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DELTA HEALTH CARE <br /> EMPLOYEE HEALTH CENTER PROGRAM <br /> . : <br /> PRE-EMPLOYMENT AND ANNUAL HEALTH EXAMINATION <br /> ALL FAIPLOYEES <br /> All new employees shall have a medical history screening and exam within 6 months prior to <br /> employment or within 15 days after employment, and at least annually thereafter, either by a <br /> clinician at Delta Health Care or at their own expense by a private physician. Each examination <br /> shall include a medical history and physical evaluation. Additional counseling or appropriate <br /> referrals shall be made as necessary. <br /> Initially, a Rubella Antibody Screening must be drawn or proof of immunity to Rubella <br /> presented, and a tuberculosis skin test administered. If a chest x-ray is required, a referral to <br /> the employee's private physician will be made. <br /> A TB test is to be done annually, unless a person has a known significant reaction to tuberculosis <br /> skin testing. That person should bring a note from their private MD stating what treatment was <br /> completed. If a reactor is employed by Delta Health Care, that person should be interviewed <br /> yearly by the clinician performing the annual exam. A written record shall be placed in the <br /> reactor's file indicating the responses to the interview. If any responses are positive, this <br /> information will be reviewed by the Medical Director for a decision on follow-up or referral. <br /> Any person employed by Delta Health Care who will have direct patient contact, contact with <br /> patient specimens, or dirty instruments shall have the Hepatitis B Vaccine series or provide proof <br /> of having had the series. Employees/volunteers who choose not to accept the vaccine must sign <br /> a refusal form. Said individual may change their mind at a later date. However, they must <br /> notify their immediate supervisor in writing to request the vaccine. <br /> The series of three Hepatitis B immunizations will be paid for by the clinic for all full and part <br /> time employees in the job categories noted above. If any employee leaves employment, 'any <br /> required dose to complete the series will be available, but it will be paid for by the individual. <br /> (c:\wp\files\vicki-cs\emppxpr.rev) <br /> (w*:p&p-".3) <br /> Revind 12M -B.3- <br /> Revised December 1993 <br />