Exam Fundamentals Flashcards
How often do you need exam?
2 years
How long for PMHx/PMSx
5 years
391.41
physical qualifications for drivers
FMCSA oversees
medical excemption and certification programs
FMCSA goal
reduce crashes, injuries, and fatalities involving large trucks and buses
FMCSA produces guidelines or requirements
guidelines
Who gets CDL
-vehicle weighing over 26,001lb or 10,001lb with trailer
- transports hazardous materials that require warning placards under DOT regulations
- vehicle designed to transport 16 or more passengers
- vehicle with more than 8 passengers including driver for compensation
What if vehicle over 10,001 but less than 26,001and not hazardous?
need medical card and driver qualification file, not CDL
Medical examiner responsibility
determine fitness for duty
what if the medical examiner decides not to follow guidelines
need medical rationale and to document it
4 required tests
vision
hearing
BP/pulse
UA
What is included in UA
specific gravity, protein, blood, glucose
Who gets max 1 yr certificates
HTN
Heart disease
CHD risk
T2D
Vision excemption
are drug and alcohol test required
no not unless finding indicate need
How long are exam records retained
3 years
when does the ME certificate expire
midnight of day, month and year written on certificate (no grace period)
who gets a medical examiner certificate?
ME, driver and employer
who issues excemptions
FMCSA
What are the 2 exceptions
vision and diabetes
Are there any restrictions when driving?
NO! Driver must be able to perform all duties, including lifting, for certification
If you find the driver has a health history/physical exam that doens’t meet standards, what next?
Complete the exam to determine if there are more disqualifying issues for they may be reversable and treatable
How old to drive
21
Is the exam the same for everyone
YES
if the exam is focused, when are they certified
1 year from full exam
how do you know someone has an exception
they have a FMCSA letter
recert for vision and diabetes exception
1 year
recert for SPE
2 years
who can a ME disqualify
anyone as long as a reason is documented
which exams are reported the FMCSA
all
Qualified
2 year cert
Temporary qualified
45d-1y cert
not qualified
no certificate given
drugs DQ
schedule 1, narcotics, MJ, methadone, antiseizure, amphetamines
Exception for DQ drugs
if there is a prescribing doctor note saying the driver is safe to drive on those meds
2 ways to determine if meds will affect driver
review each med, including prescription, non and OTC
request a letter from prescribing doctor
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Medical examiner responsibilities
Can a driver take methadone for pain even if he has a doctor note
no because it is a habitual drug and not allowed
The medical examiner may require a driver to be evaluated by an SAP and successfully complete a rehabilitation course if the driver?
admits to abuse
Ptn admits to completing 30 days of rehab. On exam everything normal. Can she be certified?
No, not until she sees SAP for evaluation and is cleared by them to work
the primary driving force for federal regulation to protect public safety is that
the economic cost of CMV crashes is extremely high.
How often must certified Medical Examiners report the details of CMV driver examinations?
monthly
Can ME choose not to follow regulations?
NO, only guidelines
FMCSA medical program responsibilities include
Develop and implement medical regulations, policies, and procedures
Conduct and oversee the agency’s medical exemption and certificate programs.
