FMCSA/DOT ME Certification Rated A+

FMCSA/DOT ME Certification Rated A+ regulation that describes the physical requirements for drivers 49 CFR 391.41 regulation that describes the responsibilities of the medical examiner, how to do the exam, description of driver risks, and medical exam form 49 CFR 391.43 regulation of who has to have CMV examination 49 CFR 391.45 regulation of what to do if there is disagreement between PCP and medical examiner 391.47 49 CFR regulation of how to perform medical evaluation of driver with permanent MSK disability (SPE) CFR 391.49 regulation that spells out limited exemptions for INTRA-CITY drivers 49 CFR 391.62 regulation pertaining to grandfathering in certain drivers from vision and DM exception 391.64 general information and definitions 49 CFR 390 49 CFR regulations for medical REVIEW OFFICERS and substance abuse professionals and drug/alcohol testing procedures 49 CFR 40 general qualifications to be a driver 21 years old or more, be able to communicate and read in English, capable of safely operating the CMV, have DL, and medical exam certificate which regulation lists the physical qualification requirements to be a driver 49 49 CFR 391 Subpart E (41) objective standards that determine medical fitness for driving; non-discretionary diabetes, seizures/epilepsy vision, hearing, waiting period before certifying driver on Provigil, recertification interval min 6 weeks; annual certification criteria after CABG LVEF >40% disqualifying conditions min 3 months, asymptomatic w/o angina, clearance from cardio, sustained Vtach, seizure within 5 years, Meniere's, BP>180/110, dialysis, monocular vision, dementia what is suggested recertification interval for NIDDM disqualifying medications 1 year controlled meds, methadone, habit forming drugs including narcotics and amphetamines, anti-seizure meds, medical marijuana, benzos, phenothiazines rules that establish national registry of certified MEs required components of urinalysis 49 CFR 390 Subpart D (101-115) spec gravity, protein, blood, glucose disqualifying neuromuscular diseases myotonia, isaac's syndr (neuromyotonia), stiff man syndr myotonia inability to relax muscle after vigorous activity stiff man syndrome truncal rigidity, spasms resulting in postural deformities who can grant the SPE certificate what is monocular vision FMCSA meeting the 20/40 requirement in only one eye symptom free period before driver can be certified if had acute BPV or acute/chronic peripheral vestibulopathy 2 months disqualifying ear problems meniere's, nonfunctional labyrinth, labyrinthine fistula, uncontrolled vertigo what is the concern about using incretin mimetic in tx of DM? can cause hypoglycemia: can certify if driver stable on tx waiting period for diabetics who now require insulin in combo with insulin secretagogue 1 month for previous dx and ongoing tx; 2 mo if new diagnosis and not on any tx what disqualifies a diabetic driver insulin use, severe hypoglycemia in past 12 mo or 2 episodes in past 5 years, loss of proprioception, peripheral neuropathy, autonomic neuropathy, proliferative retinopathy, any other disqualifying condition guidelines for BG monitoring by the driver 400 mg/dl range before driving and every 2-4 hrs while driving, 100 to remember to ask diabetic drivers about what that is not on the form how often should diabetics be certified other injectable therapies max 2 years but per RECOMMENDATION: yearly or more often if HgbA1c >10% max certification period for DM on insulin 1 year what hearing qualification must be met to certify a driver across all 3 frequencies measured in at least one ear waiting period and max certification period for warfarin hearing loss of less than average