General Services

Five Star offers an array of occupational medicine services to meet employers’ specific needs. Below are
some of these programs. Please call your nearest location and we’ll work
with you to create a customized plan to meet your needs.

Audiogram and Hearing Conservation
Maintaining good hearing is essential for the health and safety of your workforce. Different work
environments place employees at a greater risk of both temporary and permanent hearing loss. In
addition to loud locations at work, loss of hearing can occur through hobbies and activities outside of
the workplace.

Audiograms, also known as hearing tests, help to monitor any changes in the auditory function. The
hearing tests are performed on-site in audio booths. Prior to testing, we administer a questionnaire to
identify potential sources of hearing loss within and outside the workplace. All of our audiograms are
read and interpreted by an audiologist with a specialty in industrial hearing conservation, providing
quality assurance and regulatory compliance.

Blood Tests
Blood draws are performed on-site at Five Star by our trained employees, and sent out to our lab for
testing. Results are usually returned to our facility within two days and are promptly reviewed by our
employees who are overseen by a Medical Review Officer. Some of the common blood draws performed
for employers are:
– Comprehensive Metabolic Panel (CMP)
– Complete Blood Count with Differential (CBC W/Diff)
– Lead with ZPP
– Lipid Panel
– Glucose
– Hepatitis B Titers
– MMR Titers

Electrocardiogram (EKG)
An electrocardiogram (EKG) is a test that records and measures the electrical activity of the heart.
Abnormalities in the electrical activity of the heart can indicate underlying heart disease, such as heart
attack, atrial fibrillation, cardiac ischemia and a number of other conditions. Performing an EKG as a part of your occupational health program provides early detection of life-threatening heart issues, detects previous cardiac damage that may have not been reported by the patient and ensures that your employee is fit to complete the demands of their job.

Hearing Conservation Program
Loud noise is one of the most pervasive occupational health problems experienced by employees, and
prolonged exposure to high levels of noise causes hearing loss among other harmful effects. OSHA’s
Hearing Conservation Program is designed to protect workers with significant occupational noise
exposures from hearing impairment. A Hearing Conservation Program requires employers to monitor
noise exposure levels in a way that accurately identifies employees who are exposed to noise at or above 85 decibels (dB) averaged over eight working hours, or an eight hour time-weighted average
(TWA).

Baseline Audiogram: Our trained medical staff will conduct a baseline audiogram to use as a benchmark
to measure future audiograms against. Employers must provide baseline audiograms within six months
of an employee’s first exposure at or above an eight hour TWA of 85 dB. An exception is allowed when
the employer uses a mobile test van for audiograms. In these instances, baseline audiograms must be
completed within one year after an employee’s first exposure to workplace noise at or above a TWA of
85 dB.

Annual Audiograms: Employers must conduct annual audiograms within one year of the baseline
audiogram. This enables employers to initiate protective follow-up measures before hearing loss
progresses. At Five Star Urgent Care, our audiologists will compare the annual audiograms to the
baseline audiogram to determine whether the audiogram is valid and if the employee has lost hearing
ability or experienced a standard threshold shift (STS). If your employee has experienced a STS, our team will work closely with your company to ensure your employees have the hearing protection they need to continue working safely.

Medical Review Officer (MRO)
A Medical Review Officer (MRO) is a licensed physician that has obtained specialized training in
reviewing laboratory results generated by an employer’s drug testing program. They are responsible for
determining the validity of drug tests, the legal and technical issues involved, and providing medical
explanations for the results. A Medical Review Officer is responsible for the integrity of the workplace
drug testing program by:
– Reviewing drug screen results from the laboratory
– Interviewing employees about their unique medical conditions
– Interpreting drug screen results given all the known information
– Understanding each company’s drug and alcohol policy
– Serving as an expert source for concerns and questions related to drug and alcohol abuse in the
workplace
– Maintaining the quality of the drug and alcohol testing procedure
– Staying current with drug and alcohol testing mandates

Five Star Occ Med’s Medical Review Officer is also our medical director, providing our clients fast,
convenient access to a physician familiar with your organization’s needs.

PPD Tuberculosis Skin Test 
The Mantoux tuberculin skin test is a standard method of determining whether a person is infected
with Mycobacterium tuberculosis using a purified protein derivative (PPD). The skin test is administered by injecting a small amount of tuberculin into the skin in the lower part of the arm. A person who is given the injection must return to Five Star within 48-72 hours to have their arm test examined to see if there is a bump that develops in response to the injection.

Although all employees can be TB tested, it is most common for healthcare workers to be tested pre-
employment and annually. Healthcare workers are at risk of unknown exposure to patients with
tuberculosis. Some individuals may have a latent infection that does not present with symptoms until
later in the course of illness; it is important to recognize and treat these individuals as early as possible.

Reasonable Suspicion Training
A drug-free workplace policy helps to create a safe and productive work environment. Once your
company has a drug and alcohol policy in place, supervisors should understand their role and be trained
to recognize drug and alcohol abuse in the workplace.

According to 49 CFR Section 382.603, all individuals taking a Reasonable Suspicion course must receive
60 minutes of training in controlled substances and 60 minutes of training in alcohol abuse. The Five Star Reasonable Suspicion course provides the following:
– Reference Materials
– Each supervisor attending the class will receive a packet of information that will serve as
a quick and easy reference
– Review of your company’s drug and alcohol policy
– Presentation of the signs and symptoms of drug and alcohol abuse
– Description of the roles and responsibility of the supervisor
– How to identify an employee for reasonable suspicion
– How to approach the employee
– Required documentation and forms

This course is for both Department of Transportation (DOT) and non-DOT regulated companies and
recommended for all supervisors, safety managers, human resource managers and owners to promote a
healthy, safe drug and alcohol free workplace.

Wellness Programs
Five Star Occ Med offers customized, comprehensive wellness programs that focus on creating and
improving wellness in the workplace. Our wellness programs are tailored to the specific needs of your
employees and have been shown to improve efficiency and lower costs for employers.

Our staff will work with you to develop an individualized plan, create detailed reports on employee
progress and develop interventions to help employees on their journey toward a healthier lifestyle. With
our employee-focused approach, Five Star will empower your employees with the tools they need to
attain better health. Benefits of wellness programs include:
– Healthier lifestyle behaviors
– Increased workforce productivity
– Reduced employer healthcare spending
– Improved access to resources that promote better health