DOT Physicals
New FMCSA Final Rule: Frequently Asked Questions
The FMCSA has published a new final rule- The following is strongly recommended- Please pass on to your drivers.
Medical examiners will now need to begin using new forms as part of the Medical Examiner’s Certification Integration rule, and the changes to the forms will have an impact on truck drivers.
What follows are several changes the rule will bring.
Drivers May Want to Get in 30-45 Days Early
As part of the new form, if a medical examiner is unable to make a final determination on a driver and needs more information, such as a sleep test or information from the driver’s physician, he or she could mark the form “determination pending.” That would give the driver 45 days to submit the necessary information to the examiner or time for the examiner to request the needed information if a safety letter is required for a previous history of heart disease, diabetes etc.
If the driver has a current and valid medical examiner’s certificate (MEC), he or she may continue to operate under that MEC during the 45-day period. However, if the MEC were to expire either before or during that timeframe, the driver would no longer be qualified.
“It is tough to recommend drivers go in 45 days early for an exam, but that may be what drivers need to do in order to continue driving until they submit all of the necessary information or they will want to ensure they bring in everything they need when they go in for an exam,”
If the requested information is not provided in the allotted 45 days, a new examination will be required in order for the driver to obtain a med card.
Drivers May Need Multiple Exams
In the past, medical examiners could update or extend exam forms for a certain period, then file them without doing a complete new exam, but that is no longer the case.
“Let’s say a driver has hypertension. Today a lot of examiners would issue an extension on the medical card for 30 days, then have the driver come back to show his blood pressure has gone down or has been treated. When the driver comes back they’d sign off on the blood pressure being down and issue a card for one year,” “Now they can’t do that. They’ll have to complete a whole new exam.” Another reason Drivers May Want to get in 30-45 Days Early
This is partly due to the way the forms are transmitted. “Once you submit a form, you can’t go in and change it again,” again Drivers May Want to Get in 30-45 Days Early.
As always we are here to help, if you, your company or drivers have any questions please give us a call.
Sincerely,
Michael Tigges DC, NRCME
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Prescription Label

It is critical to know how medication could make you feel and how it can impact your driving ability and routine. Many people receive a prescription and do not fully understand their medication. When your doctor writes you a prescription, it is very important to ask the six basic questions about the medication:
1.Why am I taking this medication?
2.How much should I take?
3.When should I take it?
4.How should I take it?
5.What should I do if I miss a dose?
6.What are the possible side effects?

If you are a commercial motor vehicle driver, you also need to know how the medication will affect your ability to drive. Receiving answers to these questions will help you gain a better understanding of how to read your prescription label(s).

Please remember to verify your name and address on the prescription label. Also, verify the prescription number, medication name, instructions on how to take the medicine, and the name of the doctor who wrote the prescription.

Most importantly, know how the medicine could make you feel and how it could affect your daily driving routine. Staying safe is an essential part of managing your health.

Medication Interactions

Did you know medication interactions can occur when you take two or more medications at one time or on the same day? It doesn’t matter whether the medication is prescribed, over-the-counter, or herbal.

Interactions can increase or decrease the effectiveness of your medications. When medications interact with chemicals found in the body, in food, from medical tests, can cause you to experience serious side effects not normally linked with either drug. These interactions may affect you in many ways possibly altering the effects of other medications and could adversely affect pre-existing medical conditions.

For instance, blood pressure medications may cause side effects associated with food intake. If you eat or drink grapefruit products while taking certain blood pressure medications, you may experience an increased heart rate or blood pressure changes and/or increased side effects such as facial flushing, headache, or dizziness. Therefore, it is important to inform your health care provider of any over-the-counter medications you may be take.

So how can you evaluate your medication interactions to determine if they are major, moderate, or minor?

Read labels.

Some medication labels have warnings. These labels may note foods to avoid while taking the medication or the label may say do not take a specific medication in combination with other medications.

Speak to your doctor.

In some cases, recommendations from your physician can manage your interactions. Because it may be harmful to a commercial driver’s ability to drive safely, it is important to be aware of possible interactions between medications.

Sharing Medications

Share a cab. Share your food. Share joy! But don’t share medications. Sharing medications, even over-the-counter medications like aspirin, can be a prescription for disaster.

Side effects and drug interactions: Although it is common for family and friends to share medications, the medication prescribed for you may cause serious problems for others with bad side effects such as severe allergic reactions and unhealthy interactions with another prescription medication that is being taken. In fact, sharing one medication may decrease the effectiveness of another medication. The medication you share may work with other prescriptions to double the potency and cause a reaction similar to an overdose. Even herbal and dietary supplements can do this.

Not all symptoms are alike! You may think the symptoms your friend is suffering are the same as yours, but he or she may have a very different medical problem. By sharing your medication, you may be delaying his or her trip to a doctor, and may even contribute to the worsening of a medical condition. Sharing medication with someone is like diagnosing and treating him or her. You wouldn’t expect your doctor to get into the cab of your truck and drive it without any training, so don’t try to diagnose and treat your friends. It is a dangerous practice!

Unique responses: We are unique and so are our reactions to medications. You have heard the statement, “I can take that medication and not be the least bit drowsy, but my sister falls asleep two minutes after swallowing it.” Our body chemistry, composition, and how fast our liver works to clear medications out of our system are evidence of our differences, and those factors play a role in medication use. So just because a medication works for you doesn’t mean it will work the same for someone else.

Unsafe: Medications, particularly those that have a narcotic component, may be habit-forming and may pose a severe risk to safe driving. Side effects such as drowsiness, dizziness, and confusion have a direct impact on the focus, concentration, and stamina needed for commercial driving. Although you may not have an adverse reaction to the medication, someone else may. Thus, sharing a medication with another driver who may have a different reaction to the medication can cause serious public safety concerns.

It’s improper and unsafe to share any prescriptions with other people. Doctor prescribed medications are strong, even some antibiotics can cause serious reactions, that’s why they have unique numbers for writing prescription orders. Your good intentions may cause dangerous results to health and safety while on or off the road – especially if the drivers are unaware of how the medication will affect them. In addition, sharing a controlled substance such as a narcotic, may be illegal. So be safe, don’t share.
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HELPFUL TIPS FROM DR. TIGGES

Overview of Drug and Alcohol Rules

What CDL Drivers Need to Know

The United States Congress recognized the need for a drug and alcohol free transportation industry, and in 1991 passed the Omnibus Transportation Employee Testing Act, requiring DOT agencies to implement drug and alcohol testing of safety-sensitive transportation employees. 49 CFR Part 40, or Part 40 as we call it, is a DOT-wide regulation that states how to conduct testing and how to return employees to safety-sensitive duties after they violate a DOT drug and alcohol regulation. Part 40 applies to all DOT-required testing, regardless of mode of transportation. For example, whether you are an airline employee covered by FAA rules or a trucking company driver covered by FMCSA rules, Part 40 procedures for collecting and testing specimens and reporting of test results apply to you. Each DOT Agency-specific regulation spells out who is subject to testing, whenand in what situations for a particular transportation industry.

Since the early 1990s, the Federal Motor Carrier Safety Administration (FMCSA) and its predecessor agency has defined drug and alcohol testing rules and regulations for employees who drive commercial trucks and buses that require a commercial driver’s license (CDL). These regulations identify who is subject to testing, when they are tested and in what situations. The regulations also impose privacy protections and restrictions on employers and service agents against the use and release of sensitive drug and alcohol testing information. The FMCSA controlled substances and alcohol use and testing regulations can be found at 49 CFR Part 382.

Questions?

Are you a driver with questions on drug and alcohol testing rules and regulations? Resources on this Web site can help you find answers to these common questions:
•Who is tested?
•Which substances are tested?
•When does testing occur?
•What are the testing procedures?
•What if I fail or refuse a test?
•What resources are available to drivers?
Guidance on Drug and Alcohol Supervisor Training

Questions? – https://samedaydot.com/tennessee-dot-drug-testing/

Certified DOT Medical Examiner

Dr. Tigges is one of the first in TN to become a certified DOT Medical Examiner of the United States Federal Government. The National Registry of Certified Medical Examiners requires all medical examiners performing physical examinations for interstate commercial motor vehicle drivers to be trained and certified in FMCSA physical qualification standards. Dr. Tigges and staff are certified to provide drug & alcohol testing and participate in the required consortium utilizing Team CME services. Our Tennessee DOT drug testing and alcohol screening services are also available for non DOT individuals such as employers wishing to test employees, and those seeking employment, and parents wishing to test teens. Consortiums (pools) can be set up for non-DOT employers as well.

DOT Medical Exam and Commercial Motor Vehicle Certification

About the Exam

A Department of Transportation (DOT) physical examination is conducted by a licensed “medical examiner.” The term includes, but is not limited to, doctors of medicine (MD), doctors of osteopathy (DO), physician assistants (PA), advanced practice nurses (APN), and doctors of chiropractic (DC).

To find a medical examiner to conduct the DOT physical exam you may contact your primary care provider to inquire if they will conduct a “DOT physical exam.” You may also find a medical examiner in the yellow pages of your telephone book, or on the Internet by using an Internet directory or search engine. Look under “Occupational Health.” If your medical examiner does not have a Medical Examination Report, one may be downloaded.

A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner’s certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.

What should Motor Carriers and Bus operators expect from the new National Registry of Certified Medical Examiners?

On April 18, 2012, a new safety rule was announced by DOT. The final rule requires healthcare professionals who perform medical exams for commercial truck and bus drivers to be certified by FMCSA. Training and testing standards can be found at FMCSA’s National Registry of Certified Medical Examiners website. Effective May 21, 2014, interstate truck and bus drivers must obtain their required medical exams from a certified examiner on the National Registry website.

The National Registry of Certified Medical Examiners (National Registry) is a new Federal Motor Carrier Safety Administration (FMCSA) program designed to help improve highway safety and driver health. The program will require all medical examiners (MEs) who wish to perform DOT physical examinations for commercial vehicle drivers to be certified by May 21, 2014.
◾All medical examiners must be trained and pass a certification test to be listed on the National Registry
◾All Interstate CMV drivers must obtain their physical exams and a medical examiner’s certificate from a certified medical examiner listed on the National Registry. Drivers are required to provide the medical certificate to the State agency issuing their CDL license.
◾The National Registry will not change how often drivers need to obtain a medical examination (at a minimum every 2 years). However, medical examiners may determine that an individual driver may need more frequent exams based on the driver’s medical history.
◾Employers must verify that drivers who complete a medical exam after May 21, 2014 have used an examiner listed on the Registry. They must search the registry for the ME who provided the driver’s medical certificate by name or registry number.
◾Drivers will still receive a medical certificate from the medical examiner after passing their exam; however, the certificate will now include the certified medical examiner’s National Registry Number

By: Dr. Michael Tigges

– See more at: https://samedaydot.com/

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