Order of Hierarchy - ✔✔ DOT>FMCSA>NRCME
Motor carrier safety improvement act of 1990 - ✔✔ Established that FM CSA what operate within the
... [Show More] DOT. The FM CSA is focused on reducing crashes injuries and fatalities involving large trucks and buses
FM CSA mission - ✔✔ Promote the safety of America is roadways through implementation of medical regulations, guidelines and policies that ensure the driver is physically capable of being safe
NRCME mission - ✔✔ Improve Highway safety by producing trained, certified medical examiners, you can effectively determine if a CMV driver is healthy enough to meet standards set by FM CSA
Medical examiner qualifications - ✔✔ Professional license and a scope of practice that includes performing physical exams
Role of medical examiner - ✔✔ Perform physical examinations to determine fitness of duty
DOT regulates what types of vehicles/passengers? - ✔✔ Gross vehicle weight of 10,001 pounds or more
Vehicles that transport eight passengers or more forfor a profit
Any vehicle that transports 15 passengers
Any vehicle that carries hazmat
Examples of drivers that do not require CDL's - ✔✔ Farm equipment, firefighters, motor homes
How to maintain a medical examiner certification - ✔✔ Maintain professional license
Complete in our CME reporting monthly
Keep exams and records for three years
Refresher training and a minimum of five years
Medical examiner retest every 10 years
CMV driver requirements - ✔✔ 21 years old
Read and speak English
Be physically qualified
Successfully completes driving test
Driver fxn and environment - ✔✔ Odd schedules, irregular lifestyle, irregular sleep patterns, irregular eating patterns
Physical task- loading/ unloading trailer, equip inspection, climbing, grasping
Emotional issues- loneliness,
Average CMV DRIVER - ✔✔ Male >40 yo
Sedentary
Overweight
Smoker
Poor diet
>2 medical conditions
CVD hx
Less healthy than average
Driver demands - ✔✔ Alert
Mobility of neck and vision to see mirrors
Mobility in arms for steering wheel
Vision and dexterity for complex dash
Stamina, flexibility, ROM
CMV UNIQUES STRESSORS - ✔✔ route changes, traffic, weather, tight schedules, cargo: people, HAZMAT
Purpose of physical exam - ✔✔ TO DETERMINE MEDICAL FITNESS FOR DUTY
obligation is to establish if there is a condition that can potentiate public endangerment to include safely operating a vehicle, sudden death risk and gradual incapacitation.
Do not do or tx
Educate and refer.
Acceptable Risk - ✔✔ Probability of an event occurrence
1%
Non-discretionary qualifications - ✔✔ Insulin treated diabetes
Epilepsy
Vision
Hearing [Show Less]