Orange County NC Website
Browse       Search
DocuSign Envelope ID:00D05599-14C3-451 E-84B4-EDC8CADBDAFD <br /> ■ Even if the employee has fully"recovered"from injury or illness and no longer considers him or <br /> herself"injured",for documentation purposes the test should be identified as a"post-injury"fit for <br /> duty,or an injured worker,because that was the trigger for the test. <br /> • When testing an employee post-injury or illness the provider will: <br /> o Use the WorkSTEPS Fit for Duty Physical Capacity Consent Form <br /> o Use the WorkSTEPS Post Injury Fit for Duty Medical History Interview <br /> a Not perform"routine"medical measures,including heart rate and blood pressure,that are <br /> not related to the injury or condition for which the employee is being seen,or that are not <br /> contributing to a job related functional deficit. <br /> v Not perform the standard"baseline"tests such as step test,Sorenson's or grip if they are <br /> not related to the injured area. <br /> o Perform only the dynamic lift postures that are considered qualifying criteria. <br /> o Perform any and all standard job specific tasks for the position,and expand to include <br /> any additional essential function tasks that could be impacted by their injury or condition. <br /> DocuSigned by: <br /> f jbin,ln.lt, �gw�w�t,yS�t� 9/3/2019 <br /> ampan resentativelTitle Date <br /> Docu'S"igned by: <br /> 8/27/2019 <br /> Wor epresentative(Title Date <br /> 9 <br />