DOT Certification Graded A+

DOT Certification Graded A+ LTCCS large truck crash causation study, , reported in 2006 #1 cause of fatalities with big trucks? driver fatigue DOT organization all subcategories are separate entities and require different things What is covered in NRCME training? federal motor carrier safety administration (FMCSA) How long does NRCME certification last? 10 years with a 5 year update class once a driver is certified, what is the longest it lasts? SPE skill performance evaluation 2 years Three copies of driver's certificate: who gets them and who has original for how long? employer get copies examiner keeps original for 3 years Non discretionary standards driver, immediately DQ the driver, examiner MUST follow standards discretionary guides/recommendations limits steered by recommendations and examiners judgement list the non discretionary DQers dependent DM Hx of epilepsy, failed hearing exam, failed Vx exam, active insulin who oversees medical certification process? office of medical programs how many X more is mortality rate for passenger vehicle vs large truck, in a crash between the two? passenger vehicle 5X more likely to die where are physical standards for drivers listed? 49 CFR 391.41 define CMV commercial motor vehicle: any self propelled or towed MV used on a highway in interstate commerce to transport passengers or property...10k lbs or more, 8+ passengers for $$, 15+ passengers not for $$, hazardous materials where is CMV defined? 40 CFR 390.5 where are medical examiner qualifications found? 49 CFR 391.43 Where are general qualifications for CMV drivers found? list non-discretionary standards 49 CFR 391.11 loss of limb, limb impairment, CV condition, respiratory dysfunction, HTN, RA/OA/orthopedic/muscular, mental disorder, drug use, alcoholism "average" driver demographics "average" driver medical health disease male, 40+, sedentary, obese, smoker, poor eating habits less healthy than average citizen, 2+ medical conditions, CV list 9 occupational stressors for CMV drivers conditions, environmental, type of cargo when can a driver on insulin be certified? exemption program type of route, schedule, finances, vehicle, road if he/she has FMCSA waiver - 49 CFR 391.64 OR federal FMCSA definition of "severe hypoglycemia" seizure, LOC, need assistance from others, impaired cog fxn if severe hypoglycemia, ask if driver has had reactions how frequently? 2+ in last 5 years 1+ in last 12 months what happens if driver has loss of proprioception? what about peripheral neuropathy? DQ and DQ what if DM patient has resting tachycardia or orthostatic HOTN? what if driver has silver wire, cotton patches? DQ qualify but recommend ophthalmologist yearly what if driver has unstable retinopathy where neovascularization extends into vitreous? driver uses telescopic lenses? DQ what if driver on incretin mimetics? what about other oral hypoglycemics? DQ certify for one year DM exemption requires a driver to: glucose monitoring forced whisper test annual endocrinology visit, annual optho visit, DM education, hear a forced whisper at no less than 5ft audiometric testing limits average hearing loss no greater than 40 decibels can driver wear hearing aids during forced whisper test? audiometer should be calibrated to what standard? yes American National Standards Institute (ANSI) Z24.5-1951 driver wears a hearing aid. can you do in office whisper test? what about audiometry test? whisper, no for audiometry how to calculate hearing loss? yes for determine what decibels heard at 500Hz, 1000Hz, 2000Hz in one ear. Add the results and divide by three. Result = average hearing loss. Audiometric testing - results? qualify driver if less than 40dB hearing loss in good ear. both ears more than 40=DQ how to convert from International Organization for Standardization to ANSI? minus 10 from 1000 minus 8.5 from 2000 which test to do first, whisper or audiometric? minus 14 from 500 doesn't matter as long as one is passed, driver is