Mich. Admin. Code R. 325.51938

Current through Vol. 24-21, December 1, 2024

Section R. 325.51938 - Content

Rule 38.

(1) A medical examination made available pursuant to R 325.51937(a) and (b) shall include all of the following elements:

(a) A detailed work history and a medical history, with particular attention to past occupational and non-occupational lead exposure in all of the following:

(i) Personal habits, such as smoking and hygiene.

(ii) Past gastrointestinal.

(iii) Personal hematological.

(iv) Renal.

(v) Cardiovascular.

(vi) Reproductive.

(vii) Neurological problems.

(b) A thorough physical examination, with particular attention to all of the following:

(i) Teeth.

(ii) Gums.

(iii) Hematological status.

(iv) Gastrointestinal status.

(v) Renal status.

(vi) Cardiovascular status.

(vii) Neurological status.

(viii) Pulmonary status shall be evaluated if respiratory protection is to be used.

(c) A blood pressure measurement.

(d) A blood sample and an analysis which determines all of the following:

(i) Blood lead level.

(ii) Hemoglobin and hematocrit determinations, red cell indices, and examination of peripheral and smear morphology.

(iii) Blood urea nitrogen.

(iv) Serum creatinine.

(e) A routine urinalysis with microscopic examination.

(f) A laboratory or other test which an examining physician deems necessary by sound medical practice.

(2) The contents of a medical examination made available pursuant to R 325.51937(c) and (d) shall be determined by an examining physician and, if requested by an employee, shall include pregnancy testing or laboratory evaluation of male fertility, as the case may be.

Mich. Admin. Code R. 325.51938

1981 AACS; 2015 AACS; 2018 MR 23, Eff. 12/11/2018