On-Line Respirator Medical Clearance Fast, convenient and a fraction of the typical cost Is Respirator Medical Clearance Required? Yes. This service is designed to meet the OSHA respiratory protection standard requirements for medical clearance of respirator wearers specified in 29 CFR 1910.134. Any employee required to wear respiratory protection must be medically cleared before using the respirator and before fit testing is conducted. Medical clearance is not medical surveillance. This service is designed to provide fast, consistent and reliable medical clearance at a fraction of the typical cost with improved record-keeping capabilities. Fast and Convenient: On-line medical clearance is fast and available 24 hours a day, 7 days a week, 365 days a year. Medical clearance letters for healthy subjects can be printed at your site within minutes of completing the questionnaire. Developed by Experts: This on-line version of the OSHA respirator medical clearance questionnaire includes all of the original questions, however, it is has the additional advantage of using computer logic with extensive breakout questions to more accurately triage positive responses. After years of development and thousands of medical clearances, our breakout questions allow healthy workers to be cleared quickly. No need to wait long times for follow-up questions by a health care provider, our computer logic does this immediately. No waiting saves valuable employee time. Computer logic also helps identify fictitious responses that may occur with traditional paper questionnaires. Experts in respiratory protection and occupational medicine from the University of Cincinnati and the University of Texas developed our breakout questions and computer logic. This approach is superior to the OSHA questionnaire alone. Cleared by Experts: With our on-line clearance program you don't need to worry about the medical qualifications and/or experience of the person responsible for reviewing the questionnaire. Nor do you need to worry about their ability to appropriately respond to positive responses. With on-line medical clearance, all significant positive responses are reviewed by physicians with specialized training in occupational medicine and respiratory protection from the University of Cincinnati's Center for Occupational Health. You get access to world experts at a fraction of the cost. Economical: Save both time and money. There is no need to call a doctors office to make an appointment or wait to be seen. Likewise, you don't lose valuable employee time traveling to and from the doctor's office. Automatic Notification: Nearly all healthy workers are cleared within minutes. In those cases where our special breakout questions can't resolve a medical concern, an experienced occupational medicine physician will review the results and determine what course of action may be needed. In some cases a simple phone call may resolve the problem. In other cases, additional testing and/or evaluation may be needed. Once the answer is obtained, a final decision is then made. Whichever the case, this process is fast, accurate and reliable. Free Record Keeping and Tracking Features:With a click of a button, respirator program administrators can quickly and easily identify employees who have completed the questionnaire, their current status (pending, cleared, etc.,) and other valuable record keeping information. You can view or print a clearance letter at anytime, 24 hours a day. Find letters quickly with our special sorting feature which allows you to sort letters by subject name or date. Track the progress of any employee at any time. These features simplify record keeping, eliminate storage of hard copies, save you time and money. Record keeping features are included at no additional cost. How Does On-line Clearance Work? The employer registers for our service and account is activated. A unique user name and password is assigned. Employee logs in and completes the on-line questionnaire. Questionnaire is reviewed If no medical problem is detected, a clearance letter with physician signature is generated within minutes and delivered electronically. Or, If a problem is identified, the status is considered pending and the employee is contacted. If the problem is resolved a medical clearance letter is electronically generated. If the problem cannot be readily resolved, additional information and/or testing may be requested to resolve the concern. If this additional information and/or testing can resolve the problem, a clearance letter is generated. Any additional testing and/or services necessary to resolve a pending questionnaire are the responsibility of the employer. In many cases, the employee's personal physician may be able to provide the information or test results needed ultimately clear the individual (e.g., fax an EKG or PFT report, etc.). Is The Information Secure: The latest technology is used in conjunction with a secure server, similar to the technology used by the banking industry. Can I Use This Service for All Respirator Wearers? No. On-line respirator medical clearance is not designed for persons who need to wear an SCBA (other than for escape), enter confined spaces, work in highly toxic IDLH atmospheres, or participate in very strenuous work activities such as rescue. We believe people who wear respirator protection for these activities should be seen in-person. Fees: You pay only $32 for each medical clearance letter transmitted, plus a small one-time account activation fee of $40. There are no minimums or added charges. It's all included. In the event our physicians request additional testing to resolve a questionable medical matter, the costs for these tests become the responsibility of the employer. For example, assume an older worker with questionable cardiovascular health needs an EKG to resolve a pending concern. In this case the EKG is obtained by the provider of your choice (corporate health services, family physician, etc.). The results are simply sent to our office for review by our physician who makes a final determination regarding the ability to wear respiratory protection. The EKG can be obtained by any provider, we just need the results. Very few healthy workers require additional testing or services, however, the costs of any additional testing is not included in our fees. The one-time, $40 account activation fee is charged for each new client account and requires invoices and/or credit card charges to be sent to this single account. Written Respirator Program: OSHA requires every employer to have a written respirator program and the health care professional must have a copy to review. If you don't have a written program available, please reply via e-mail with information about the employee's exposures, types of respirators to be worn, and the workload while wearing the respirator (light, medium, or heavy) along with the number of hours it will be worn per day. Send this information to Roy@DrMcKay.com aand we will forward the information to the reviewing physician. If you need help in developing a written respirator program, you can go to the OSHA website and download the "Small Entity Compliance Guide", which provides information on how to develop a plan. After developing your plan, forward a copy to us. How do I Register For This Service? Click Register for Service and you're on your way. We recommend you save our main menu as a "favorite" in your web browser for easy retrieval. Need More Information? If you have additional questions, call us at 513-558-1234 and ask to speak with an on-line respirator medical clearance consultant.

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