Our Occupational Medicine Services

Five Star and WellNow Urgent Care are proud to offer an array of occupational medicine services that meet employers’ specific and unique needs to help keep staff healthy. If your business requires tailored programs other than ones listed below, please contact us to discuss your occupational medicine needs.

Please contact timothy.birklin@FiveStarUC.com to discuss your occupational medicine needs.

Wellness Programs

Our occupational medicine services offer 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 and WellNow will empower your employees with the tools they need to attain better health. Benefits of wellness programs include:


Audiogram and Hearing Conservation

Our occupational medicine services offer 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 and WellNow will empower your employees with the tools they need to attain better health. Benefits of wellness programs include:

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. Five Star and WellNow Urgent Care’s 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 staff 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

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

Blood Tests

Blood draws are performed on-site at Five Star and WellNow Urgent Care locations by our trained employees and sent out to our lab for testing. Results are typically returned to our facility within two days, are promptly reviewed by our employees and then 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.

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 at the lower part of the arm. A person who is given the injection must return to a Five Star or WellNow Urgent Care 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:

  • 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.