👨‍⚕️ Integrated Care's Exams: Fit For Duty And Return To Work

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At Integrated Care, we understand how disruptive headaches can be to your daily life — whether it's a dull ache, a sharp pain, or persistent tension that won't go away. While many people turn to medication for temporary relief, chiropractic care offers a natural and effective option to treat the root causes of headaches, not just the symptoms.

Understanding the Connection

Many headaches, especially tension headaches and cervicogenic headaches (headaches that start in the neck), are closely linked to spinal issues. Poor posture, muscle tension, and restricted joint movement in the neck and upper back can irritate nerves and restrict blood flow, leading to head pain. Even migraines, although more complex, can be triggered or worsened by musculoskeletal dysfunction.

How Chiropractic Can Help

• Spinal Adjustments: Gentle and specific spinal manipulations can improve joint mobility, reduce muscle tension, and relieve nerve irritation. Realigning the spine can ease the stress that contributes to headache symptoms.
• Posture Correction: Poor posture is a major contributor to headaches, especially in today’s world of computers and smartphones. Chiropractors at Integrated Care help assess and correct postural imbalances to reduce strain on the neck and shoulders.
• Muscle Work and Stretching: In addition to adjustments, soft tissue techniques and prescribed stretches can address tight muscles and improve overall neck function.
• Lifestyle Advice: We go beyond in-office treatment by advising on ergonomics, stress management, hydration, and diet — all important factors in preventing headaches.

Why Choose Chiropractic Care First?

Unlike medications that only mask pain, chiropractic aims to correct the mechanical problems causing the headaches. It’s safe, non-invasive, and often highly effective — many of our patients report significant improvement after just a few treatments.

If you're struggling with headaches, we encourage you to reach out to Integrated Care. Our chiropractic providers are here to create a personalized plan to help you feel your best — without relying solely on medication.

📞 Call us at 402-502-1819 or visit www.integratedcarellc.com to schedule an appointment. We have chiropractors at both Omaha locations.

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At Integrated Care, we understand the importance of protecting both your employees and your bottom line. Whether you're hiring for construction, warehousing, transportation, or administrative roles, it’s critical to ensure that new hires can safely and effectively perform the physical demands of their job.

Pre-employment physical exams do more than just meet hiring requirements—they answer three vital questions:

✅ Does your new hire have the strength and fitness required to do their job?

✅ Does your new employee have a pre-existing injury that might affect their performance or risk future claims?

✅ Is your employee truly ready to return to their job after recovering from an injury?

By identifying these factors early, you reduce the risk of injuries, improve productivity, and create a safer, more resilient workforce.

🔹 Types of Pre-Employment Exams Offered at Integrated Care

We offer a full range of testing solutions designed to fit the unique demands of your workplace. Below is an overview of the most common evaluations we provide:

General Pre-Employment Physicals

These exams assess overall health and are ideal for new hires or job transfers.

• Pre-Employment Physical Exam
  A comprehensive medical screen that includes vitals, medical history, and a physical exam to ensure readiness for general job functions.
• Non-DOT Physical Exam
  Tailored for positions that are not regulated by the Department of Transportation. Often used for warehouse workers, manufacturers, and healthcare roles.
• DOT Physical Exam
  A federally mandated exam for commercial drivers that includes vision, hearing, urinalysis, and a review of medical qualifications. (Performed by certified examiners at Integrated Care.)
• Return to Work / Fit for Duty Exam
  Conducted post-injury or illness to determine whether an employee is medically and physically ready to resume duties. Helps employers manage risk and comply with safety standards.
• Post-Offer Employment Test (POET)
  A functional physical assessment performed after a conditional job offer is made. These tests simulate actual job tasks like lifting, carrying, or climbing to confirm the candidate can safely meet physical demands.

Functional and Capacity-Based Assessments

These tests go beyond basic exams to measure strength, endurance, and task-specific ability.

• Physical Capacity Profile® (PCP) Test
  An advanced isokinetic test that provides a numeric score aligned to the physical demands of the job. It evaluates lifting capacity, flexibility, and muscular endurance with scientific precision.
• Functional Capacity Evaluation (FCE)
  A comprehensive, multi-hour assessment that evaluates a person’s capacity to perform work-related tasks. Frequently used in return-to-work scenarios or when defining work restrictions.
• Human Performance Evaluation (HPE)
  A focused physical ability test to evaluate strength, movement, balance, and stamina for job-specific demands. Often used during onboarding or reassignment.
• WorkSTEPS Testing
  A standardized functional testing system that includes baseline measurements and physical tasks. Trusted by national employers for reducing workplace injury rates.

Targeted Physical Function Screens

Often included as part of a broader exam or used independently based on the role.

• Lift Test
  Assesses lifting ability at various levels (e.g., floor to waist, waist to shoulder), ensuring safe handling of workplace materials.
• Agility Test
  Evaluates mobility, balance, and coordination—useful for physically active roles or confined-space environments.
• Back Screen
  Identifies prior back injuries or physical limitations through range-of-motion and flexibility tests.
• Push-Pull Test
  Measures the upper body and core strength required to move equipment or materials in industrial settings.
• Grip Strength Test
  A fast, effective way to assess hand and forearm strength for tasks requiring tool use or assembly work.
• Postural Tolerance Testing
  Assesses an individual's ability to tolerate work postures such as standing, squatting, reaching, or kneeling for extended periods.

🔸 Why Employers Choose Integrated Care

We design physical testing protocols that are legally defensible, job-specific, and medically sound. Our clinicians use objective measurements, validated tools, and real-time data to help employers:

• Reduce recordable injuries
• Lower workers’ compensation claims
• Match candidates to appropriate job demands
• Make informed return-to-work decisions
• Stay in compliance with HR best practices

📍 Locations:

• West Omaha – 14450 Meadows Blvd, Omaha, NE 68138
• South Omaha – 4832 S. 24th Street, Omaha, NE 68107

📞 Call Us Today: (402) 502-1819
🌐 Visit: www.integratedcarellc.com
📩 Email: info@integratedcarellc.com

Build a stronger team from the start—with physical exams and job-matching tests from Integrated Care.

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Drug screening is an essential component of workplace safety and employee wellness. At Integrated Care, maintaining integrity in drug testing procedures is paramount. Unfortunately, attempts to cheat or manipulate drug screens occasionally occur, but modern methods and vigilant practices allow us to identify and deter these actions effectively.

Common Methods of Cheating

Individuals trying to cheat drug screens may use a variety of methods, including:

• Dilution: Drinking excessive amounts of water or fluids to dilute the urine, thereby reducing detectable drug levels.
• Adulteration: Adding chemicals such as bleach, soap, vinegar, or commercial products to alter test results.
• Substitution: Providing synthetic or someone else's urine sample instead of their own.
• Physical Tampering: Attempting to alter or disrupt the test equipment or samples directly.

How Integrated Care Detects Cheating

1. Temperature Checks

Urine samples are checked immediately after collection for appropriate temperature, typically between 90°F and 100°F. Samples outside this range are flagged, suggesting possible substitution or adulteration.

2. Observation Protocols

In certain testing scenarios, such as DOT-regulated tests, observed collections are mandatory. Trained staff members supervise the sample collection process closely, reducing the opportunity for substitution or adulteration.

3. Specimen Validity Testing

Integrated Care employs advanced specimen validity tests (SVT) that detect the presence of adulterants, unusual pH levels, and abnormal creatinine levels, indicating dilution or tampering.

4. Laboratory Confirmation

Any suspicious or abnormal rapid screening results are confirmed through laboratory analysis using Gas Chromatography-Mass Spectrometry (GC-MS) or Liquid Chromatography-Mass Spectrometry (LC-MS), which accurately identifies drugs and adulterants.

5. Strict Chain of Custody

A meticulously documented chain of custody is maintained from sample collection through laboratory analysis, ensuring samples remain uncompromised and traceable at every step.

Consequences of Cheating

Attempting to cheat a drug test has significant consequences, including potential job loss, legal action, and loss of eligibility for employment. Employers who partner with Integrated Care can rest assured knowing that their drug testing protocols are rigorous and effective, safeguarding the integrity of the workplace.

Promoting Integrity and Awareness

Educating employees about the risks associated with drug use and the futility of attempting to cheat drug screens fosters a culture of transparency and integrity. Integrated Care emphasizes preventive education alongside robust detection methods, enhancing workplace safety and employee trust.

At Integrated Care, our comprehensive approach ensures accurate, reliable, and fair drug screening, making workplaces safer and healthier environments for everyone.

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