Orange County NC Website
DocuSign Envelope ID:6E9B5308-6677-4F2E-9268-29D6E1A4FD76 <br /> CONFIDENTIAL <br /> (Medical Risk, continued) <br /> The provider should explore the following situations and determine whether a direct threat exists: <br /> o When testing discloses a history of or the preseaco.of serious injury(ies)that would-be impacted <br /> by the performance of essential job functions. <br /> e When testing discloses a history of or presence of medical conditions that increase the likelihood <br /> of injury or illnesses through the performance of essential job functions. ' <br /> Here again,WorkSTEPS°recommends that the provider advise the employer to consider holding the <br /> decision in abeyance for a reasonable period of time. During this time,the employer should give the <br /> individual an opportunity to submit evidence (a second medical opinion,provided at the expense of the <br /> candidate)to dispute the test findings and/or to request any.reasonable accommodations that might <br /> enable him/her to safely and successfully perform the position sought. However,the employer may not <br /> be able to retain the position due to.work demands. <br /> The provider should offer to remain available to assist the employer if further testing or evaluation is <br /> needed. If the candidate provides information during the abeyance period and the position or a sirrilar <br /> position becomes available, the employer should consider the information in its overall assessment as to <br /> whether the candidate is qualified for the position sought. If the candidate does not provide any <br /> additional information during the abeyance period;presumably the employer would confirm that the <br /> offer has been rescinded based on the information obtained through the WorkSTEPSO test. <br /> IV. "Refer for-Additional Medical Clearance" (U pper.Quadrant Formats) <br /> WorkSTEPS©Upper Quadrant/Carpal Tunnel Evaluation software is designed to identify existing signs <br /> and symptoms of the hands and upper extremities that may indicate significant neurological and/or <br /> neuromusculat problems that present a significant risk of injury if the client is placed into a position that <br /> involves repetitive use of the upper�extremities. The result for an Upper Quadrant/Carpal Tunnel Basic <br /> 'Pest(no physical demand requirements identified) will no longer include the language"Not Capable".If <br /> the results indicate"Refer.for Additional Medical Clearance",then the provider should recommend that <br /> the employer consider holding the decision in abeyance for'a period of time(days). During this time, <br /> the employer should give the individual ari opportunity to seek additional medical clearance from the <br /> physician of their choice.The employer may specify that the physician be a specialist with direct <br /> knowledge of the affected area. The candidate should submit the additional information/medical <br /> clearance to the employer for review,and the employer should make their final placement decision <br /> based upon the best, objective medical evidence, considering whether or not the individual will be able <br /> to safely and successfully perform the position sought. <br />