Appendix XI Definitions 09-20-2010.doc

Definition of Terms

Applicant: An individual who has applied for a position which requires the successful completion of certain medical, fitness, drug screening and other requirements. An applicant who is scheduled for such services has been tentatively selected for a position.

Certifying Scientist: The individual responsible for verifying the chain of custody and scientific reliability of any test result reported by an HHS-certified laboratory.

Certifying Technician: The individual responsible for verifying the chain of custody and scientific reliability of negative, negative/dilute and rejected for testing results reported by a laboratory or Instrumented Initial Test Facility.

Chain of Custody: Procedures to account for the integrity of each specimen or aliquot by tracking its handling and storage from point of specimen collection to final disposition of the specimen and its aliquots.

Chain of Custody Document: A form used to document the security of the specimen and all aliquots of a specimen. The document, which may account for an individual specimen, aliquot or batch, must include the names and signatures of all individuals who handled the specimen or aliquots and the date and purpose of the access. For specimens collected under mandatory guidelines, the approved Federal Drug Testing Custody and Control Form (Federal CCF) must be used to document the collection of a specimen at the collection site.

Collection Site: A designated place where individuals present themselves for the purpose of providing a specimen of the urine to be analyzed for the presence of illicit drugs.

Collector: An individual who instructs and assists donors at a collection site and receives the specimen provided by the donor for drug analysis. The collector may be an employee of the prime contactor or its agent.

Contractor: The individual or company that serves as the primary point of contact for records and materials and is responsible for the delivery of all components of the employee medical and drug screening services.

Employee: An individual currently employed by ICE covered under this statement of work.

Examining Physician or Practitioner: The physician or practitioner designated by the primary contractor to perform the physical or medical examination. The individual must hold a current board certification or certificate of eligibility in internal medicine, family practice, preventative medicine, or occupational medicine. A Registered Nurse Practitioner or Physicians Assistant may perform examinations under the direct supervision of the above.

Expert Witness: An individual possessing credentials or experience which establish expertise in a particular field. Most frequently a board certified or board qualified physician in a particular field or specialty.

Fitness For Duty Examination: A medical or psychological assessment of an employee performed whenever there is a direct question of the employee’s ability to meet the medical and/or physical requirements of the position the currently hold. This may also include employees who apply for or who are receiving continuation of pay or compensation as a result of an on the job injury or disease to determine the medical limitations that may affect placement decisions.

ICE Designated Medical and Drug Program Coordinator (and staff): Those individuals, generally Registered Nurses, employed by ICE.

Medical condition: A health impairment resulting from an injury or disease including psychiatric diseases.

Medical documentation: Information secured from a licensed physician or other appropriate practitioner that reflects generally accepted professional standards and provides information that addresses the following:

1.

The history of the medical condition including findings from previous examinations, treatment, responses to treatment;

2.

Clinical findings from the most recent medical evaluation;

3.

Diagnosis, including current clinical status;

4.

Prognosis, plans for treatment and an estimate of the expected date of full or partial recovery;

5.

The impact of the condition on overall activities;

6.

Recommendation for restrictions or accommodations including an explanation of therapeutic value of avoiding risk; and

7.

Conclusion as to the stability of the condition including whether or not the individual may experience a sudden or subtle incapacitation as a consequence of the natural progression of the condition, or as a result of the normal aging process.

Medical forms: ICE standard forms that are utilized and completed at the time of the examination.

Medical guidelines: Guidelines established by task forces of medical specialists who evaluated the requirements of the essential tasks within the positions in relation to specific diseases and conditions. The goal of guidelines is to aid the Reviewing Physician in making sound suitability recommendations.

Medical History: Complete documentation developed with an employee or applicant that addresses the following components:

1.

Current and past medical history including diagnosis, hospitalization, emergency room visits, injuries, surgeries, etc.

2.

History of symptoms and complaints: onset, severity, course, duration

3.

Allergies, exposure to contagions or pollutants

4.

Medication usage, prescriptions and over the counter, efficacy, toward and untoward effects of same

Physicians of Specialty: Physicians currently holding an American Specialty Board Certification

Post-Employment Medical Examination: The process of documenting an employee’s occupational medical status at the time of termination or retirement.

Pre-Employment Medical Examination: The process of screening an applicants’ specific and relevant documentation of their medical history (including any VA Disability documentation) and undergoing a medical examination by an examining physician to determine:

a. The applicant’s current and forecasted future medical suitability for fulfilling the duties of the advertised position;

b. Whether the individual has a history of a particular medical problem in which recurrence cannot be medically ruled out;

c. The etiology of any disease or condition;

d. The level/degree of stability of an existing or past disease/condition;

e. The level/degree of severity of conditions identified;

f. The existence and extent of any current concern that is not identified in the history, but which may be present at the exam.

Pre-Employment Medical Services: Process by which an applicant undergoes a physical examination, including providing all specific and relevant documentation related to their medical histories, demonstrates the ability to perform the physical fitness requirements and critical tasks specific to each position, and provides a urine sample for drug testing, if required for a position.

Pre-Employment Physical Fitness Tests: The demonstration of the ability to perform the physical strength and agility tests as required for a position.

Primary Reviewing Physician: A physician currently Board-certified in Occupational Medicine or Internal Medicine who shall be responsible for reviewing all medical examination records. This physician will possess an extensive knowledge of the various occupations’ medical guidelines and standards, physical requirements, critical tasks, as well as the occupations’ environmental hazards and stressors.

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Appendix XI -- Definitions

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Appendix XI – Definitions