HomeMy WebLinkAbout203.010a - Health Maintenance
Effective Date: February 2019 Kevin Reynolds, Fire Captain
Current Revision Date: 07/10/2025 Section 203.010a
Next Revision (2) Date: 07/10/2028 Page 1 of 3
200 Standard Operating Procedures Manual
SECTION 203.010a HEALTH MAINTENANCE
PURPOSE
The purpose of this procedure is to inform members of the Fresno Fire Department
(FFD or Department) of its responsibilities in safeguarding the health and welfare of
its members.
APPLICATION
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OPERATIONAL POLICY
• No member shall be assigned to emergency response duties until
an entrance physical assessment has been performed by a
designated City of Fresno (City) physician and the member has
been certified as fit-for-duty.
• Work restrictions for reasons of infection control may be initiated by
a City physician. These may be temporary or permanent. As an
example, members with extensive dermatitis or open skin lesions
on exposed areas may be restricted from providing patient care or
handling and/or decontamination of patient-care equipment.
• All members shall be offered immunization against Hepatitis B,
Measles, Mumps, Rubella, Poliomyelitis (Polio), Tetanus, and
Diphtheria. The risks and benefits of immunization shall be
explained to all members and informed consent obtained prior to
immunization.
• Members may request serological testing prior to Hepatitis B
immunization to determine if previous immunity exists. Members
may refuse immunizations or may submit proof of previous
immunization.
Fresno City Fire Department
Effective Date: February 2019 Kevin Reynolds, Fire Captain
Current Revision Date: 07/10/2025 Section 203.010a
Next Revision (2) Date: 07/10/2028 Page 2 of 3
• Members who refuse immunization shall be counseled on the
occupational risks of communicable disease and required to sign a
refusal of immunization form. Members who initially refuse
immunization may later receive immunization upon request. If a
member refuses any part of the testing, an EMS-22 Vaccination
Declination form shall be completed and kept as part of their
personnel file.
• All members shall be offered initial and yearly screening for
Tuberculosis exposure.
• Any member returning to work following debilitating injury, illness,
or communicable disease (occupational or non-occupational) shall
be cleared by a City physician or designee prior to resuming
emergency response duties.
• The Department Infectious Control Officer shall maintain records in
accordance with Cal-OSHA, Section 3204 of Title 8, Access to
Employee Exposure and Medical Records. Member participation in
the Infection Control Program shall be documented, including:
o Name and Employee ID number of member
o Immunization records
o Circumstances of exposure to communicable diseases
o Post-exposure medical evaluation, treatment, and follow-
up
• Infection control records shall become a part of the member's
personal health file and shall be maintained for the duration of
employment plus 30 years.
• Medical records are strictly confidential. Medical records shall not
be released without the signed written consent of the member.
There shall be no exceptions to this policy for Department
Administration, City Administration, or insurance companies.
• Members may examine their own medical records and may request
in writing that copies be sent to their personal physician.
• Abstracts of medical records without personal identifiers may be
made for quality assurance/improvement compliance monitoring, or
program evaluation purposes, as long as the identity of individual
members cannot be determined from the abstract.
Effective Date: February 2019 Kevin Reynolds, Fire Captain
Current Revision Date: 07/10/2025 Section 203.010a
Next Revision (2) Date: 07/10/2028 Page 3 of 3
OPERATIONAL GUIDELINE
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PROCESS
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INFORMATION
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DEFINITIONS
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CROSS-REFERENCES
Standard Operating Procedures Manual
Section 203.010, Infection Control
Section 203.010b, Infection Control Training
Section 203.010c, Personal Protective Equipment (PPE)
Section 203.010d, Scene Operations
Section 203.010f, Post Response
Section 203.010g, Post-Exposure Protocols
Section 203.010h, Station Environment
Section 203.010i, Compliance and Quality Monitoring/Program
Evaluation
Cal OSHA Title 8
Section 3204, Access to Employee Exposure and Medical Records