Job Specific. Medical History Fonn (to be determined by vendor for pre-hire exams only) Audiometry with interpretation (identify air conduction or pure tone test) Blood Pressure Monitoring *• Chest X-Ray ( 1 View) - radiologist over read Coronary Risk II (CBC + Chem Panel + HDL + LDL) Heart and Lung Physical Exam RestinguEKO Stress EKG (lf2 or more risk factors for heart disease Identified or employee Is 40 yean of age or older) Pulmonary Function Test (Spirometry) TB Skin Test - 2 Step TB test Urinalysis Nicotine Test (Cotinine only) with Quant Levels Per-Cent Body Fat (BMI Method)/Waist Circumference V'asion Screening State ofNevada Physician•s Report of Results Fonn Written Report to Agency and Employee .,.tl!tti. Written report must document rationale in regard to whether or not a Stress EKG test was administered and document whether or not the employee worked for another police/fire or correctional jurisdiction) Hepatitis ABC Antibody Screening . card Hepatitis A/B Inoculation Series. must be offered if the employee has not been previously inoculated - Vendor must provide employee with a identifying status and dates ofinocula t i • A1 C - If employee has documented Diabetes Panel 2 • Physlcal for Non-Sworn Training Offlcen - State Fire Marshal's Office (Performed UDWllly) Vision Screening Audiometry with interpretation (identify air conduction or pure tone t ) Resting EKG Pulmonary Pwtction Test (Spirometry) Panel 3 - General Heart/Lang Exam (Over 2 yean of Service) State of Nevada Medical History Fonn Heart and Lung Physical Exam Audiometry with interpretation (identify air conduction or pure tone test) Blood Pressure Monitoring Chest X-Ray (2 View)-radiologist over-read Coronary Risk 11 (CBC + Chem Panelu+ HDL + LDL)
