R 325.51938 Content.

Rule 38. (1) A medical examination made available pursuant to R 325.51937(a) and (b) shall include all of the following elements: (a) A detailed work history and a medical history, with particular attention to past occupational and non-occupational lead exposure in all of the following: (i) Personal habits, such as smoking and hygiene. (ii) Past gastrointestinal. (iii) Personal hematological. (iv) Renal. (v) Cardiovascular. (vi) Reproductive. (vii) Neurological problems. (b) A thorough physical examination, with particular attention to all of the following: (i) Teeth. (ii) Gums. (iii) Hematological status. (iv) Gastrointestinal status. (v) Renal status. (vi) Cardiovascular status. (vii) Neurological status. (viii) Pulmonary status shall be evaluated if respiratory protection is to be used. (c) A blood pressure measurement. (d) A blood sample and an analysis which determines all of the following: (i) Blood lead level. (ii) Hemoglobin and hematocrit determinations, red cell indices, and examination of peripheral and smear morphology. (iii) Blood urea nitrogen. (iv) Serum creatinine. (e) A routine urinalysis with microscopic examination. (f) A laboratory or other test which an examining physician deems necessary by sound medical practice. (2) The contents of a medical examination made available pursuant to R 325.51937(c) and (d) shall be determined by an examining physician and, if requested by an employee, shall include pregnancy testing or laboratory evaluation of male fertility, as the case may be.