# Presentation: 173055

## Arduous Duty Wildland Firefighter Exams

- On-Site Medical Mobile Units
- Provided by Comprehensive Health Services, Inc.

## What the On-Site Medical Unit Can Provide For You

- All Arduous Duty Medical Examinations
- Annual
- Baseline
- Periodic
- Exit

## On-Site Medical Team

- CHS staff provides consistency in the exam process.
- All staff is trained and qualified in performing each type of exam component required for the Wildland Firefighter Exams.
- Equipment used in the exam is annually calibrated and the calibration verified each day prior to testing to ensure proper working condition.

## How Many Exams Can Be Performed by the On-Site Medical Team Each Day?

- Not including set-up or breakdown time, a team of 1 PA/NP, 2 Nurses and 1 On-site Coordinator can perform, during an 8 hr. day :
- 16 Baseline, Periodic or Exit Exams
- 72 Annual Exams
- Or a combination of any exams *(numbers determined by the type of exams needed)*

## Who Should Use the On-Site Medical Mobile Unit ?

- A SHRO/FMO who does not have a local clinic.
- A SHRO/FMO who has too many firefighters to go through the local clinic in a timely manner.
- A SHRO/FMO who has enough firefighters to warrant on-site services.
- Details on cost effectiveness discussed between SHRO/FMO, Agency representative, and Interagency Medical Standards program manager.

## How is the On-Site Medical Clinic Set Up?

- CHS brings all the equipment to your site for the exams.
- The exam process must occur in a government building in your area.
- The On-Site Medical Unit utilizes a 4 room exam model. A larger room can be used and divided into smaller rooms if necessary.
*1 room for check-in and check-out*
*3 rooms for medical testing (8x8 similar to a room in a doctors office)*

## One area needs to be located in a quiet place for audio screenings. 
CHS audiometer has ambient sound level monitoring to ensure the hearing test meets CFR 1910.95.
A bathroom near the exam area is needed.
An EMT to check any TB reads that are performed and not read by the On-site 
   Medical Team.
Internet connection is requested in the area where exams are occurring.  

*CHS audiometer has ambient sound level monitoring to ensure the hearing test meets CFR 1910.95.*
- A bathroom near the exam area is needed.
- An EMT to check any TB reads that are performed and not read by the On-site
-    Medical Team.
- Internet connection is requested in the area where exams are occurring.

- On-Site Medical Clinic Set Up Continued

## How Do I Request the On-Site Medical Mobile Unit?

- Prior to implementation in a new geographic area, a list of SHRO/FMOs is provided to CHS
- Previous years’ SHRO/FMOs who used mobile units are contacted  automatically.
- Starting in October CHS calls the SHRO/FMO to identify a need for the On-Site Mobile Unit.
- It’s critical that when an SHRO/FMO receives a  call from CHS that they return that call as soon as possible.
- CHS initiates a travel schedule based on the number of firefighters receiving exams **and** other locations in the area that wish to participate.

## How are Exams Requested

- The SHRO/FMO requests exams through CAS.
- If the SHRO/FMO is unaware who should receive an exam or the type of exam needed, they should refer to the training manual or NIFC website.
- A note is typed in the comments section of the CAS exam request, “Mobile Unit”.  This lets CHS know that the firefighter will need to be scheduled for the On-Site Medical Mobile Unit.
- This date is set up between CHS and the SHRO/FMO in advance.
- When requesting an exam, remember to  use the Name and SSN of the firefighter and not nicknames or abbreviations.

## Scheduling of Exams for the On-Site Mobile Unit

- Once a travel schedule is set by the Mobile Unit an arrival time is determined by the SHRO/FMO and CHS.
- The exam appointment schedule is based on this arrival time.
- CHS sets up a exam schedule and contacts all firefighters that have been entered into CAS to schedule them for their appointment.
- The SHRO/FMO can request to schedule the appointments, but they must work through  CHS to obtain the appointment schedule prior to contacting firefighters to set up any appointments.

## How Does a SHRO/FMO Receive Results for a Wildland Firefighter’s Exam Done by the Mobile Unit?

-   The procedures for review of the exams and notification of the exam results are completed just like exams that are done by the local clinic.
- The SHRO/FMO can find the employee’s exam
-    status in CAS.
- The employee can request a copy of the exam
- 	and results by faxing a request to CHS at
- 	(703) 288-5482.

## Continued

- Any additional Medical Standard Questions can be answered by going to the NIFC website.
- www.NIFC.gov/medical_standards

## What Do I Do if I Have Additional Questions About the On-Site Mobile Medical Unit?

- Contact Comprehensive Health Services, Inc. at (800) 638-8083 and ask for “Logistic Support for the Wildland Firefighter On-Site Mobile Medical Unit”.