poor body mechanics: • bad habits • Weakness • pathologies Occupational Health Plus/Worker Health Solutions
Functional Capacity Evaluations (FCE) • A standardized test of about 21 to 25 physical testing components. • A physical exam is done prior to an FCE to help correlate findings for consistency of effort purposes. • Range form 3 to 5 hours over 1 to 2 days. • Looking to determine the employees maximum abilities. • Observational criteria to help determine estimated work categories, i.e. frequent, occasional and rare work levels. Occupational Health Plus/Worker Health Solutions
FCE vs. PDS • 3 to 5 hours • Tests to maximal abilities • More costly • Done if no PDS is set up, mostly for RTW reasons. • Often done at MMI to help quantify any permanent restrictions • 15-60 minutes average • Only as required within a work cycle • Less costly • Done for PWS, RTW and job transfers • Not done for MMI restrictions Occupational Health Plus/Worker Health Solutions
Functional Job Descriptions (FJD) • Required by both FCEs and PDSs • Quantifies the physical demands of a job. • A job analysis needs to be conducted to determine the physical demands of the essential functions. • Strongly recommend employee and employer involvement during the development. Occupational Health Plus/Worker Health Solutions