Renal function tests

Renal function tests (RFT) can detect disorders of the Kidney it is consists of:

  1. Basic tests (BUN: blood urea nitrogen, Creatinine, eGFR calculation
  2. Additional assessment tests: uric acid
  3. Tests that are to be added in special cases: Sodium, Potassium.

 The USPSTF could not determine the balance between the benefits and harms of using RFT for screening for chronic kidney diseases (CKD) in asymptomatic adults.

Moreover, there is no generally accepted risk assessment tool for CKD (USPSTF 2014).

International standards

  1. Offshore medical: RFT is not a routine test; may be requested at the discretion of the examining doctor.
  2. (Norwegian Directorate of Health 2012)
  3. Offshore medical: RFT is not a routine test; may be performed at the discretion of the examining doctor.

 (UK Offshore Oil and Gas 2008)

  1. Offshore medical: RFT is not a routine test; may be performed at the discretion of the examining doctor.
  2. (GoM BP 2012)

d-      Firefighters; RFT is a required test; Renal function (BUN, creatinine) (NFPA 2012).

  1. Firefighters; RFT is a necessary test as part of the minimum requirements (AFAC 2006).

f-       Divers RFT is not a routine test.

(HSE UK, MA1, 2011)

g-      Hazardous occupations; the test is not routinely required (Hong Kong 2004).

h-      OSHA Standard; Hazardous Waste Operations and Emergency Responses (HAZWOPER): RFT is required for HAZMAT team members and emergency response team and for occupation involving exposure to lead and cadmium. (OSHA, 2009).

  1. Drivers; RFT is not a routine test; unless deemed necessary by the examining doctor.

(UK DVLA 2014)

Suggested indications: the test is recommended for medical fitness of fire fighters, divers, offshore and other safety critical positons.

References

  1. Kronick, R. (2014). The Guide to Clinical Preventive Services. USPSTF. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/cpsguide.pdf
  2. Guidelines - health requirements for persons working on installations offshore. Norwegian Directorate of Health 2012.
  3. Medical Aspects of Fitness for Work Offshore ( 2008 The United Kingdom Offshore Oil and Gas)
  4. GoM Medical Aspects of Fitness for Offshore Work Safety Work Practice (BP 2012)
  5. NFPA 1582, Chapter 6 Medical Evaluations of Candidates - 2012
  6. Australasian Fire Authorities Council (AFAC) Medical Guidelines for Firefighters, 2006
  7. HSE UK, The medical examination and assessment of divers (MA1) 2011, http://www.hse.gov.uk/Diving/ma1.pdf
  8. Doctors’ Guide to Medical Examinations for Workers engaged in Hazardous Occupations in Industrial Undertakings - Occupational Safety and Health – 2004, Hong Kong.
  9. OSHA, Screening and Surveillance: A Guide to OSHA Standards, 2009 https://www.osha.gov/Publications/osha3162.pdf
  10. At a glance Guide to the current Medical Standards of Fitness to Drive'. Drivers Medical Group, DVLA, UK, May 2014

 

 

Parent Category: Fitness for Work