Frequently Asked Questions

Who is OnCall Employee Health?

We are a group of highly skilled providers and technicians focused on YOU! Customer service and care are our top priority and we provide services on a walk-in basis, in our conveniently located clinic with extended hours including evenings and weekends.  At OnCall Employee Health, you and your employees are not just a number, you are a partner. We are constantly improving and look forward to working with you to create a customized employee health partnership program for your company as we focus on the results and as we provide exceptional customer care.

Who are our partners?

Our partners are both the employer and the employee. We strive to work with established businesses who genuinely care not only for following government regulations but also for the continued health and well-being of their employees. Our goal is not only to care for you or your employee at the time of service but to create a real partnership that is beneficial for all parties involved.  We commit to delivering results as quickly and efficiently as possible and we envision continued care for our customers from our industry specialists available to answer their questions.  Are partners are a special tier of customers who are able to be invoiced among other benefits.OnCall Employee Health is here to deliver quick, affordable results for you and your employees!

See what we are about.

Why is an Employee Health or Occupational Medicine program important to an employer’s bottom line?

Healthy workers are more productive, and work-related injuries are very expensive. The direct costs of injuries that are easy to measure, like the cost of medical care and insurance costs, are small when compared to indirect costs associated with workplace disruption, retraining, lost productivity, etc. When injuries do occur, they need to be managed well to return the injured worker to a state of health and productivity as soon as possible. A skilled employee health clinical practice will work with the worker, employer, workers compensation insurer, and the medical system to help the injured worker regain his or her functional abilities and return to work.

Do my employees need appointments?

No appointments are necessary for OnCall Employee Health or Urgent Care services.  Our hours and loction can be found here.

How do I partner with OnCall Employee Health for my employee’s needs?

To become a part of our OnCall Employee Health Partnership Program, simply contact one of our OnCall Employee Health Coordinators at 402-844-3963.  They will fax or e-mail you a Customer Information Sheet for you to fill out and send back.  Then, one of our Coordinators will contact you to discuss your needs as a company in order to customize your Employee Health Program with us.  Next, you can start testing and receiving results!After you receive at least $100 a month in Drug Tests OR you are utilizing at least two of our Employee Health Services (drug tests, physicals, workman’s comp), you are able to be billed monthly with an invoice and will receive your results at time of service.  Otherwise, you will receive your results at time of payment.

How do I use the OnCall Employee Health for my employee’s needs?

If you want to utilize our services instead of becoming a partner, just walk in when is convenient to you, request the service that you need, pay at the time of your test and receive your results as soon as they are ready for you.  If you are interested in the benefits of our  Partnership Program, please see above “How do I partner with OnCall Employee Health” or call one of our OnCall Employee Health Partners to discuss that option.

Are you DOT Compliant?

YES!!! All of our full time providers are Nationally Registered Certified Medical Examiners.
If you have questions about DOT Compliance, please call one of our OnCall Employee Health Coordinators at 402-844-3963 and they will be able to assist you.

What services does OnCall Employee Health offer?

See our services.

How long does it take for drug screen results to come back?

For an instant test if the results are:

  • negative – in under an hour!
  • “non-negative” (a result that is not a negative but also has not been verified to be positive of illegal drugs), the results can be available in under an hour.
  • “non-negative” and you choose to sent it to lab for verification for an additional $10 (to determine if it is a medication, an illegal drug and what that drug is or other that is present in the sample), those results will be available in 2-3 days.

I am an employer, how can I receive my drug screen results?

You can receive your results at time of payment through whatever method is best for you, phone call, faz, e-mail pdf or other.

What if I am on medications that could possibly make my drug screens positive?

Drug screens fall primarily under two categories; DOT (NIDA) and Non-DOT (Non-NIDA) or “Drug Free Workplace”.DOT Drug screens: DOT drug screens will use a Medical Revue Officer (MRO) to review all positive results. The MRO will contact you, at which time you are able to explain why the medications are present.

Non-DOT or “Drug Free Workplace” Drug screens: Non- DOT drug screens are not mandated the way DOT drug screens are. Because of this,  non-DOT drug screen results may go to and MRO for review, but may not. If the results go to the MRO the process will be the same as the DOT drug screen, if your employer does not use an MRO you will have to discuss the results with an elected employee representative who will follow the guidelines set by your employer.

What are the benefits of Instant Drug Testing?

  • Results within minutes for negative results
  • Increased worker productivity: reduced testing time allows for placement of employees into productive positions
  • Reduced employment costs: decrease absenteeism due to substance abuse
  • Shortened hiring cycle: eliminates 2-3 day delay in hiring prospective employees
  • Reduced drug testing costs: lower “cost per test” because we have our own on-site lab for instant results

See our Instant & Lab Analysis Drug Testing Options service.

What do Instant Drug Test Services include?

  • Rapid Results – within hours for negative results
  • All non-negative results are laboratory verified, within 2-3 working days and reviewed by a Certified MRO (Medical Review Officer)
  • Proven laboratory accuracy
  • FDA approved
  • 5 Panel Test: Cocaine Metabolites, Marijuana Metabolities, Phenyclidine (PCP, “Angel Dust”) , Amphetamines, Methamphetamines (“Speed”), Opiates (Codeine, Morphine, Heroin)

Why do Pre-Employment Drug Testing?

Drug use affects your bottom line. Workers who do drugs are more likely to change jobs or miss work. The good news is you can put programs in place to make sure your workplace is drug free. A good drug free program includes testing applicants prior to their hire date and performing random drug testing throughout their tenure with your company.The US Department of Labor has estimated that drug use in the workplace costs employers up to $100 billion dollars annually in lost work time, accidents, health care costs and workers compensation costs.

A company with over 15 employees is subject to the Americans with Disabilities Act, a federal law that protects people with disabilities from discrimination. This Act prohibits pre-employment medical examinations before a conditional offer of employment has been made but a test to determine if an applicant is illegally using drugs is specifically exempted from the definition of what constitutes a medical examination. However pre-employment alcohol testing is considered a medical examination and can only be conducted after the candidate has been extended a conditional offer of employment.

Discrimination can be implied if an employer tests only certain applicants for a position. An employer cannot pick and choose which applicants for the same position will be tested. However within a company employment drug testing may be required for only certain positions. The company would have to be able to justify this in terms of the job requirements and a written drug policy.

See our Pre-Employment Drug Testing service.

What are Requirements for Pre-Employment Drug Testing?

  • Employers have a written drug testing policy that requires job applicants to be drug-free.
  • Written notice of testing is given before the applicant may be tested. Many drug and alcohol testing laws require that job applicants be notified in advance that they may be tested and under what conditions.
  • Written notice is given to the applicant that employment drug screening is required before hiring. This may be done through the employment application form or on a specific form given out at the first interview.
  • The written notice details the type of drug testing that will be carried out and lists the over-the-counter medications that may produce a positive result.
  • The same testing program should be implemented for all applicants in a particular category or there could be implications of discrimination.

See our Pre-Employment Physical Exams service.

How Does Breath Alcohol Testing Work?

Anyone who consumes alcoholic beverages will exhale alcohol from their lungs. The alcohol concentration in the breath is in direct proportion to the concentration of alcohol in the blood that is making its way to the person’s brain. The use of an Evidential Breath Tester (EBT) which measures the concentration of alcohol in a person’s breath is the preferred method for testing alcohol levels in the body as it is a less invasive process than blood tests.

What impairments occur in the body at different alcohol concentrations?

  • At 0.01-0.05 the ability to make good judgments become impaired.
  • At 0.03-0.12 Sensory-motor control is impaired and slowed information processing is experiences.
  • At 0.09-0.25 Reaction time is decreased, vision functions are reduced, drowsiness is experienced.
  • At .09-.25Loss of critical judging abilities, impairment of perception, memory and comprehension is experienced.
  • 0.18-0.30 Metal confusion, exaggerated emotional states, incoordination, slurred speech are experienced.
  • 0.25-0.40 Loss of motor functions. Marked decreases in responsiveness to stimuli and muscle control, impaired consciousness.
  • 0.35-0.50 complete unconsciousness
  • 0.450+ Death occurs by loss of involuntary muscle functioning such as breathing.

For whom is Breath Alcohol Testing Required?

Transportation workers with safety-sensitive duties in the industries of aviation, commercial motor vehicle, railroad, transit, and pipeline are all required to follow 49 CFR Part 40 of the U.S Department of Transportation’s Alcohol Testing Procedures Rules. These workers are subject to random, reasonable suspicion, post-accident, and return-to-duty & follow-up testing. The rules prohibit safety-sensitive employees from performing any duties with a breath test results of 0.02 or greater.

What is the purpose of a Pre-Employment Physical Examination?

Pre-Employment Physical Examinations are performed to determine if an applicant is physically capable of meeting the essential functions of the job, while maintaining the examinee’s privacy and medical confidentiality. A well designed physical exam program results in fewer injuries, lower costs and a better match of employees to their jobs.The exam is performed with attention to the job duties, including physical requirements and potential exposures to hazardous materials. The content of the examination depends on the job and the work-site assessment. For example, jobs that require heavy lifting may require a back assessment to determine if the employee is able to perform the functions of the job. Those involved in interstate trucking usually require a physical exam and a urinary drug test.

To avoid errors in either the content or the context of the examination, OnCall Employee Health uses standard protocols to which the employer and the examining provider both agree. Following the examination, the medical provider gives a written opinion about the person’s suitability to perform the job to ensure maximized productivity while reducing the potential for injury to themselves or others.

What does a Pre-Employment Physical typically include?

OnCall Employee Health providers will carefully review your medical and occupational history before proceeding with the physical examination and the examination typically includes:

  • Complete occupational/medical history
  • Musculoskeletal examination
  • Evaluation of the respiratory system
  • Gastrointestinal examination
  • Examination of head, eyes, ears, nose, and throat
  • Skin and lymphatic examination
  • Neurological evaluation
  • Evaluation of the cardiovascular system
  • Visual acuity and vital signs, including blood pressure, urine dip test

Who Needs a DOT Physical?

The Department of Transportation requires all Commercial Drivers License (CDL) holders to receive periodic physical examinations, officially called a “Department of Transportation Medical Examination,” to ensure the ability of the driver to safely operate a commercial vehicle.
You are required to have a physical exam and carry a U.S. Department of Transportation (DOT) medical certificate if:

  • You operate a motor vehicle with a gross vehicle weight rating (GVWR) or gross combination weight rating (GCWR) or gross vehicle weight (GVW) or gross combination weight (GCW) of 4,536 kilograms (10,001 pounds) or more in interstate commerce.
  • You operate a motor vehicle designed or used to transport more than 15 passengers, including the driver, in interstate commerce.
  • You operate a motor vehicle designed or used to transport between nine and 15 passengers, for direct compensation, beyond 75 air miles from your regular work-reporting location, in interstate commerce.
  • You transport hazardous materials in quantities requiring placards, in interstate commerce.
  • If your company, regardless of DOT status, requires it.

What is TB testing?

TB (Tuberculosis) is a community acquired contagious disease.  The highest workplace exposure to Tuberculosis is in the healthcare setting. It can cause long-term illness and/or death if not properly diagnosed and treated. Most companies are required to provide yearly testing for TB. Testing can be completed either by a skin test or chest x-ray and any course of treatment will be determined at time of a positive result.See our TB Testing & Chest X-Rays service.

Why do a Chest X-Ray for TB?

Most commonly used to rule out TB in the event that a TB skin test is deemed “positive”, it is also beneficial for the screening of the chest and lungs in the events of: exposure to biological materials (such as Histoplasmosis), environmental hazards (such as asbestos) or situation (such as smoke inhalation). When an employee presents for a chest x-ray, they will also be examined by a medical provider to determine a course of treatment if necessary.
All chest x-rays are sent for an over-read confirmation by a Board Certified Radiologist (BCR).See our TB Testing & Chest X-Rays service.