Vision Requirements - ✔✔ 20/40 in each and both eyes with or without corrective lenses
Vision Peripheral - ✔✔ 70
Vision Color - ✔✔
... [Show More] red, green and amber
Vision and DM disqualified if - ✔✔ dx with unstable proliferative retinopathy
Vision PE - ✔✔ distant acuity
horizontal fields
color recognition
monocular vision
reactivity to light
EOMs
fundoscopic exam
Distant acuity - ✔✔ Snellen 20 ft
Cannot have contacts that are one for distance and one for near (monovision)
20/40 to pass
Refer out if signs of - ✔✔ Retinopathy
Macular Degeneration
Hearing qualifications - ✔✔ Hears forced whisper at 5 ft
Does not have average hearing loss in the good ear >40db at 500, 1000 and 2000 hz
Only has to pass in 1 ear
Hearing 2 month sx free waiting for - ✔✔ BPPV
Acute or chronic peripheral vestibulopathy
Hearing do not certify if - ✔✔ Uncontrolled vertigo
Menieres
Labrynthine fistula
Nonfunctioning fistula
AAA certify if - ✔✔ < 4 cm
> 4 cm but less than 5 cm
Surgically repaired
1 year cert
AAA do not certify if - ✔✔ Symptomatic regardless of size
Surgery is recommended
DVT certify if - ✔✔ treated with anticoagulation
etiology known
no active DVT
DVT do not certify if - ✔✔ Still has DVT on meds
Chronic thrombus certify if - ✔✔ No sxs
Max 2 years
Intermittent claudication certify if - ✔✔ Etiology known and tx working
1 year cert
Intermittent claudication waiting - ✔✔ 3 months after surgery
Intermittent claudication don't certify if - ✔✔ pain at rest
Aneurysms certify if - ✔✔ has had surgery
clearance from cards
1 year cert
Aneurysms waiting period - ✔✔ 3 months after surgery
Aneurysms don't certify if - ✔✔ surgery recommended
PVD certify - ✔✔ Don't if pain at rest
3 month wait after surgery
1 year cert
Thoracic aneurysms certify - ✔✔ <3.5 cm
surgically repaired if greater
medical clearance from cards
Arrythmia don't certify if - ✔✔ has ICD or dual
1 year if cert
Pacemaker waiting period - ✔✔ 1 month if for SA dysfunction or AV block
3 months if for neurocardiogenic syncope, hypersensitive carotid sinus with syncope
Pacemaker certify if - ✔✔ has documentation of functioning pacemaker with routine checks
is not for a disqualifying disease
SVT and afib certify if - ✔✔ HR controlled
anticoagulated
cards clearance
1 month wait after starting anticoags or ablation
SVT and afib don't certify if - ✔✔ LOC
cerebral hypoperfusion
sudden death resuscitation
Ventricular arrythmias don't certify if - ✔✔ is symptomatic
has sustained VT
Has NSVT with LVEF <40
Echo results for certify - ✔✔ LVEF >40
no pulmonary HTN
Exercise tolerance test certify - ✔✔ Must be able to
-exercise to workload capacity >6METS
-attain HT >=85% predicted max
-Have increase in SBP >= 20mmhg without angina
-no ST depression
MI certify if - ✔✔ no symptoms
tolerates meds
passes ETT with no ischemia or LVD
Echo with LVEF >40
no EKG ischemic changes
2 month waiting
1 year cert
Angina certify if - ✔✔ stable angina
no sxs
passes ETT
1 year cert
cards clearance
biannual ETT
Angina don't certify if - ✔✔ unstable angina within 3 months of exam
CHD risk equivalent - ✔✔ DM
PVD
Framingham risk 20%
>45 with multiple risk factors
cert 1 year [Show Less]