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Student & Employee Health

Department of Family and Preventive Medicine

521 Jack Stephens Drive

686-6565

N-95 Respirator Questionnaire

ALL those that will be

working in a patient care

area (that is, anyone who has

contact with patients such

as nurses, PCTs, radiology

tech., respiratory tech., and

so on) will need to complete

this N-95 Respirator

Evaluation

It is UAMS policy that all new employees complete a New Employee Medical Screening within the first

31 days of employment.

KIDS FIRST Employees:

Your departmental nurses will provide this for you. You do not need to receive your TB skin test or the

NEMS here.

NEMS

You will be receiving an appointment card tomorrow which will have your appointment time and location

for your New Employee Medical Screening.

Any questions may be directed to:

686-6565 (Main SEHS Clinic) or

686-8810 (Ground level of the Central Building RM G802.)

…NEMS & TST

NEMS APPT CARDS

• Name:___________Jane Doe______ __ _____________________________________

• You received a TB skin test on 09/23/2013 this must be read by Employee student health services on 09/25 or 09/26 at the location listed below.

• Your new employee screening appointment is on _10/04 at 0800 at location listed below.

• A. SEHS Main clinic is located in the basement of the Family Medical building at 521 Jack Stephens Dr. PH: 501-686-6565. Office hours: 08:00-4:00.

• B. SEHS Central clinic is located on the ground floor RM G-605 of the central hospital building.

• PH: 501-686-8810. Office Hours are 7:00 am- 330 pm.

• Please bring any immunization records you have with you to the New Employee Screening

• If you have any questions please feel free to contact either office at the numbers listed above.

NEMS No shows

• If you can NOT keep your NEMS appointment for any reason please call the number listed on your card.

• If you do not show up to your scheduled appointment your supervisor will be notified.

TB Skin TestAll new employees are required to do a 2- Step

Tuberculin Skin Test (TST.)Your skin test cannot be read before 12pm on Wednesday or it can be read

all day Thursday.

If you have had a skin test in the last 12 months, your documentation will be allowed

to count as your first TST.

The TST placed during orientation will be counted as your second TST.

UAMS policy requires proof of 2 MMR’s, and a Flu shot annually

for all employee’s.

If you work in a patient care area you are also required to have

proof of 3 Hepatitis B’s or titers and a TDAP/TD.

Please bring any immunization records to your appointment.

Immunizations

• If you are unable to provide proof of your required immunizations UAMS will provide these at your New Employee Health screening.

• Notify your supervisor.

• Contact the Company Nurse at (855) 3391893

• Complete the online incident and injury report and it will be forwarded to SEHS.

On the Job Injury

• For Blood or Body Fluid exposures, come

to SEHS clinic (686-6565).

• For any injury that requires a physician

assessment, please go to the Family

Medical Center (686-6560)

• Convenient option for UAMS employees and their family’s primary care provider

• FMC has an employee clinic for acute problems and an extended hours until 7:00pm

• Taking care of your healthcare needs from infancy to adulthood.

Family Medical Center

Family Medical Center

• Family Medical Center is conveniently located on the UAMS Campus

• 521 Jack Stephens Drive (next to the Spine Center) at 686-6560.

• There are many excellent physicians available at FMC for you and your family’s healthcare needs

Nice to Know

SEHS Website

http://familymedicine.uams.edu/university-healthcare-services/student-and-employee-

health/

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