Hospitals often apply the same safety and health standards to contracted janitorial teams as they do to in-house staff, as housekeeping and janitorial staff actually face similar risks in the workforce as healthcare workers. Cleaning staff move between patient rooms, isolation areas, and high-touch surfaces all shift long, with cleaning staff in hospitals spending an average of 10 to 20 minutes per day per patient room. That level of exposure means janitorial workers need the same thoughtful approach to pre-employment screening as clinical staff.
A structured pre-employment program protects workers, reduces infection risk, and keeps onboarding fast. Mobile Health helps hospitals and staffing agencies bundle drug testing, vaccinations, TB testing, and physical exams through one partner, leveraging 6,500 clinics and on-site teams so contracted janitorial staff can be cleared quickly for every facility they serve.
Drug And Alcohol Testing
Most facilities require a pre-hire drug panel (5 to 13 plus custom panels) with laboratory confirmation of any non-negative results. Contracted janitorial workers may be assigned across multiple hospitals with different policies, so employers need consistent testing, standardized panels, and predictable turnaround times to keep start dates on track.
Mobile Health’s nationwide drug and alcohol testing program makes it easy to apply the same standard across all locations. Centralized scheduling, rapid-result options in select clinics, and real-time reporting help staffing partners answer a key question for facility leadership: which janitorial workers are cleared to start, and which are still in progress?
Vaccinations And Titers
Hospitals often hold contracted janitorial teams to the same safety and health standards as their own employees. Housekeeping and environmental services staff work in patient rooms, isolation areas, and other high-touch spaces all shift long, so their exposure risks often mirror those of clinical workers.
A structured pre-employment vaccination and titers testing program protects workers, reduces infection risk, and keeps onboarding on schedule. Mobile Health helps hospitals and staffing agencies bundle drug testing, vaccinations, TB testing, and physical exams through one partner, leveraging 6,500 clinics and on-site teams so contracted janitorial staff can be cleared quickly for every facility they serve.
TB Screening
At hire, many facilities require baseline TB screening for healthcare personnel, with ongoing testing reserved for staff with exposure or in settings where transmission is detected. See CDC TB guidance for healthcare personnel for recommended approaches to risk assessment, symptom review, and testing, then operationalize those requirements for janitorial workers with Mobile Health’s flexible options.
Through our employee TB testing, employers can choose blood or skin tests to match policy, use our clinics or on-site events, and connect results directly to their clearance process. QuantiFERON-TB blood testing helps reduce repeat visits while giving facilities clear documentation for audits and surveys.
Physical Exams
Environmental services work is physically demanding: lifting, pushing carts, repeated bending, standing for long periods, and working under ergonomic and exposure controls. Pre-employment and job-specific physicals verify that janitorial workers can perform these tasks safely and consistently.
Mobile Health coordinates role-specific evaluations through physical exams customized to environmental services job descriptions. Standardized exams across multiple hospital clients help reduce injuries, support stay-at-work initiatives, and give both the facility and staffing agency confidence that workers are ready for the job.
Frequently Asked Questions
What drug tests do janitorial workers need for hospital employment?
Most hospitals require contracted janitorial staff to complete a pre-employment drug screen using a 5- to 13-panel test or a custom panel, depending on facility policy. Tests are typically laboratory-confirmed for any non-negative results.
Bundle Your Janitorial Clearances With One Provider
Instead of relying on multiple vendors for each requirement, hospitals and staffing agencies can consolidate janitorial clearances with a single occupational health partner. Mobile Health brings 40 years of experience, 6,500 clinics, and on-site teams together under one program so every employer knows who is cleared for patient-care environments.
Bundle your janitorial clearances with one provider: drug and alcohol testing, vaccines and titers, tb testing, and physical exams to keep compliance tight, onboarding fast, and patient environments safer for everyone on the unit.
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Written by:
Tricia Chen-Weis, RNTricia Chen-Weis is a seasoned healthcare professional with a passion for operational excellence and patient care. Joining Mobile Health in August 2019, Tricia quickly made her mark improving patient care and clinical operations as Site Manager in Mobile Health’s 36th Street and Staten Island location. With a bachelor's degree from the University of The West Indies and a nursing degree from Monroe College, Tricia's educational foundation provided her with the knowledge and skills necessary to...