ZSFG Occupational Health Services

Zuckerberg San Francisco General Hospital (ZSFG) Occupational Health Services (OHS) is a comprehensive program designed to support the health and safety of various City and County of San Francisco (CCSF) employees. The service has two primary subdivisions: the Occupational Health Clinic and Employee Health Services.

The ZSFG OHS clinic provides services to ensure employees can perform their job functions safely and are medically assessed for workplace hazards. This includes pre-placement and promotional evaluations, Department of Transportation (DOT) exams for SFMTA operators, specialized exams for law enforcement, and medical surveillance programs for exposures like lead and asbestos. The clinic also offers hearing conservation assessments and offsite services to departments like Hetch-Hetchy and the Port of San Francisco.

Employee Health Services operates in conjunction with the hospital's Infection Control Department, focusing on infectious disease screening, surveillance, and management. This includes services like tuberculosis screening, N95 fit-testing, and immunizations for ZSFG campus employees. A critical component is the 24-hour hotline and clinical management of blood and body fluid exposures for CCSF, UCSF, and other personnel who have sustained an exposure on the ZSFG campus. The program also provides guidance and testing for staff with upper respiratory or other communicable disease symptoms.

The ZSFG OHS team, comprises up to 40 providers, including physicians, nurse practitioners, an audiologist, registered nurses, licensed vocational nurses, and non-clinical, works collaboratively to ensure timely and effective occupational health care for 24 different city departments.

Medical Students and OEM residents rotate at the ZSFG OHS, during which they learn and provide occupational health services to employees of the City and County of San Francisco.

These learners are exposed to classic occupational medicine topics:

• Hearing conservation.
• Pre-placement evaluations.
• Evaluating workers’ exposure to occupational infectious diseases, such as aerosol transmissible diseases and blood-borne pathogens.
• Specialty examinations: Asbestos, Silica, Commercial Drivers, Divers and Peace officers.