Fitness for Duty Lecture Powerpoint

Question 1

Fitness for duty

Answer 1

Medical examination of current*** employee that evaluates physical mental and emotional state of employee and determines ability to perform essential tasks of work, and determines they are not a threat to health and safety of oneself, coworkers, property, public

Question 2

Indications for fitness for duty exam (4)

Answer 2

• return to work (from workers comp or FMLA)
• job performance (employer concern or employee requesting accommodation)
• post employment offer (after hire as to not discriminate but can then dismiss)
• Medical surveillance exam (periodic for employees exposed to hazardous materials)

Question 3

If restoring an employee whose FMLA (family and medical leave) was for their own illness or injury, the cost of the fitness for duty cert falls on the…

Answer 3

….employee, opposed to ADA (Americans with disabilities act) injury where it is at employers expense

Question 4

FMLA (family and medical leave)

Answer 4

Requires covered employers to provide employees with job protection for unpaid period for reasons such as pregnancy, foster care, family illness, military, etc. for up to 12 weeks in a 12 month period

Question 5

FFD exam

Answer 5

Related to job description (psych, musculoskeletal, neuro)

Question 6

Funcitonal capacity eval (FCE)

Answer 6

Set of tests, practices or observations combined to determine the ability in a variety of circumstances in an objective manner, performed if provider is unsure of patient capabilities or having difficulty with limitations, performed by PT or OT

Question 7

When can an employer access a Fitness for duty exam? (2)

Answer 7

• employer can have info if pertinent to job responsibilities or if healthcare release in nonworkers comp case
• all worker’s comp cases

Question 8

Which party does the PA represent in fitness for duty exams?

Answer 8

-Both employer and employee

Question 9

4 categories of return for duty

Answer 9

1) return to full duty (without restriction)
2) return to duty with permanent or temporary restrictions
3) Temporarily unfit for duty needing re-eval
4) Permanently unfit for duty

Question 10

Return to work restrictions

Answer 10

-Write limitations based on actual medical condition, be specific about restrictions and do not just put people off work, discuss restrictions with the patient and employer (may have other options)

Question 11

Scheduling a follow up for a fitness for duty physical patient

Answer 11

• schedule sooner rather than later

- refer to a specialist sooner than later