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City of Santa Ana Response to Request for Updated Scope of Work 5/31/18 <br />chemoprophylaxis treatments, and b) schedule and coordinate the administration of those immunization <br />and chemoprophylaxis treatments deemed appropriate and necessary prior to and during employment. <br />Immunization Record Management: Applicants and employees will be given an immunization record <br />(documentation of immunization history) upon completion of: a) initial administration of immunization <br />and chemoprophylaxis treatments; or b) an assessment concluding that no immunization or <br />chemoprophylaxis treatments are necessary. Immunization records for all applicants and employees <br />evaluated will be maintained electronically by Occu-Med. In the event an applicant for employee <br />declines an immunization Occu-Med will obtain the appropriate declination from the individual. <br />On -Going Immunization Management: All immunization and chemoprophylaxis treatments <br />recommended by NFPA, POST or the CDC will be managed by Occu-Med. This service includes <br />tracking to assure compliance with the CDC, in addition to other applicable guidelines; notification of <br />employees and designated supervisory personnel of all periodic follow-ups associated with immunization <br />and chemoprophylaxis treatments; and, upon request, preparation and provision of customized tracking <br />reports documenting any aspect of the immunization and chemoprophylaxis treatment program. <br />Occu-VAXis a dynamic service that any employer can access, from including a Hepatitis B Titer as part <br />of a pre -placement evaluation so that Hepatitis immunity can be immediately documented, or providing <br />on-site flu immunizations during the flu season. Should the City elect to incorporate Occu-VAX a medical <br />records management fee would be applied. <br />OSHA Respirator Medical Evaluation Questionnaire review pursuant to CCR Title 8 § 5144. <br />Occu-Med will administer OSHA Respirator Medical Evaluation Questionnaire pursuant to CCR Title 8 § <br />5144 to the applicant once the referral is received. Occu-Med can either use the City's form, or the <br />Cal/OSHA form. These forms will be provided to the applicant electronically. Once returned to <br />Occu-Med the OSHA Respirator Medical Evaluation Questionnaire is reviewed by one of our physicians <br />or other licensed health care professional (PLHCP). When necessary, the applicant or employee will <br />undergo a Pulmonary Function Test Occu-Med requires that three (3) blows be taken with the best result <br />becoming the medical record. <br />Additional Annual Physicals <br />Based on coordination with the City Occu-Med is able to provide those physical and associated medical <br />exam components as well. These physicals would be scheduled and coordinated much the same way as <br />described in the Pre -Employment Physical Exam section of the document. Occu-Med and the City would <br />14 1 Occu-Med <br />25L-24 <br />