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Screening, staffing, and emergency preparedness at worksite wellness facilities


Medicine & Science in Sports & Exercise: February 2002 - Volume 34 - Issue 2 - p 239-244
CLINICAL SCIENCES: Clinically Relevant

MORREY, M. A., S. B. FINNIE, D. D. HENSRUD, and B. A. WARREN. Screening, staffing, and emergency preparedness at worksite wellness facilities. Med. Sci. Sports Exerc., Vol. 34, No. 2, pp. 239–244, 2002.

Purpose The purpose of this survey was to examine compliance of worksite health and fitness facilities with the American Heart Association/American College of Sports Medicine (AHA/ACSM) recommendations for cardiovascular screening, staffing, and emergency policies for health and fitness facilities.

Methods A survey was developed and sent to 529 worksite health and fitness facilities.

Results A total of 221 surveys were returned (42% response rate). Twelve percent of facilities had no staff supervision. Among facilities with staff, 12% were not certified in basic life support, and 6% had no national professional certification. Ninety-two percent of facilities followed a health history screening policy although 13% of these facilities administered it irregularly or not at all. Of a total 187 responding facilities, 122 (65%) defined “at risk” as two or more risk factors for heart disease. Of these, 97% either required or recommended new members obtain physician clearance before participation. Four (3%) responding facilities did not require physician clearance. Twenty-five percent of facilities experienced at least one emergency that required ambulance support in the previous year.

Conclusion Although this was a low response rate, most responding worksite health and fitness facilities appear to be in compliance with the AHA/ACSM recommendations yet have inconsistencies in some specific practices. There appears to be a need for further consistent implementation of these recommendations into worksite settings.

Dan Abraham Healthy Living Center, and Divisions of Preventive Medicine, Endocrinology and Metabolism, and Internal Medicine, Mayo Clinic, Rochester, MN

Submitted for publication October 2000.

Accepted for publication April 2001.

© 2002 Lippincott Williams & Wilkins, Inc.