8 AAC 45.093 - Qualifying medical examinations for certain firefighters

(a) A qualifying medical examination under AS 23.30.121(b)(3)(A) must occur no later than 30 days after an individual's employment as a firefighter.

(b) A medical examination under AS 23.30.121(b)(3)(A) or (B) must consist of

(1) a medical history, on form 07-6176, completed by the firefighter, and reviewed by the examining physician;

(2) measurement of the levels of the nicotine by-product cotinine in the blood of the firefighter being examined, and documentation of the measurement on form 07-6177 completed by the examining physician;

(3) a lung examination, documented on form 07-6177 completed by the examining physician; the lung examination must include

(A) pulmonary auscultation;

(B) a baseline chest x-ray and, if indicated, subsequent annual x-rays; and

(C) pulmonary function testing; and

(4) a cardiac examination, documented on form 07-6177 completed by the examining physician; the cardiac examination must include

(A) cardiac auscultation;

(B) an electrocardiogram; and

(C) if the firefighter being examined is 40 years of age or older, or the examining physician considers it appropriate for a firefighter under 40 years of age, a stress electrocardiogram.

(c) In addition to meeting the requirements of (b) of this section, a qualifying medical examination under AS 23.30.121(b)(3)(A) must include an initial screening for the cancers listed in AS 23.30.121(b)(1)(C). The screening must include a comprehensive history, complete physical and neurological examinations, blood chemistries, complete blood counts, urinalysis, and other diagnostic tests as indicated to screen for these cancers, each documented on form 07-6177 completed by the examining physician.

Notes

8 AAC 45.093

Eff. 2/20/2011, Register 197; am 12/23/2021, Register 240, January 2022

Authority:AS 23.30.005

AS 23.30.121