employee health and pre-employment physical?

  1. Can someone tell me what is generally involved in a pre-employment physical at hospitals for a CNA? I know there will be drug screening and TB testing. I have fibromyalgia but it is under control and am under regular chiropractic treatment. What would preclude you from employment? My physical is scheduled for Friday and I'm going to go by tomorrow to pick up the history paperwork to have it filled out. Thanks!
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  2. 14 Comments

  3. by   Holly27
    For me it was
    TB Test
    Drug Screen
    Paperwork Basically like the kind you fill out at the doctors office
    and fitted for a TB mask.
    I thought more would be involved, but that was it.
  4. by   LanaBanana
    Quote from Holly27
    For me it was
    TB Test
    Drug Screen
    Paperwork Basically like the kind you fill out at the doctors office
    and fitted for a TB mask.
    I thought more would be involved, but that was it.
    That's it? They told me to expect to be there 2-3 hours !
  5. by   froggg123
    I had a couple they both did a...
    TB test
    Blood taken for titers (Rubella and Hep B immunities)
    fit tested (for TB mask)
    really quick physical by MD or NP (really quick -less then 5 minutes) it was basically walk in a straight line, hold your hands to your side read this eye chart.
    drug test
    and paperwork, the wait in the waiting room was longer LOL
  6. by   rach_nc_03
    Hi LanaBanana! Did you decide on your shoes yet?

    As for pre-employment physicals, they're generally pretty rudimentary, but I've heard of a scant few cases where they actually get into assessing one's ability to perform specific job functions- lifting, for example. I took a seminar called "Legal Compliance in Human Resources" last year, and found out that companies sometimes will develop comprehensive screening requirements to avoid potential lawsuits under the Americans with Disabilities Act.

    Let's say, for example, that I am an amputee with only one hand, and I apply for a job where I'm required to lift and carry heavy objects frequently. By law, the employer can NOT ask a disabled person if he/she can perform certain job functions, unless the applicant volunteers that information. They can ask them to demonstrate *how* they would perform such functions, but only if they require that of EVERY applicant.

    My understanding is that this type of system is rare- at this seminar, an HR person from a police department said they used such a process because there had been injuries to some officers because one guy wasn't able to do something and didn't disclose it in his interview.

    Probably more info than you wanted, but I thought it was interesting when I learned about it. Basically be prepared to demonstrate you can perform whatever physical functions the job requires- although it's highly unlikely you'll have to do that.
  7. by   LanaBanana
    Quote from rach_nc_03
    Hi LanaBanana! Did you decide on your shoes yet?
    Thanks for the info. Yes, I actually got a pair of MBTs. So far I love them, although I haven't spent any long days in them yet - just wearing them around like they suggest to get used to them.
  8. by   catlady
    I went for a pre-employment physical recently and yes, it took two hours. It included testing by a PT to see if I could physically meet the demands of the job, including lifting and carrying 50 pound weights.

    I didn't go to work there, although I passed the physical. The place I ended up going just went through a brief questionnaire about my ability to do my job, and reviewed my immunizations/TB testing. Took five minutes.
  9. by   MIA-RN1
    Quote from LanaBanana
    Can someone tell me what is generally involved in a pre-employment physical at hospitals for a CNA? I know there will be drug screening and TB testing. I have fibromyalgia but it is under control and am under regular chiropractic treatment. What would preclude you from employment? My physical is scheduled for Friday and I'm going to go by tomorrow to pick up the history paperwork to have it filled out. Thanks!
    I did NOT disclose my fibromyalgia to either school or my employer. I figure that as long as its under control (it is, I've had it for around 15 years now and I know what to do) they don't need to know.
    I don't know specifically for CNA but I know that everywhere is different. For my current job, it was the most bizarre physical ever. I got blood work of course, TB stuff was deferred d/t my hx of conversion/treatment. But then the NP spent all this time talking about anxiety, IBS, and zoloft and how they are connected and she had me do some weird stretching exercises. I have no idea why--stress relief? Anyway, I did end up with a sore neck but it wasn't so bad. That was it. Very very odd.
    My exam for a tech job in a different hospital was a total physical, completely normal stuff including romberg testing and cranial nerve testing.
    Oh, and both physicals involved being fitted for TB mask as well, which is cool. You put on a TB mask and then a plastic hood and they spray scented stuff into the hood to see if you can smell it.
  10. by   lagill55
    I understand your concern's... I to have a physical this wednesday & have had both hips replaced & seems everyone thinks I am a liability? I was offered a relief position 2 weeks ago, cleared background check & now the physical! I am in better shape now with new hips then when i was in school becoming a cna/hha in 2003. I was oldest one 54 now. Probably the best employeee they will ever lay eyes on... dependable, work any shift..actually want to show up to work every day & help people.. I feel with my disabilkity i understand where the patients are coming from. if the hospital job doesn't go through, I suggest doing private in home care! I've been doing home care since 2001. Just no jobs now so i applied for cna med/surg position! LOL


    Quote from LanaBanana
    Can someone tell me what is generally involved in a pre-employment physical at hospitals for a CNA? I know there will be drug screening and TB testing. I have fibromyalgia but it is under control and am under regular chiropractic treatment. What would preclude you from employment? My physical is scheduled for Friday and I'm going to go by tomorrow to pick up the history paperwork to have it filled out. Thanks!
  11. by   lagill55
    Also, where do you live? how old? keep in touch if u want to... lagill55@gmail


    Quote from lagill55
    I understand your concern's... I to have a physical this wednesday & have had both hips replaced & seems everyone thinks I am a liability? I was offered a relief position 2 weeks ago, cleared background check & now the physical! I am in better shape now with new hips then when i was in school becoming a cna/hha in 2003. I was oldest one 54 now. Probably the best employeee they will ever lay eyes on... dependable, work any shift..actually want to show up to work every day & help people.. I feel with my disabilkity i understand where the patients are coming from. if the hospital job doesn't go through, I suggest doing private in home care! I've been doing home care since 2001. Just no jobs now so i applied for cna med/surg position! LOL
  12. by   lagill55
    at pre-employment physical what was the order of exam?
    dr. going over hx with you + exam by him? what was next? TB testing, PT examining strength, drug screen? what sort of drug screen?

    also bring imunization records, ss card, photo Id(D.Licence), CNA certification,
  13. by   lagill55
    ??? what are MBT's i know shoes but never heard of these??? help
  14. by   NeoNurseTX
    Quote from froggg123
    I had a couple they both did a...
    TB test
    Blood taken for titers (Rubella and Hep B immunities)
    fit tested (for TB mask)
    really quick physical by MD or NP (really quick -less then 5 minutes) it was basically walk in a straight line, hold your hands to your side read this eye chart.
    drug test
    and paperwork, the wait in the waiting room was longer LOL

    Same thing for me..they did a set of vitals and had me push against their hand or whatever.

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