Section 8.45.093. Qualifying medical examinations for certain firefighters.  


Latest version.
  • 	(a)  A qualifying medical examination under AS 23.30.121(b)(3)(A) must occur no later than 30 days after an individual's employment as a firefighter.  
    	(b)  A medical examination under AS 23.30.121(b)(3)(A) or (B) must consist of  
    		(1) a medical history, on a form prescribed by the department, completed by the firefighter, and reviewed by the examining physician;  
    		(2) measurement of the levels of the nicotine by-product cotinine in the blood of the firefighter being examined, and documentation of the measurement on a form prescribed by the department and completed by the examining physician;  
    		(3) a lung examination, documented on a form prescribed by the department and completed by the examining physician; the lung examination must include  
    			(A) pulmonary auscultation;  
    			(B) a baseline chest x-ray and, if indicated, subsequent annual x-rays; and  
    			(C) pulmonary function testing; and  
    		(4) a cardiac examination, documented on a form prescribed by the department and completed by the examining physician; the cardiac examination must include  
    			(A) cardiac auscultation;  
    			(B) an electrocardiogram; and  
    			(C) if the firefighter being examined is 40 years of age or older, or the examining physician considers it appropriate for a firefighter under 40 years of age, a stress electrocardiogram.  
    	(c)  In addition to meeting the requirements of (b) of this section, a qualifying medical examination under AS 23.30.121(b)(3)(A) must include an initial screening for the cancers listed in AS 23.30.121(b)(1)(C). The screening must include a comprehensive history, complete physical and neurological examinations, blood chemistries, complete blood counts, urinalysis, and other diagnostic tests as indicated to screen for these cancers, each documented on a form prescribed by the department and completed by the examining physician.  
    

Authorities

23.30.005;23.30.121

Notes


Authority
AS 23.30.005 AS 23.30.121
History
Eff. 2/20/2011, Register 197