Correctional Officers

Medical Evaluation Guidance

Initial Evaluation

The LEO chapter on Initial Evaluation Examination should be used with the following change:

Baseline TB screening and HIV, HBV, and HCV testing are recommended for all CO candidates. These tests may not be used to make a hiring decision. Due to the likelihood of exposure to these diseases, obtaining these baseline tests is important in the event of future exposure(s), and for risk assessment/risk management.3-11 (See also Appendix D and the Infectious Diseases chapter.)

Periodic Evaluation
Pending publication of the LEO chapter on Periodic Evaluation, regular TB screening is recommended (see also Infectious Diseases chapter).

Amputations and Prosthetics
The LEO chapter on Amputations and Prosthetics should be used with no changes.

Cardiovascular Guidance
The LEO chapter on Cardiovascular Disease should be used with no changes.

Diabetes Guidance
The LEO chapter on Diabetes Mellitus should be used with no changes.

Eye and Vision Guidance
The LEO chapter on Eyes and Vision should be used with the following change:

Monocularity: COs with monocular vision (i.e., inability to see peripheral motion with either eye) should be given work restrictions.b COs need adequate peripheral vision for their situational awareness while working in a correctional facility.12-14

Genitourinary Guidance
Pending publication of the LEO chapter on Genitourinary, restrictions should be considered for the following conditions:

• Peritoneal dialysis
• Hemodialysis
• Chronic kidney disease, stage 4 and 5

Hearing Guidance
The LEO chapter on Hearing should be used with no changes.

Infectious Disease Guidance
The LEO chapter on Infectious Diseases should be used with the following change:

Participation in a TB surveillance program (at least annually and post-exposure).

See Appendix D for additional information regarding prevalence of TB, HIV, and hepatitis B and C in correctional facilities.

Medication Guidance
The LEO chapter on Medications should be used with no changes.

Mental Health Guidance 15-18
Pending publication, the LEO chapter on Mental Health Disorders should be used with no changes.

Musculoskeletal Guidance
For musculoskeletal disorders, the LEO section on Knee Disorders (Musculoskeletal Disorders chapter) and, pending publication, the sections on Shoulder Disorders and Hip Disorders should be used with no changes.

Neurological Guidance
For seizure disorders, the LEO section on Seizures and Epilepsy (Neurology chapter) should be used with no changes.

Pending expansion of the Neurology chapter, the need for restrictions should be considered for neurological disorders other than seizures and epilepsy (e.g., Parkinson’s disease, stroke, tremors, ataxia, vertigo with recent symptoms, decreased hand sensation, hand paresthesias, radiculopathy, multiple sclerosis, myasthenia gravis, and Meniere’s disease).

Pregnancy Guidance 19,20
The LEO chapter on Pregnancy should be used, with the following change:
Use the CO-specific handout from Appendix E to provide information on pregnancy to female COs.

Respiratory Guidance
For respiratory disorders, the LEO section on Asthma (Respiratory Disorders chapter), and pending publication the section on COPD, should be used with no changes.

Sleep Disorders
The LEO chapter on Sleep Disorders should be used with no changes.

Substance Use Disorders
The LEO chapter on Substance Use Disorders should be used, with no changes.