Respiratory Medical Services. To be considered for the respiratory medical examination component, Proposer must provide all the medical examination protocols outlined in section G in this Scope of Work. Proposer shall describe the services that shall be provided, the equipment that shall be utilized, and the cost per employee for each protocol. The occupational history protocol shown on the Pricing Page, Section K shall be performed for each employee who is required to wear a respirator. A copy of Proposer’s medical history questionnaire must be included with the proposal. The respiratory physical examination shall include an evaluation of all xxxxx xxxxx necessary to determine an employee's fitness for wearing a respirator, given the employee’s specific work setting (e.g. pulse, blood pressure, rate of respiration, etc.) and a clinical examination of the chest, heart, and face (for adequacy of respirator fit). The proposal shall state which xxxxx xxxxx will be evaluated and why, and describe the clinical examination offered. Proposer shall describe all equipment used in the Pulmonary Function Test. The protocols shown on the Pricing Page shall be performed only when the examining physician has justifiable concern regarding health risk due to the use of the respirator, given an employee’s specific work setting and only when the City has given prior approval. If Proposer believes that the medical assessment for all employees wearing a specific type of respirator (e.g., self-contained breathing apparatus) should include these protocols, then Proposer shall so indicate, with explanation, in their proposal.
