Occupational health, worked like the rest of the file.
Drug screens, physicals, TB, titers and vaccinations, ordered or collected per the facility's rules, read when they arrive, filed on the candidate with their expiry, and re-ordered before they lapse.
One placement, six health records
Built from the facility's rules. Worked in parallel.
Lauren Chen · ICU RN · Riverside Medical Center · starts Nov 17
built from Riverside rules · ICU · October · Texas
Drug screen · 10-panel
every placement · Riverside panel
waiting on the rules
Quest · collection scheduled Thu 8:10 am
negative · MRO reviewed
on file · expires 10/2027
Physical
asked first
waiting on the rules
“Do you have a current physical?”
I have it · 03/14/2026 · reading
taken off the order · expires 03/2027
TB · two-step
history read
waiting on the rules
positive skin test 2021 on file
chest X-ray instead of a repeat test
clear · 10/2026
MMR · varicella · hep B
titers or series
waiting on the rules
titer report · 3 pages · reading
MMR immune · varicella immune · hep B series
values and dates checked
Flu vaccination
in season · Oct–Mar · Texas
waiting on the rules
required this season · card or declination
card · lot 4R2P1 · 10/02/2026
drops out of the list in April
Respirator fit
facility rule · ICU
waiting on the rules
scheduled with the physical
N95 · 1860 · passed
on file · annual
6 of 6 health records accepted · each with its expiry · carried to the ATS
Asked before ordered
If they already have it, nothing gets ordered.
A physical or a TB test starts with a question on the candidate's phone. A record they already hold is read, checked against the facility's rule, and taken off the order. Only what is missing gets scheduled.
Riverside · health · 2 of 6
Do you have a current physical exam?
Within the last 12 months. A record that passes review takes it off the order.
Physical · add the record
Photo or PDF
read as soon as it lands
physical_exam_2026.pdf
uploaded · reading
Physical
Accepted
- Exam date · 03/14/2026
- Provider · Dr. R. Alvarez, MD
- Fit for duty · no restrictions
- Expires · 03/14/2027
Taken off the order. Nothing to schedule.
Read
exam date, provider, fitness statement and restrictions pulled from the PDF
Checked
within 12 months · signed by a licensed provider · matches Riverside's rule
Filed
on the candidate with its expiry · carried to the ATS · the order closes
Trusted sources
A drug screen counts from the lab, not the candidate.
A drug screen or a background check is accepted from your staff, the ATS, the lab or vendor, or the source itself. A candidate's own upload is held for a person, so a facility never receives a self-reported result.
Drug screen · where the record came from
trusted origins onlyCandidate upload
drug_screen_photo.jpg
never counts on its own · a person decides
Bullhorn · candidate files
Quest_10panel_2026-09.pdf
ATS origin · dates and panel checked
Quest · result
MRO-reviewed · negative
from the lab · filed with the chain of custody
same rule for background checks · a facility never receives a self-reported result
To the last day
Every record has a date. The agents watch it.
Records inside the 90-day window are flagged and brought back into the file. An item the facility always requires is re-ordered before it lapses, so a thirteen-week assignment stays compliant through week thirteen.
Lauren Chen · records on file · assignment ends Feb 14
90-day window- TB · two-stepexpires Nov 28 · 32d
- Flu vaccinationexpires end of season · 71d
- Drug screenexpires Oct 2027 · 345d
- Physicalexpires Mar 2027 · 139d
TB lapses before the assignment ends. A new two-step is ordered now, the candidate scheduled by text, the facility never sees a gap.
Current on day one. Still current on the last day.
Questions
What occupational health requirements do the agents handle?
Drug screens, physical exams, TB screening (one-step, two-step and IGRA blood tests), titers (MMR, varicella, hepatitis B and others), immunization records, seasonal flu vaccination and respirator fit testing, each set by the facility's rules, the role and the season.
Does the candidate have to redo tests they already have?
No. For a physical or a TB test the candidate is asked whether they hold a current one, and a record that passes review clears the item. A drug screen is ordered for every placement unless your staff, the ATS or the lab already holds a current one.
Can a candidate upload their own drug screen?
They can upload it, but it never counts on its own. A drug screen or a background check is accepted only from your staff, the ATS, the lab or vendor, or the source itself, so a facility never receives a self-reported result.
How are results read?
Every lab report, titer result and vaccination card is read on arrival and checked against the rule: the dates, the values, the lot numbers and the issuer. Clear results are accepted and filed; equivocal or out-of-range results route to the right follow-up or to a person.
What happens when a record is about to expire?
Every record carries its expiry, and records inside the 90-day window are flagged and brought back into the file. For an item the facility always requires, a lapse before the assignment ends re-orders it automatically.
Does it work with our lab and our ATS?
Yes. Drug screens are ordered through your existing lab or screening vendor, and every accepted record is filed on the candidate and carried to Bullhorn or JobDiva with its expiry.
Related capabilities
See a health block work itself.
Thirty minutes, one placement from your facility rules: drug screen, physical, TB, titers and flu, ordered or cleared live.