Duke Occupational Health at RTP

We provide services that support both employee wellness and regulatory compliance. Our services include:

Medical Evaluations & Examinations

• Pre-employment, baseline, and annual physicals
• Fitness for duty exams
• Return-to-work assessments
• Independent medical evaluations (IMEs)
• Functional capacity evaluations (FCEs)
• Hazmat and Emergency Response Team (ERT) physicals
• Concussion evaluations
• Traumatic brain injury (TBI) assessments
• DOT and non-DOT physicals
• Post accident exams
• ADA and FMLA provider review
• Pregnancy and maternity evaluations related to work
• Animal handler clearance
• Researcher/clinical trial staff clearance (e.g., IBC/biosafety)
• Radiation worker health surveillance
• Healthcare worker surveillance and post-exposure follow-up

Medical Surveillance & Regulatory Testing

• OSHA-regulated surveillance exams (asbestos, silica, lead, methylin chloride, hearing conservation, etc.)
• Chemical and biological exposure evaluations
• Hazardous drug handling surveillance
• Biological monitoring (e.g., solvents, heavy metals)
• Respirator clearance and fit testing
• Tuberculosis (PPD) testing
• Vision testing
• Audiograms (hearing conservation program)
• Pulmonary function testing (spirometry)
• Chest X-rays
• EKGs
• Laboratory testing (e.g., heavy metals, CBC, CMP, immunologic panels)
• Sleep and fatigue risk evaluations
• Tobacco and substance cessation counseling
• Workplace ergonomics consultations and assessments

Injury, Illness & Pain Management

• Work-related injury and illness evaluations
• Case management for occupational injuries and illnesses
• Occupational dermatology and skin exposure management
• Same-day return-to-work evaluations
• Neurocognitive testing
• Infectious disease response and outbreak support
• Occupational pain management services, including:
  • Comprehensive evaluation of work-related pain
  • Joint and soft tissue injections (e.g., shoulder, knee, sacroiliac, trigger points)
  • Chemical denervation procedures (e.g., botulinum toxin for migraines, spasticity, dystonia, overuse syndromes)
  • Functional restoration and ergonomic modification planning
  • Coordination of imaging and specialty referrals

Substance Use & Medication-Assisted Treatment (MAT)

• Confidential assessment and management of substance use in safety-sensitive roles
• Buprenorphine (Suboxone) and naltrexone for opioid use disorder
• Naltrexone treatment for alcohol use disorder
• Integrated occupational medical evaluations and return-to-work planning
• Monitoring and compliance support for regulated industries (e.g., DOT return-to-duty)

Drug & Alcohol Testing

• Urine drug screening with MRO review (DOT and non-DOT)
• Alcohol testing
• Substance use evaluations and return-to-duty monitoring
• Random drug and alcohol testing program management

Vaccination & Preventive Health

• Workplace immunizations (e.g., hepatitis B, influenza, Tdap, MMR, varicella)
• Travel medicine consultations and vaccinations
• Health and wellness screenings (e.g., biometric, chronic disease risk)
• Custom preventive health initiatives for employers

Employer-Focused Solutions

• Custom pre-placement protocol development by job role or exposure risk
• On-site and mobile occupational health services
• Telehealth triage for injuries and exposures
• Occupational medical directorship and consulting services
• HR and regulatory policy review (e.g., fitness for duty, return-to-work criteria)
• Regulatory audit support and guidance