NRCME (DOT) Exam Updated Version

Fmcsa Mission Statement - To Reduce Crashes, Injuries, Fatalities Involving Large trucks/buses Medical Examiner - Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test FMCSA - Federal Motor Carrier Safety Administration NRCME - National Registry of Certified Medical Examiners Commerical Motor Vehicle - Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding Interstate commerce vs. Intrastate commerce - Interstate: multiple states or international Intrastate: within 1 state Who regulates treatment/management and aftercare of substance abuse for drivers? - SAP (Substance Abuse Professional) Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations? - Medical Review Officer Title 49 CFR 391.41 - Medical Examiner Report Form - Paperwork completed during DOT physical - Physical exam requirements for driver - Determines if Certificate is granted Title 49 CFR 391.43 - Describes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification - Supporting information to explain 391.41 When was DOT established? - 1966 Became separate entity on Jan 1, 2000 Motor Carrier Safety Improvement Act of 1999 - Established DOT as separate federal entity Omnibus Transportation Employee Testing Act of 1991 - Required drug testing for drivers The driver must always keep a copy of ____________________ with them while driving - Medical Certificate SPE if applicable Does the driver need to sign a medical release before you release their Medical Certification? - No. Certificate is provided to employer. (Release is required for a copy of medical report form) How many standards are used to determine driver fitness for duty? - 13 How many standards of "driver fitness for duty" are *discretionary*? - 9 (according to my review course) - Other sources say 10 and say that T2DM is discretionary How many standards of "driver fitness for duty" are *NON- discretionary*? - 4 - Vision - Hearing - Epilepsy - T2DM (Some sources say 3 and do not include T2DM) Age requirement for drivers - 21+ Language requirement for drivers - Must be able to read/speak English well enough to read signs, communicate Height/weight requirement for drivers - There is none What is tested for in urine? - USG PRO BLO GLU How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - 3 years