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RESPIRATORY PROTECTION PROGRAM & TESTING SERVICES
RESPIRATORY PROTECTION PROGRAM & TESTING SERVICES
Each employee enrolled in a company’s Respiratory Protection Program must have a current Medical Clearance for Respiratory Use, must receive an annual respirator fit test and must receive annual respiratory training. KSA Occupational Services helps our clients maintain compliance with these key components of the OSHA Respiratory Standard 29 CFR 1910.134.
Respiratory Clearance
· OSHA Health History Questionnaire
· Spirometry (lung capacity test)
· Physician review
Respirator Fit testing
· Qualitative fit testing for half-masks
· Quantitative fit testing for full-faced masks
Documentation
· Fit testing documentation with employee signatures
· Medical clearance forms with physician recommendation
Respiratory Training
· OSHA-approved video training
· Question and answer session available upon request
· Sign-in sheets provided to client as documentation of training
HEARING CONSERVATION TESTING PROGRAM “Mobile Test Van Exception”
HEARING CONSERVATION TESTING PROGRAM “Mobile Test Van Exception”
KSA Occupational Services audiometric testing program is administered in accordance with OSHA Regulatory Standard 29 CFR 1910.95. The OSHA Occupational Noise Exposure Standard contains a “Mobile Test Van Exception” with regard to obtaining an employee’s baseline audiogram.
For those not implementing mobile van services, OSHA provides the following guidelines: 1910.95(g)(5)(i) ³Within 6 months of an employee’s first exposure at or above the action level, the employer shall establish a valid baseline audiogram against which subsequent audiograms can be compared.´
For those taking advantage of mobile van services, OSHA states: 1910.95(g)(5)(ii) ³Mobile test van exception. Where mobile test vans are used to meet the audiometric testing obligation, the employer shall obtain a valid baseline audiogram within 1 year of an employee’s first exposure at or above the action level. Where baseline audiograms are obtained more than 6 months after the employee’s first exposure at or above the action level, employees shall wear hearing protectors for any period exceeding six months after first exposure until the baseline audiogram
We specialize in OSHA Audiometric Hearing testing and Hearing Conservation programs:
Audiometric Testing
· Testing booths have a triple-layer of sound proofing
· Up to 6 employees tested at a time
· State-of-the-art Benson micro-processor audiometers are used for consistency and accuracy
· Immediate comparison to baseline
· Audiometers automatically retest any frequency where a hearing shift has occurred
· If completed test shows an STS, most employees can receive their re-test on the same day or next day.
Otoscope exam conducted when problematic tests occur
· Continuous monitoring of test room noise levels
· Testing instructions available in 8 languages
Documentation via Web-based Reporting
· Secure, password protected
· Retest reports
· Standard Threshold Shift (STS) reports
· Notification letters
· OSHA Recordable reports
· Group reports
· Equipment calibration reports
Audiometric Training
· OSHA-approved video training
· Pamphlets available upon request
· Question and answer session available upon request
· Sign-in sheets provided to client as documentation of training
On-Site Respirator Fit Testing Pulmonary Function testing and Respiratory Clearance Medical Evaluations: The Mobile Onsite Advantage
When it comes to medical surveillance testing, you should have more options.
Why send your team to urgent care, where they will wait in long lines with the general public, costing you money and downtime.
Your testing should be done on your terms and completed around your schedule.
That’s why we test 24/7/365 Onsite.
At KSA Occupational Services, we’re all about keeping your workplace productive and OSHA-compliant.
We test Nationwide.
· Need Audio Hearing Exams, Respirator Fit Testing, Pulmonary Function testing (Spirometry) and OSHA Respirator Medical Evaluations?
How about Certified DOT Physicals, and drug testing? , Hearing Conservation Training?
Meet all of your OSHA-required medical surveillance testing requirements at one time.
We safely maintain your company health records and offer you full accessibility.
Questions & Answers for your Respirator Fit Tests and Respiratory Clearance Medical Evaluations:
Information to know: Every person required to wear a respirator in the workplace must be:
(1.) Medically evaluated to see if respirator use is safe for them and
(2.) Fit tested to make sure the respirator doesn’t leak. Employers are responsible for making sure these tests happen.
Why a medical evaluation before respirator use? High blood pressure, asthma and emphysema can interfere with the safe use of respirators. So can bronchitis, epilepsy, even claustrophobia, anxiety and previous heart attack or stroke.
Medical evaluations must be provided by employers, but it doesn’t mean that employees must go see the doctor. Employers can have workers fill out the questionnaire from OSHA’s Respiratory Protection Standard, appendix C
A PLHCP Medical Provider then reviews the answers for approval or not, and further determination if further exam is needed (PFT Spirometry or other exam)
Medical evaluations video from OSHA:
Fit Testing.
Next, an employee must undergo a Respirator Fit Test with the make, model and size of respirator that he or she will wear on the job. Note: Only tight-fitting respirators need to be fit tested.
Two options: qualitative and quantitative.
First, qualitative. This checks for air leaks while the person is wearing a respirator. A hood is placed over their head.
A sweet, bitter or banana smelling gas is introduced into the hood. If the person can smell or taste the gas, there is a leak. Irritant smoke can also be used which causes coughing, though it is not performed with the hood.
Second, Quantitative. A machine is attached to the mask by a hose. It can measure if there’s a leak and how large the leak is.
Respirator fit testing video from OSHA:
Other considerations for fit tests:
— They must be performed at least once every 12 months.
— The seal can be impacted by facial hair, facial scars, major dental work, facial surgery and even significant weight loss or gain.
— The other gear a person will wear on the job can affect a good fit too. Glasses or goggles are examples.
— If a respirator doesn’t fit an employee, the employer must provide alternative respirators.
— Fit tests can be performed by the employer or by an outside party such as a Mobile testing company for on-site testing.
— Once cleared to use a respirator at work, an employee should perform a seal check before use daily. Look to the respirators manufacturer for procedures. There are two methods: negative pressure check and positive pressure check. These involve covering certain parts of the respirator and inhaling or exhaling.
Complete Your Respirator Clearance with KSA Occupational Services
As per OSHA, employers must provide the respirator medical clearance questionnaire to any employee required to wear a respirator at work to ensure that each employee is medically able to do so. At KSA Occupational services, we make completing the questionnaire an easy and affordable process. Your employees can complete the questionnaire , have it reviewed by our staff Medical Provider, and have a respirator clearance certificate issued. All information provided on the medical questionnaire will be handled in accordance to HIPAA and OSHA Regulation 29 CFR 1910.134 guidelines.
Questions? Need a quote?
Call KSA today at 615-426-9556.
DOT Physical Exam in Gallatin, Tennessee
We are a TeamCME Clinic!
http://www.teamcme.com/Nationally Recognized as a Provider of Fair, Ethical DOT Physical Exams!
Same Day DOT Physicals Drug & Alcohol Testing
Get a $75 Fair, Ethical DOT Physical Exam at our convenient, driver helpful clinic located at 529 Hartsville Pike in Gallatin, TN. We also serve Portland, TN, Hendersonville, TN and Nashville, TN and the surrounding cities in Sumner County.
What is a Driver Helpful DOT Physical? Helping drivers and motor carriers is what we do. Drivers with certain medical conditions need a medical examiner who not only knows the medical requirements, but who is interested in helping the driver maintain their livelihood. At the same time, our driving certifications provide the safety aspects that motor carriers expect and need
Pass Your DOT Medical Exam! Dr. Tigges knows how important it is that you continue your livelihood as a commercial driver. With hisextensive knowledge of the DOT Physical Exam medical guidelines, Dr. Tigges will steer you through the DOT Physical Exam requirements so you can Keep on Truckin’. Having affordable and fast testing is crucial to keep drivers on the road and that’s what we strive to provide our clients.
Need your CDL Physical Exam Today? Our prices are the lowest in the area. $75. We offer same day appointments and while appointments are preferred, walk-ins are welcome. We have plenty of free parking and parking for your Big Rig next door at Food Lion. No Waiting! We are committed to getting you back on the road in no time. Same Day DOT Physicals Drug & Alcohol Testing.
Free! Never Forget to Renew your Certificate! Get “Expiration Alerts” before your Certificate Expires by downloading the Free TeamCME Mobile Driver App! Save your expiration date and you’ll get “Expiration Alert” emails sent to your mobile device & alert emails starting 2 months before your current certificate expires.
We are right at your fingertip! Save us as your medical examiner using the Free Driver Mobile App, and calling our office or getting driving instructions are at your fingertip!
The TeamCME Free Driver Mobile App is available at the Apple App Store and Google Play!
Looking for a DOT Physical Exam or CDL Physical Exam in Gallatin, TN? You’ve come to the right place!
Want to save time? Download the DOT Physical Exam report form by clicking the link below. Filling out the form before your appointment will help us get your DOT Physical Exam completed quickly.
Please see the important driver links below for more information.
Want to know more about the DOT Physical Exam? (Click Here) to access the FMCSA CMV Driver Fact Sheet regarding the DOT Physical Exam.
Be better prepared and save time! Fill out your DOT physical exam form before your appointment.
(Click Here) To Download the DOT Physical Exam Report Form.
(Click Here) To Download the Medical Examiner’s Certificate
(Click Here) For Frequently Asked Medical Questions
Driving Directions
Right next to Sumner Regional Medical Center and Sonic across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.
Same Day DOT Physicals Drug & Alcohol Testing
529 Hartsville Pike
Gallatin, TN 37066
https://samedaydot.com/contact-us/
Same Day DOT Physicals Drug & Alcohol Testing
ABOUT US
Same Day DOT Physicals Drug & Alcohol Testing
Dr. Michael Tigges, National Registry Certified Medical Examiner
529 Hartsville Pike
Gallatin, Tennessee 37066
(615) 452-1575
Hours of Operation:
7:00 AM – 5:00 PM Monday thru Friday
SERVICES
- • $75.00 DOT Physical Exam for Commercial Truck Drivers (CDL Physical Exam)
• Walk In’s Welcome Same Day Service Same day appointments!
• DOT Breath Alcohol Testing
• DOT Drug Testing
• School Bus Driver Physicals
• Pre-employment Physicals
• DOT Random Drug Testing Programs
• Easy Access Parking
• Chiropractic treatment
• Physiotherapy
• Digital X-ray Department
• Rehabilitative exercises
• Workers’ Comp and Personal Injury Auto Accident Whiplash Treatment
• Truck Parking Available
• Certified Occupational Hearing Conservationist
• Audiometric Industrial Hearing Testing
• FAA Basic Med Physicals
DOT MEDICAL GUIDELINES -DIABETES
DOT MEDICAL GUIDELINES -DIABETES
The Department of Transportation (DOT) Medical Examination is very highly regulated as illness complications can have serious consequences for the driver, the examiner, and the general public. DOT medical guidelines outline the health criteria that commercial vehicle drivers must meet to qualify for certification. One health condition that is closely reviewed by the DOT is diabetes. Individuals with known or suspected diabetes are required to provide specific medical information to the DOT-certifying physician regarding diabetic control. The DOT definition of diabetic control often causes confusion for individuals seeking certification, as well as their employers. The following information provides answers to common questions and clears up misconceptions about diabetes and DOT certification. The maximum certification for a person with diabetes is one year. According to DOT guidelines, a person with diabetes, whether controlled with diet alone or diet plus medication, must meet the following criteria:
- Maintain a glycosylated hemoglobin (Hemoglobin A1C or “HBA1C”) of 10% or less.
The HBA1C is a measure of the average amount of sugar in the blood over the last 3 months. A normal HBA1C is less than 5.7%. Values between 5.7 and 6.4% are classified as being in the pre-diabetic range. These individuals should be closely monitored. If the level is above 6.4%, then the person is diabetic. The HBA1C correlates very well with end organ (blood vessels, nerves, kidneys, heart, or eyes) damage and therefore is a popular marker for disease control. Red blood cells have a lifespan of about 90 days before they are removed by the spleen. Glucose sticks to the hemoglobin in red blood cells. Therefore, the glycosylated hemoglobin can be a good estimate of the average blood sugar and is much more accurate in assessing diabetic control than a fasting blood sugar that varies from day to day. Obviously, it takes about 3 months for the HBA1C to drop, generally by 1 percentage point.
- The driver must not have a history of the following:
(a) One or more hypoglycemic episodes in the past 12 months, or 2 or more occurrences in the past 5 years resulting in:
1. Seizure
2. Loss of Consciousness
3. Need for Assistance from another person
4. Period of Confusion
(b) Signs of End Organ Damage: 1. Retinopathy 2. Macular Degeneration 3. Peripheral Neuropathy 4. Congestive Heart Disease 5. Stroke 6. Peripheral Vascular Disease 7. Kidney Failure
Diabetic individuals seeking DOT certification must provide current (within six months) diabetic control information to the examining physician. This information should be available as part of routine diabetes care through the individual’s primary care physician. To avoid delays in certification, SameDayDOT Physical Drug & Alcohol Testing recommends individuals meet with their primary care physician in advance of the examination to obtain copies of the required laboratory information, then bring that information to the DOT appointment. Diabetics who require insulin for control cannot be approved for DOT certification unless they have a waiver. The diabetic waiver application and program details can be found on the Federal Motor Carrier Safety Administration website. The process for obtaining a waiver is cumbersome and only a small number of drivers have received this exemption since the waiver program was instituted in 1996. “These medical guidelines can be quite complex,” says Michael Tigges, DC, Nationally Registered Certifed Medical Examiner. “The DOT team at Same Day DOT Physical Drug & Alcohol Testing understands the DOT regulations and their importance in promoting driver health, wellness and public safety. We are always available to answer any questions
All drivers diagnosed with diabetes must bring a printed copy of their most recent hemoglobin A1C from his or her primary care physician. This lab value must be 10% percent or less and be done within the last 3 months. The driver will receive a one year certificate if cleared. If the A1C levels are between 10-12% then the driver will receive a 3 month certificate. If, after 3 months, the new AIC levels are 10% or less at the end of the 3 months, the driver will receive a 9 month certificate based on the previous physical exam.
If the driver does not have the lab results available or his or her urine is positive for sugar, a random blood test (RBT) will be done. If this is 250 or less the driver will receive a 3 month certificate in which he should see his primary care physician and obtain an AIC lab. Once he or she returns with the report and it is less than 10% then 9 months will be added to your medical certification expiration date.
INSULIN
Insulin is used to treat high blood sugar in diabetes. Insulin has the potential to cause very low blood sugars which can cause drivers to black out or go into a coma; therefore diabetic drivers who require insulin for treatment cannot be approved for DOT certification. However, some drivers may qualify for a waiver which is a special process requiring additional clearance from your primary care physician and endocrinologist as well as more frequent assessments to maintain the driver’s medical certification.
More information is available through the FMCSA through the Federal Diabetes Exemption Program at:
http://www.fmcsa.dot.gov/documents/safetyprograms/Diabetes/diabetes-exemption-package0706.pdf.
Tips for managing your blood sugar:
- Eat healthy food portions at least three times a day.
- Avoid sugary drinks and processed foods. Keep healthy snacks with you.
- Do a moderate activity for 30 minutes 3-4 times a day. Doing laps along a rest stop is a good way to stay active during long hauls.
- Carry you glucose meter with you during trips to check your levels. If you experience symptoms of low blood sugar, be sure to carry glucose tablets with you.
- Maintain good blood pressure and have a yearly eye exam with an eye professional to avoid diabetic complications that reduce your ability to drive.
Contact us for any questions you may have: https://samedaydot.com/contact-us/
DOT CERTIFIED PHYSICAL EXAM IN SUMNER COUNTY. Gallatin; Hendersonville; Portland; Tennessee.
DOT CERTIFIED PHYSICAL EXAM IN SUMNER COUNTY. Gallatin; Hendersonville; Portland. NASHVILLE; GOODLETTSVILLE, Lafayette
Posted on June 23, 2016 by Dr. Michael Tigges
DOT Certified Medical Exams are now being offered at Same Day DOT Physicals Drug & Alcohol Testing in Gallatin, TN. Also serving Hendersonville and Portland, TN. We are focused on providing high-quality service and customer satisfaction – we will do everything we can to meet and exceed your expectations. We offer low-cost, quick, convenient and comprehensive medical exams for commercial drivers to meet federal DOT regulations needed to obtain and maintain commercial driver’s licenses.
Our goal is to provide a worry-free experience to our patients. Your Certified Medical Examiner Dr. Michael Tigges will treat you with the respect you deserve. Our experienced healthcare professional will address medical issues upfront, avoiding delays in obtaining your medical examiner’s certificate.
Call Today to schedule an appointment (615) 452-1575
529 Hartsville Pike Gallatin, TN
Contact Us
We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!
Phone Number:
615-452-1575
Email Address:
info@samedaydot.com
Our Location:
529 Hartsville Pike
Gallatin, TN 37066
Right next to Sumner Regional Medical Center across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.
Preparing for Your DOT Medical Exam
Preparing for Your DOT Medical Exam
The DOT’s National Registry of Certified Medical Examiners (NRCME) program has ushered in a new era of driver and employer responsibility in regard to understanding the DOT medical examination process. The NRCME program aims to elevate the DOT medical exam to its originally intended level of scrutiny that can ensure safer drivers and safer roads across the country.
By requiring certification of all medical examiners, the DOT made an obvious statement about quality and their continued efforts to eliminate “doctor shopping” by drivers, the practice of visiting provider after provider until someone finally issues a medical card, whether it is warranted or not.
Certain conditions have always led to shorter card terms or disqualification, and the new certification program has brought these to the forefront for many examiners who either never knew the regulations or never paid close enough attention to allow the regulations to guide their decision making.
The goal, hopefully is that medical examiners across the country will be holding drivers to a more consistent standard when issuing cards.
In preparation, drivers and employers should pay particular attention to the conditions below that may exclude drivers from certification or require intermittent medical monitoring.
Assembling the necessary documentation in advance of the exam can save drivers and employers considerable time and money.
These are the most common health problems associated with DOT medical certification or recertification that require documentation during the DOT exam to help expedite certification.
History of Asthma / COPD
If you have a history of lung disease (asthma or COPD) or have symptoms of shortness of breath, cough, chest tightness, wheezing, or drivers over the age of 35 who smoke, you will need spirometry. You can arrange to have this done at your doctor’s office or occupational medicine clinic.
Sleep Apnea
- A letter from the doctor treating for the sleep apnea stating that your current CPAP treatment is effectively controlling your sleep apnea
- Documentation that verifies your equipment (CPAP machine) is operating effectively and shows that you are compliant with the use of the CPAP (smart card printout)
Diabetes
- A letter from the doctor treating you for the diabetes stating you are being treated for diabetes is required. A list of the medications you are taking and that the medications are tolerated and would not interfere with the ability to drive must also be provided. The frequency of your glucose control and efficacy of treatment monitoring must be documented, along with verification that you have had no severe hypoglycemic reactions in the last 12 months. The date and results of your last hemoglobin A1C level must be provided. Any complications from diabetes (example: renal, cardiovascular or neurological concerns) must be documented.
Diabetic on insulin is disqualifying, unless you have a federal diabetes waiver.
A letter from your eye doctor or the doctor treating you for your diabetes must state the date of your last eye exam and that there is no retinopathy.
- Unstable proliferative or unstable nonproliferative retinopathy is disqualifying.
- If you are on incretin mimetic treatment, such as Byetta (exenatide) or Bydureon (exenatide extended-release), a letter from your doctor prescribing this medication describing your tolerance to the medication is required.
- How frequently you are monitored for adequate blood glucose control and efficacy of treatment must also be documented.
Cardiovascular Disease
- History of heart attack, angina, or post-PCI: You will need a letter from your cardiologist stating that you are cleared to drive a commercial motor vehicle with no restrictions. DOT requires an exercise stress test every 2 years. You will need to bring a copy of the stress test results to your exam. The above has occurred in the past year, a copy of the most recent Echocardiogram is also required.
- History of cardiac bypass surgery: A letter is required from you cardiologist stating that you are cleared to drive a commercial motor vehicle with no restrictions. After 5 years from the date of surgery you will need a yearly exercise stress test. Please bring the stress test results to the DOT exam. If the bypass surgery is within the past year, a copy of your most recent echocardiogram will be required.
Anticoagulant Therapy
If you are taking warfarin for cardiovascular disease, please bring a copy of the most recent INR results to your DOT exam.
Anticonvulsant Medication
If you a taking topamax, neurontin (gabapentin), or other seizure medication for other than a seizure disorder (example: chronic pain or migraine prophylaxis), bring a letter from the doctor prescribing the medication stating that the medication is not being prescribed for seizure. Also, if you are experiencing side effects, the letter must state that the side effects would not interfere with driving a commercial motor vehicle.
Histories Requiring Limited Certification (one year or less):
- High blood pressure
- Diabetes
- Sleep Apnea
- Cardiovascular Disease
- Heart Surgeries
Medications Requiring Limited Certification (one year or less):
- Lithium
- Byetta
- Provigil
- Warfarin (cardiovascular disease)
- Antidepressants
Pristiq, Cymbalta, Effexor, Effexor XR, Celexa, Lexapro, Prozac, Prozac Weekly, Sarafem, Paxil, Paxil CR, Zoloft
- Antipsychotics
Abilify, Abilify Discmelt, Saphris, Zyprexa, Zyprexa Zydis, Seroquel, Seroquel XR, Risperdal, Risperdal M-Tabs, Geodon, Symbyax, Nardil, ESAM, Parnate
Note: The medications listed above require a safety letter from the driver’s Primary Medical Provider indicating the prescribed medication is tolerated and no side effects interfere with driving a commercial motor vehicle.
More questions, call ahead, communication is what makes everything run smoother.
By Michael Tigges DC, NRCME
SameDayDOT.com
Call 615-452-1575
Same Day DOT Physical Drug & Alcohol Testing ON-SITE testing…
Our On-site Group DOT Exam Services Increase Driver Productivity & Safety
Services
We provide group medical exams for commercial trucking companies and commercial truck driving schools. For convenience and efficiency, all our medical examinations are done on-site at your company’s terminal or school. Individual DOT Physicals Drug & Alcohol testing is available at our office site in Gallatin, TN.
1. On-site clinic set-up. Our examination coordinator will work with your terminal manager to set up a space for our Medical examiners to do the examinations at your facility.
2. Flexible and convenient scheduling based on your company’s needs.
3. Medical Records that allow for quick and easy access to Long Forms and certificates of drivers.
4. All equipment for medical exams are provided/brought on-site by the examining team.
5. Data Management. Comprehensive database that allows easy access to your medical records when you need them.
6. Convenient data delivery options for you to choose from.
What to expect:
Contact our examination coordinator to discuss and evaluate your needs:
1. DOT Medical Examinations according to FMCSA guidelines.
2. Urine Drug Screen collection and testing.
3. MRO services.
4. Data Management: robust data management system that allows for quick and accurate Long form and Certificate retrieval.
By providing on-site exams your company will see the following benefits:
1. No need to transport drivers to and from an off-site clinic.
2. Time savings.
3. Relationship with company/instructors and drivers.
4. Cost savings – no need to transport, less down time, efficient on-site system.
On the Day of Your Service:
1. DOT Exam Professionals staff arrive on-site and set up designated area for UDS collections.
2. UDS collections are begun on indicated drivers.
3. Initial processing for physicals is started.
4. Medical Examiner will begin performing exams.
5. Once all UDS collections and examinations are completed, you will receive: 1) A completed and accurate Registration Log of all drivers seen; 2) A copy and original of all Clearance Form Requests.
6. Secure HIPPA compliant electronic copies of all Certificates and Exams will be provided the following morning.
· Keep Your Deadlines
Timely group exam format means drivers are back on the road in no time.
· Eliminate Scheduling Nightmares
No need to shuttle drivers to off-site clinics or juggle individual appointments
.
· Reduce Liability
Experienced, licensed medical staff can detect and diagnose dangerous health conditions
· Responsive Customer Service
Dedicated staff waiting to answer your call and rapidly address your needs.
· Electronic Data Management
Quickly and easily access all your drivers DOT medical forms.
Schedule a Group Appointment Now
Contact Us
We’d love to hear from you. Please use one of the various methods below and we’ll look forward to connecting with you soon!
Phone Number:
615-452-1575
Email Address:
Our Location:
529 Hartsville Pike
Gallatin, TN 37066
Right next to Sumner Regional Medical Center across from Perkins Drugstore. Parking for your big rig next door in the Food Lion parking lot.