We perform pre-employment physicals to determine suitability for employment. Medicus will evaluate your job duties to make sure candidates are capable of performing up to your expectations.

Our providers can perform DOT physicals every day that we’re open, and qualified drivers will leave the office with their card in hand.

For individuals with health issues, our experienced staff can help navigate the DOT requirements for documentation from specialists, waivers for certain conditions, and clearances after surgical or other procedures.

Documentation that can help expedite obtaining your DOT medical card include:

Diabetics: HbA1C lab within thirty days of your visit. The DOT requires this level to be less than 8.0. 

For those taking coumadin (Warfarin): a PT lab test within thirty days of your visit and anannual letter from your primary doctor or specialist stating that the medical condition for which you take coumadin is stable, and that you are cleared to operate a commercial vehicle.

For those taking controlled substances: a letter from the prescribing doctor stating that you are tolerant of this medication and capable of operating a commercial vehicle while taking this medication. 

Those returning to work after a heart attack, by-pass or stent placement need bi-annual stress tests (every 2 years) and a note from the cardiologist stating you are capable of operating a commercial vehicle. 

Those using a CPAP machine for obstructive sleep apnea must have a letter stating you use the CPAP for a minimum of 4 hours daily and on at least 70% of days.

Medicus will manage injuries and refer to the appropriate specialists when necessary. We are cognizant of worker’s comp issues, and will try to keep employees at work when feasible. We order appropriate testing and refer when necessary.

Medicus Urgent Care has an X-Ray on site, to evaluate for broken bones, and can handle splinting broken bones or sprains and wound care, including burn treatment and stitches.

Medicus can do your post-accident breath alcohol and drug testing as well as treat injuries and exposures, and in most cases provide follow-up care until the patient is stable to return to work with no restrictions. Examples of things we can treat include:

EXPOSURES:

Needle Sticks:

Medicus can evaluate and treat employees who suffer from needle sticks, including drawing labs for infectious disease testing and prophylactic treatment of blood borne disceases.

Respiratory Exposure:

Medicus can provide nebulizer and steroid treatments for patient with mild to moderate airway irritation after smoke or other chemical exposure to the lungs.

Burns and Chemical Burns

Minor burns can be cleaned, dressed and treated by the providers at Medicus.

INJURIES

Orthopedic Injuries and Back Injuries

Medicus can evaluate, x-ray and splint most fractures as well as prescribe pain medications if needed, to stablize your empl oyee until they are evaluated by an orthopedist doctor. In cases of sprains and strains, we can provide splinting and follow up or physical therapy prescriptions to manage the patient until they return to baseline. Most back injuries can be diagnosed and treated, and further testing ordered as appropriate.

HEAD INJURY

Minor head injuries should be evaluated to determine work status, as most injuries of this nature involve a mild concussion, and those patient should be kept out of work until their symptoms resolve. Injuries including lacerations can be repaired at our office. Employees requiring a CT Scan should go directly to the ER. These include people with the following signs and symptoms:

Evidence of a skull fracture, such as blood or fluid from the ears or nose

Scalp hematoma (Goose egg, swelling)

Neurological deficit, such as inability to speak clearly, or move a limb

Decreased level of alertness

Abnormal behavior

Vomiting more than once, or forceful vomiting

Use of a blood thinner (aspirin, coumadin or others) or a known clotting disorder

Age 65 years or older

EYE INJURY

Most foreign bodies in the eye can be removed at Medicus, and small eye wounds and chemical injuries can be treated. If we determine that further care is needed, we can refer to the eye care specialist.

FOREIGN BODIES UNDER THE SKIN

Slivers and other foreign bodies under the skin can almost always be removed by numbing the skin and using a special instrument to remove the object, or by making a small incision in the skin.

DENTAL INJURIES

If a tooth is knocked out, it is best to gently clean it and put it in the person’s mouth, and promptly see a dentist. Loose teeth should also be evaluated by a dentist to make sure the tooth is splinted and can be saved.

INJURIES TO THE CHEST AND ABDOMEN

Most injuries to the chest wall are minor and require no more than an x-ray, and can be managed at Medicus. Exceptions include injuries where the patient is having trouble breathing, trouble speaking, or has passed out.

Injures to the abdomen often require CT scan and those patients should go directly to the ER, as often time is of the essence.

LACERATIONS AND PUNCTURE WOUNDS

Most lacerations and puncture wounds can be managed in our offices. We can do repairs to the scalp, face, body and extremities, including stitches under the skin. Lacerations of tendons often require specialty consultation, but we can arrange that if needed.

COMPREHENSIVE DRUG TESTING PROGRAMS

Medicus has two on-site MROs to review drug screens, insuring rapid reporting on urine drug screen results. We also work with non-DOT employers in tailoring drug screen panels, to reduce the number of confirmatory drug screens needed. For instance, we can test for only drugs of abuse (heroin, fentanyl, cocaine, methamphetamine) so employees taking prescription medications are bypassed, saving time and money.

ECGs and LAB TESTING

For employees requiring electrocardiograms, Medicus has on-site equipment and a report will be issued on the same day. We draw send-out labs for tuberculosis and any other required panels. 

One and two-step PPDs are performed and read 7 days a week.

HEARING SCREENING

Medicus performs hearing screening testing with automated reports so employers can document baseline and post-accident hearing levels. 

VISION SCREENING

Medicus performs standard vision screening for visual acuity, as well as testing for color and depth perception if needed.

What drugs should you test for? After performing more than 5,000 drug screens, the Medical Review Officer at Medicus has gathered data to help design a drug testing program that suits your needs. This reduces false positives, delays due to non-negatives and gets you results faster. We can also tailor a drug testing program to fit your businesses unique needs – contact us for details.

We have sophisticated equipment for hearing screening to determine baseline thresholds, so you can monitor hearing over time and made any corrections needed on the operational level.

Our vision screening equipment evaluates equity, depth perception and color vision for jobs where those are required.