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Certified CDL Medical Exam

High Blood Pressure-FMCSA

 
Question:
 
Drivers -- When you go back for a re-certification check during a 1-time, 3-month certificate for HBP what paperwork is required to be completed?  Do you complete the medical examination Report Form or what do you do since a full physical is not being completed? You need to know this information. It will save you money so you will not get charges for two CDL medical EXAMS.
 
FMCSA guidelines:
 
 In a driver whose BP is greater than 140/90 but less than 160/100, a one-time certificate for 3months can be issued. An individual diagnosed with Stage 2 (BP is160/100-179/109) should be treated and a one-time certificate for 3-month certification can be issued. Once the driver has reduced his or her BP to equal to or less than 140/90, he or she may be re certified annually thereafter. An individual diagnosed with Stage 3 hypertension (BP equal to or greater than180/110) should not be certified until his or her BP is reduced to 140/90 or less, and may be re certified every 6 months."
 
Answer:
 
 When they come in for the 6 month re- certifications for stage 3 HBP, you do a complete recertification exam on a new exam form.
 
For a one-time 3 month certificate, you don't need to complete an entire new physical.  In the comments section of the original exam put in the date of the recheck visit,updated BP readings, document any interim diagnostics, notes from MD,specialists, etc., and note (if BP now below 140/90) that you are issuing a tone-year certificate from the date of the original exam. Driver that whole a CDL licenses from the state of California a new exam form musts be done on a three month certificate.
 
 
 
 
 
 
 
 
 
 
 
 
 

Personality Disorders:

                                                            FMCSA
Personality Disorders:
 
Any Truck Driver that has a personality disorder characterized by excessive, aggressive, or impulsive behaviors warrants further inquiry for risk assessment to establish whether such traits are serious enough to adversely affect behavior in a manner that interferes with safe driving.
 
 
 A person is medially unqualified if the disorder is severe enough to have repeatedly been manifested by overt acts that interfere with safe operation of a commercial vehicle.
 
NOTE: Alcohol and drug dependency and abuse are profound risk factors in the presence of personality disorder
 
 The doctor must not certify the driver until the etiology is confirmed and treatment has been shown to be adequate/effective, safe, and stable. Than you the driver may be certify for one year.
 
 The driver:
 
Complies with treatment program.
 
Tolerates treatment without disqualifying side effects(e.g., sedation or impaired coordination).
 
Has a comprehensive evaluation from an appropriate mental health professional who understands the functions and demands of commercial driving.
 
 
 
 
 

Resolution of conflicts of medical evaluation

 
Safety Department,
 
 (Q) Is it real smart to have your company doctor to do a CDL Medical Exam or should you set up a panel of certify CDL doctors and establish a national doctor list?
 
CDL Medical exam must be a non-bias exam in which the doctor musts follow the medical guidelines  that the FMCSA put forward.
 
(A)  Let me answer this question for you. The trend in the transportation industry is to establish medical panels of certify DOT doctors in each state, in which the driver pays for his own medical CDL medical exam (company may repay the driver for CDL medical exam). It appears that when the company doctor does the CDL Medical exam that this could be a conflict of interests of the medical evaluation. That is if you only send all your drivers to one medical group. If the Driver disagree with the results on his/her CDL Medical Exam.The driver can requests’ a conflict of medical evaluation.
 
To resolve this problem have the driver go to a DOT certify doctor that they pick from your panel lists of doctors.
 
Trucker Exam Inc. wants to be on your panel.
 
Goggle - § 391.47 Resolution of conflicts of medical evaluation
 

The purpose of this CDl Medical examination

 
The purpose of this examination:
 
The purpose of this examination is to determine a driver's physical
 
qualification to operate a commercial motor vehicle (CMV) in interstate
 
commerce according to the requirements in 49 CFR 391.41-49.Therefore,
 
the medical examiner must be knowledgeable of these requirements and
 
guidelines developed by the FMCSA to assist the medical examiner in
 
making the qualification determination. The medical examiner should be
 
familiar with the driver's responsibilities and work environment and is
 
referred to the section on the form,
 
The Driver's Role:
 
In addition to reviewing the Health History section with the driver and
 
conducting the physical examination, the medical examiner should discuss
 
common prescriptions and over-the-counter medications relative to the side
 
effects and hazards of these medications while driving.Educate the driver
 
to read warning labels on all medications.

Free screenings for Truck Driver

medical exam
 
**Free screenings will be available to participant’s truck drives at Trucker Exam Inc. at the E-Z Trip Truck Stop in Fresno California, checking blood glucose levels for diabetes,blood pressure checking for CVD, a pulse ox for lung disorder , eye check’s and a Sleep Apnea screening.  These are five are most reason that truck driver fail their CDL medical Exam.
 
Dr. Edwards can send you out for a low-cost for comprehensive metabolic profile and lipid panel and include: cholesterol,triglycerides, HDL, LDL, coronary risk ratio, calcium, alkaline, phosphatase,glucose, ALT, AST, bilirubin, BUN, creatinine, albumin, sodium, potassium, and chloride. Thyroid (TSH) .
 
Prostatic Specific Antigen (PSA) is also available for an additional charge. It is recommended for men over the age of 50 or a man who is 40 with a family history of prostate cancer.
 
  As a service to the transportation industry Trucker Exam Inc. will be glad to screen any trucker driver at no costs to them.  Dr. Edwards’s goal is to promote good health with in the trucking industry. Dr Edwards feels that we have healthy drivers this will help the safety on our highways across the nation. It will also help prolong the life of our truck driver who provide a great services to our nation.
 
                                      Call 1.800.542.2225
 
                      **Free services are provide if time aloud .Walk in will been seen as soon as possible
 

Diabetes

 
                                              Diabetes
 
Drivers,
 
An incretin mimetic, such as exenatide (Byetta), is used toimprove glycemic control in people with Type 2 diabetes by reducing fasting andpostprandial glucose concentrations. An incretin mimetic is indicated asadjunctive therapy todrivers  who are takingmetformin or a combination of other oral agents. Use of an incretin mimetic inconjunction with a sulfonylurea has an increased risk of hypoglycemia.
 
Incretin mimetics are not insulin and can be used without anexemption.
 

Alcoholism:

 
Alcoholism:
 
If the driver has current clinical diagnosis of alcoholism amedical examiner, make the final determination as to whether the driver meetsthe Federal Motor Carrier Safety Administration (FMCSA) medical standards fordriver certification.
 
If the driver shows signs of alcoholism, have the driverconsult a specialist for further evaluation.
 
You may be tested for alcohol is warranted, contact FMCSA orcontact the employer of the driver directly for information on controlledsubstances and alcohol testing under Part 382 of the Federal Motor CarrierSafety Regulations.
 
 As a driver MUSTsubmit to alcohol testing if there is reasonable suspicion that the U.S.Department of Transportation (DOT) prohibitions concerning alcohol areviolated. Suspicion MUST be based on specific observations concerning driverbehavior, speech, or body odor.
 
 
 

National Drug Facts Week

                                  National Drug Facts Week
 
On our web site www.dot.gov/odapc, we posted a link to an important program sponsored by the National Institute on Drug Abuse (NIDA):
 
“The National Drug Facts Week” January 28-February 3, 2013.
 
National Drug Facts Week (NDFW) is a health observance week for teens that aims to shatter the myths about drugs and drug abuse. Through community-based events and activities on the Web, on TV, and through contests, NIDA is working to encourage teens to get factual answers from scientific experts about drugs and drug abuse.

Commercial Motor Vehicle Facts

                                        Commercial Motor Vehicle Facts
 
Crashes, Injuries, and Fatalities
FMCSA is dedicated to lowering the rate of crashes, injuries, and fatalities involving large trucks and buses. When a fatal crash involves at least one large truck, regardless of the cause, the occupants of passenger vehicles are more likely to sustain serious injury or die than the occupants of the large truck.
 
 
 
Drug testing

FMCSA musculoskeletal assessment

m.dotmedicalexam.com QR (1)
Part 3 0f 3 of musculoskeletal assessment :
The general purpose of the history and physical examinations to detect the presence of physical, mental, or organic conditions of such character and extent as to affect the ability of the driver to operate commercial motor vehicle (CMV) safely. This examination is for public safety determination and is considered by FMCSA to be a “medical fitness for duty" examination.
You as a driver during the musculoskeletal assessment is to establish musculoskeletal strength, flexibility, dexterity, and balance to maintain control of the vehicle and safely perform non driving tasks.
The examination is based on information provided by the driver (history), objective data (physical examination), and additional testing requested by the medical examiner. Your assessment should reflect physical,psychological, and environmental factors.
Do you have:
 
A muscular disease?
 
A missing hand, arm, foot, leg, finger, or toe?
 
A non functioning or dysfunctional hand, arm, foot, leg,finger, or toe?
 
An injury or disease of the spine?
 
Chronic low back pain?
 
If you are missing a hand,arm,foot,leg,finger,or toe you may be qualify for a SPE. Call 1.800.542.2225

Part two FMCSA Musculoskeletal

Part Two of three Parts musculoskeletal disorders:
CDL medical exam
 
Disorders of the musculoskeletal system affect driving ability and functionality necessary to perform heavy labor tasks associated with the job of commercial driving. Medical certification means the driver is physically able to safely drive and perform nondriving tasks as described in the driver role section of the Federal Motor Carrier Safety Administration (FMCSA) Medical Examination Report form.
Drivers have a multitude of job demands. The least physically demanding part may be the actual driving. For example, the duties of a commercial driver may include loading and unloading, making multiple stops, driving cross-country and in heavy city traffic, working with load securement devices, and changing tires.
Other common driving tasks include:
  • Manipulating the wheel.
  • Shifting gears.
  • Maintaining pressure on the pedals.
  • Braking.
  • Monitoring traffic.
Other job tasks include:
  • Performing pre- and post-trip safety checks.
  • Ensuring the vehicle is loaded properly.
  • Securing the load.
  • Evaluating and managing vehicle breakdowns.
 
  • Responding to emergency situations.

Part One of FMCSA Musculoskeletal disorders

m.dotmedicalexam.com QR (1)
 
 
 
 
 
 
 
 
                                    Part One of musculoskeletal pain or disorder:
 
"A person is physically qualified to drive a commercial motor vehicle if that person —
Has no loss of a foot, a leg, a hand, or an arm, or has been granted a skill performance evaluation certificate pursuant to §391.49."
"Has no impairment of:
(i) A hand or finger which interferes with prehension or power grasping; or
(ii) An arm, foot, or leg which interferes with the ability to perform normal tasks associated with operating a commercial motor vehicle; or any other significant limb defect or limitation which interferes with the ability to perform normal tasks associated with operating a commercial motor vehicle; or has been granted a skill performance evaluation certificate pursuant to §391.49."
"Has no established medical history or clinical diagnosis of rheumatic, arthritic, orthopedic, muscular, neuromuscular, or vascular disease which interferes with his/her ability to control and operate a commercial motor vehicle safely."
 
 
 
 
 
 

Bypass & Myocardial Infarction FMCSA Guidelines

                                                       www.dotmedicalexam.com
 
certified medical exam
Trucker drivers if you had Myocardial Infarction (MI),followed by coronary artery bypass graft (CABG) several months ago, you need an ETT (exercise tolerance test)
 
Trucker driver who had an MI, drivers should obtain an ejection fraction and ETT before returning to work and because of the CABG keeping the driver off work 3 months (not 2 as for MI) to allow time for sternal wound healing.
 
Myocardial Infarction:
 
 The first few months following an acute myocardial infarction (MI) pose the greatest risk of mortality, with the majority of deaths classified as sudden death. Current opinion among clinicians’ states that post-MI drivers may safely return to any occupational task provided there is no exercise-induced myocardial ischemia or left ventricular dysfunction.
 
Coronary Artery Bypass Graft
 
Coronary artery bypass grafting (CABG) surgery is frequently the preferred choice of therapy for individuals with multi-vessel coronary heart disease, narrowing of the proximal left main coronary artery, and extensive atherosclerosis in the presence of left ventricular dysfunction or debilitating angina.
 
Following CABG surgery, individuals are at less risk of sudden death than those who are treated medically. Most drivers who undergo
CABG surgery are able to return to work. A longer waiting period is recommended to allow sternal incision healing. The sternum should be completely healed before certifying a driver.
m.dotmedicalexam.com QR
 
 

Safety & DOT Compliance

 
certified medical exam
 
 
Safety & DOT Compliance                                
 
 
          The Safety& DOT Compliance the safety manger needs to understand:
 
1)     DOT Compliance & Safety:  Driver qualifications, safety fitness and safety ratings, roadside inspection, CDL requirements, and DOT  Driver physicals.Master the safety compliance skills necessary to survive a DOT safety audit. 
 
2)     Hours of Service & Driver Logs: On the federal hours of service regulations and the proper use of driver logs.  Driver log review and learn to identify inaccurate entries.
 
3)     Controlled Substances and Alcohol mandatory training: completes the DOT’s mandatory supervisor training requirements for Alcohol and Controlled substances.   You’ll need to review the critical parts of the DOT regulations on Alcohol and Drug testing (Part 382 and part 40).
 
 At Trucker Exam Inc we will be able help you in your Drug program and your drivers DOT Medical Exam
                                          1.800.542.2225
                              http://www.dotmedicalexam.com
Trucker Exam Web site

Post-CABG Surgery CDL Medical exam

 
Coronary artery bypass grafting (CABG) surgery is frequently the preferred choice of therapy for individuals with multi-vessel coronary heart disease, narrowing of the proximal left main coronary artery, and extensive atherosclerosis in the presence of left ventricular dysfunction or debilitating angina.
 
Following CABG surgery, individuals are at less risk of sudden death than those who retreated medically. Most drivers who undergo CABG surgery are able to return to work. A longer waiting period is recommended to allow sternal incision healing.The sternum should be completely healed before certifying a driver.
 
A significant risk associated with CABG surgery is the high long-term reclusion rate of the bypass graft.
 
Certification/Recertification— Post-CABG Surgery
 
Waiting period
 
Minimum — 3 months regardless of type of CABG surgery performed
 
NOTE: If more than one waiting period applies (because of multiple cardiac conditions brother co morbid diseases); examine the driver for certification after the completion of the longest waiting period.
 
Decision
 
Maximum certification period — 1 year
 
Recommend to certify if:
 
The driver:
 
Is asymptomatic.
 
Tolerates cardiovascular medications with no orthostatic symptoms.
 
Has a left ventricular ejection fraction (LVEF) greater than or equal to 40%.
 
Is examined and approved by a cardiologist for medical fitness to drive.
 
Has a healed sternum.
 
Recommend notto certify if:
 
The driver:
 
Is symptomatic.
 
Haveorthostatic symptom side effects from cardiovascular medication.
 
Has an LVEFless than 40%.
 
Is examined and is not approved by a cardiologist for medical fitness to drive.
 
Has a sternum that has not healed.
 
Monitoring/Testing
 
Because of the risk of reclusion over time, 5 years post-CABG surgery, the driver should obtain:
 
Annual exercise tolerance test.
 
Imaging stress test, if indicated.
 
Follow-up-  The driver should have an annual medical examination
 
 
 

FMCSA What is a waiver? An exemption?

What is a waiver? An exemption?
A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990's.
An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

No Current Waiver ProgramsVision:Prior to the implementation of the Federal Vision Exemption Program, FMCSA conducted an initial vision study program that ran from 1992 to 1996. At the conclusion of that study, 2,656 drivers received a one-time letter confirming participation in the study and granting a continued exemption from the monocular vision requirement, as long as the driver is otherwise medically fit for duty and can meet the vision qualification requirements with the one eye. The driver who was grandfathered must have an annual medical examination and an eye examination by an ophthalmologist or optometrist. There are very few remaining drivers from that program.At the annual medical examination, the driver should present to the medical examiner the letter identifying the driver as a participant in the vision study program and a copy of the specialist eye examination report. Certify the qualified driver for 1 year and issue a medical examiner's certificate with the "Qualified by operation of 49 CFR 391.64" checkbox marked.Diabetes:

Prior to the implementation of the Federal Diabetes Exemption Program, the Federal Motor Carrier Safety Administration (FMCSA) conducted a waiver study program concerning commercial motor vehicle (CMV) operation by drivers with insulin-controlled diabetes. A small number of the drivers who participated in the study and were participants in good standing on March 31, 1996, were provided a letter from FMCSA that grandfathered them an exemption from standard 49 CFR 391.41(b)(3), by operation of 49 CFR 391.64(a), as long as they were in compliance with the requirements.
 
 These drivers are governed by 49 CFR 391.64(a) and must provide the letter from FMCSA as proof of their grandfathered status before you issue a Medical Examiner's Certificate to the driver.On September 3, 2003, FMCSA published a Notice of Final Disposition announcing the decision to issue exemptions to the diabetes mellitus prohibition under 49 CFR 391.41(b)(3). This program allows some drivers who meet all medical standards and guidelines, other than the use of insulin, to be medically certified and operate a CMV if the driver also meets the parameters for issuance of a Federal diabetes exemption.
Medical Examiners do not issue waivers or exemptions!

If you disagee with your CDL Medical exam

Here is the steps: See web here
 
Applications will be accepted for consideration only if the following conditions are met. (1) The application must contain the name and address of the driver, motor carrier, and all physicians involved in the proceeding.(2) The applicant must submit proof that there is a disagreement between the physician for the driver and the physician for the motor carrier concerning the driver's qualifications.(3) The applicant must submit a copy of an opinion and report including results of all tests of an impartial medical specialist in the field in which the medical conflict arose. The specialist should be one agreed to by the motor carrier and the driver.(i) In cases where the driver refuses to agree on a specialist and the applicant is the motor carrier, the applicant must submit a statement of his/her agreement to submit the matter to an impartial medical specialist in the field, proof that he/she has requested the driver to submit to the medical specialist, and the response, if any, of the driver to his/her request.(ii) In cases where the motor carrier refuses to agree on a medical specialist, the driver must submit an opinion and test results of an impartial medical specialist, proof that he/she has requested the motor carrier to agree to submit the matter to the medical specialist and the response, if any, of the motor carrier to his/her request.(4) The applicant must include a statement explaining in detail why the decision of the medical specialist identified in paragraph (b)(3) of this section, is unacceptable.(5) The applicant must submit proof that the medical specialist mentioned in paragraph (b)(3) of this section was provided, prior to his/her determination, the medical history of the driver and an agreed-upon statement of the work the driver performs.(6) The applicant must submit the medical history and statement of work provided to the medical specialist under paragraph (b)(5) of this section.(7) The applicant must submit all medical records and statements of the physicians who have given opinions on the driver's qualifications.(8) The applicant must submit a description and a copy of all written and documentary evidence upon which the party making application relies in the form set out in 49 CFR 386.37.(9) The application must be accompanied by a statement of the driver that he/she intends to drive in interstate commerce not subject to the commercial zone exemption or a statement of the carrier that he/she has used or intends to use the driver for such work.(10) The applicant must submit three copies of the application and all records.
 

CDL medical Exam

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FMCSA Medical Guidelines

FMCSA provides medical guidelines or advisory criteria to assist in the evaluation of medical fitness to operate a commercial bus or truck. These guidelines are based on expert review and considered best practice. The examiner may or may not choose to use these recommended guidelines. When the certification decision does not conform with the recommendations, the reason(s) for not following the medical guidelines should be included in the documentation
 
Dr. Edwards is a certify medical exam that understand the new guidelines.
 
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CDL Medical Exam
Trucker Exam Inc. (TEI) was founded in 1994 in Fresno California with the goal to provide Certified CDL physical exams to deliver best service in the industry.

PSA :Congratulations! Dr. Lon Edwards

DR..LONNEY D EDWARDS
 
TRUCKER EXAM INC
 
E-Z  TRIP TRUCK STOP
 
FRESNO, CA 93722
 
Dear Dr. LONNEY D EDWARDS,
 
Congratulations! You have been certified as a medicalexaminer on the National Registry of Certified Medical Examiners.
 
Dr. Edwards now authorized to provide medical examinations to commercial motor vehicle (CMV) driversin accordance with the regulations of theFederal Motor Carrier Safety Administration. After May 21, 2014, all CMVdrivers who are required to be medically certified must be examined andcertified by a medical examiner listed on the National Registry.
 
CMV drivers, motor carriers, and the general public will beable to find your listing on the National Registry using geographic searchcriteria, or by a search of name or medical profession.
 
 
Thank you for helping to make our highways safe for all.
 
 
Sincerely,
 
 
 
Charles A. Horan, III
 
Director, Office of Carrier, Driver and Vehicle SafetyStandards
 
 
 
 
 

Sleep disorders Testing

Objective Tests for Sleep Disorders
When indicated, objective sleep tests may be required to determine the presence of a sleep disorder.
Objective tests for sleep disorders include:
  • Polysomnography in a controlled sleep laboratory.
  • Napping tests:
    • Maintenance of wakefulness test.
    • Multiple sleep latency test.
Definitions:
  • Apnea – airflow ceases for more than 10 seconds.
  • Hypopnea – airflow decreases for more than 10 seconds.
Severity (apnea-hypopnea index):
  • Mild – 5+ episodes/hour.
  • Moderate – 15+ episodes/hour.
  • Severe – 30+ episodes/hour.
More than 30 episodes per hour of sleep is considered a diagnosis of obstructive sleep apnea.
Self-Reported Sleepiness Surveys
Simple sleepiness surveys may be useful for obtaining driver self-assessment of sleepiness status. Examples of sleepiness surveys include:
  • Epworth sleepiness scale.
  • Stanford sleepiness scale.
  • Functional outcomes of sleep questionnaire.
NOTE: Self-reported sleepiness does NOT always correlate with objective testing (polysomnography). The driver may not perceive sleepiness as excessive or may be hesitant to disclose sleepiness.
The complete text of the medical conference reports can be accessed from FMCSA Medical Reports

Commercial Drivers at Greater Risk for Developing Hypertension

Commercial Drivers at Greater Risk for Developing Hypertension
 
Once in the profession, commercial motor vehicle (CMV) drivers have a greater propensity to develop hypertension than their peers in other professions. The Cardiovascular Advisory Panel Guidelines for the Medical Examination of Commercial Motor Vehicle Drivers includes data from Ragland, et al., demonstrating that the percentage of drivers with hypertension increased from 29% in drivers with fewer than 10 years of driving experience, to 32% in drivers with 10-20 years of experience, and to 39% in drivers with more than 20 years of driving experience. As the years of experience rise, part of the increase in hypertension may relate to accompanying aging, increase in body mass, or decline in physical activity.
 
 
Effective Treatment Reduces Risk
High BP can be a modifiable CVD risk factor. Lifestyle modification and pharmacotherapy are the mainstays of antihypertensive treatment regimens. Effective hypertension management reduces cardiovascular morbidity and mortality. The Chicago Heart Association Detection Project in Industry found that antihypertensive therapy reduces the incidence of stroke, myocardial infarction, and heart failure.
Contemporary medical therapies are effective in lowering BP, reducing complications, and are generally regarded as safe.

Trucker Exam Inc CDL Medical Program

 
The NationalRegistry of Certified Medical Examiners lists medical examiners (MEs) who havebeen trained, tested and certified to perform medical examinations forcommercial motor vehicle (CMV) drivers in interstate commerce. These MEs fullyunderstand the medical standards in the FMCSA Regulations, related guidance andhow they relate to the medical demands of operating a commercial motor vehicle.
 
 Dr.Lonney Edwards of Trucker Exam Inc.  has passed his FMCSA exam and is located at the E-Z TRIP TRUCK STOP in Fresno CA.1-800-542-2225
 
The objectives of the NationalRegistry are to:
 
• Ensurethat medical examiners understand fully the medical standards in the FederalMotor Carrier Safety Regulations (FMCSRs) and related guidance and how theyapply to CMV drivers
 
 • Maintain ongoing competency of medicalexaminers through training, testing, certification and recertification
 
 • Promote public confidence in the quality ofthe medical examinations of CMV drivers
 
 • Ensure that the list of certified medical examinersis easily accessible
 
Compliance Date May 21, 2014 orsooner – All CMVdrivers seeking a medical certificate must use a certify Doctor
 
Safetyoffers or designed employee representative must confirm on all drivers that thedoctor is listed with the national registry.
 
Storage of health care providers perform CDL Medical Exam
 
There are a number of reasons that there will be storage of health care providers to perform CDL Medical Exam. 1) Obama Healthcare there will be a shortage of healthcare doctor providers. The country needs 125,000 primary care doctors before 2014. 2) A doctor who has a busy medical practice does not have time to do CDL exam it is not profitable. There for you will have trouble finding a qualified doctor who can perform CDL Medical Exam.
 
Trucker Exam Inc. has to two programs to sign up for to be Guarantee to be seen by a CertifyFMSCA doctor.
 
Program 1- No costs to the transportation company.all you have to do is fill out an application and let Trucker Exam Inc. know the driver name telephone number and when has medical certificate expired.
 
Program 2- Your transportation company sign up for your Random drug program (TPA) with Trucker Exam Inc. No annual fee, no costs to your company. The benefits for your company are you will be Guaranteeto get your drives in for a CDL Medical exam. Your company will receive a 25% discount on CDL Medical Exam. All drug testing will be at $55.00 for each driver. No charges for administrative your random drug pulls. No charge for your alcohol testing
 
Call 1-800-542-2225 to sign up it will take only 5 minutes
 
This will be a saving to your Company about 58% off drug testing program.
 
 
 
Disclaim: Onlyon new business. Only for California transportation companies.
 
 
 

About The National Registry of Certified Medical Examiners

.
The National Registry of Certified Medical Examiners lists medical examiners (MEs) who have been trained, tested and certified to perform medical examinations for commercial motor vehicle (CMV) drivers in interstate commerce. These MEs fully understand the medical standards in the FMCSA Regulations, related guidance and how they relate to the medical demands of operating a commercial motor vehicle.
The goal of the National Registry is to promote and preserve the highest level of professional standards, training and care among medical examiners. Therefore, the National Registry requires that medical examiners performing CMV driver examinations be trained and certified.
All healthcare professionals are eligible to apply to become a certified medical examiner if their scope of practice authorizes them to perform physical examinations, as defined by the State in which they practice.
The objectives of the National Registry are to:
  • Ensure that medical examiners understand fully the medical standards in the Federal Motor Carrier Safety Regulations (FMCSRs) and related guidance and how they apply to CMV drivers
  • Maintain ongoing competency of medical examiners through training, testing, certification and recertification
  • Promote public confidence in the quality of the medical examinations of CMV drivers
  • Ensure that the list of certified medical examiners is easily accessible
FMCSA is and will continue to be involved in all facets of the National Registry program development and implementation and maintain an oversight role. Implementation of the National Registry program demonstrates the commitment of the Department of Transportation and Federal Motor Carrier Safety Administration to making our Nation’s highways safer

Physical qualifications and examinations

The Driver Is Certified
 
49 CFR 391 Qualifications of drivers and longer combination vehicle (LCV) driver instructors establishes the minimum qualifications for persons who drive commercial motor vehicles (CMV). There are seven subparts. As a medical examiner, you should be knowledgeable regarding the physical qualification requirements of the driver specified in Subpart E — Physical qualifications and examinations.
 
                    The doctor is responsible for ensuring that only the driver who meets the Federal physical qualification requirements is issued a Medical Examiner’s Certificate. When you issue a Medical Examiner’s Certificate, you are certifying that the driver is medically fit for duty and can perform the driver role that is described in the Medical Examination Form (PDF). You may certify the driver for a maximum of 2 years. You may also, at any time, certify the driver for less than 2 years when examination indicates more frequent monitoring is required to ensure medical fitness for duty.
 
The driver is responsible for maintaining medical certification and carrying the Medical Examiner’s Certificate while operating a CMV.
 
The Average Driver
The driver population exhibits characteristics similar to the general population, including an aging work force. Aging means a higher risk exists for chronic diseases, fixed deficits, gradual or sudden incapacitation, and the likelihood of comorbidity. All of these can interfere with the ability to drive safely, thus endangering the safety and health of the driver and the public.

Diabetes Mellitus

Diabetes Mellitus
 
The driver with diabetes mellitus who does not use insulin is eligible for certification, unless the driver also has a disqualifying complication, comorbidity, or fails to meet one or more of the other standards for qualification.
You may choose to consult with the primary care provider and/or specialist to adequately assess driver medical fitness for duty. When requesting additional evaluation, including a copy of the Medical Examination Report form description of the driver role and medical standards is helpful.
Remember that the provider treating the driver is primarily concerned with minimizing target organ damage associated with elevated levels of blood glucose. As a medical examiner, your assessing any driver with diabetes mellitus for the risk of a severe hypoglycemic episode is the most critical and challenging safety issue.
NOTE: If the driver with diabetes mellitus uses insulin, use the Federal Diabetes Exemption Program and insulin therapy guidelines to determine certification status
.
Certification/Recertification — Diabetes Mellitus
Waiting period
No recommended time frame
You should not certify the driver until the treatment has been shown to be adequate/effective, safe, and stable.
Decision
Maximum certification — 1 years
NOTE:Because of the progressive nature of diabetes mellitus, the Federal Motor Carrier Safety Administration (FMCSA) believes that 1 year maximum certification time is reasonable when the driver has a diagnosis of diabetes mellitus.

FMCSA Vision Exemption Program

.
 
The FMCSA Vision Exemption Program is for monocular vision. The vision exemption is issued for a maximum of 2 years and is renewable.
The driver must be otherwise qualified under 49 CFR 391.41(b)(1-13) or hold another valid medical exemption to legally operate a commercial motor vehicle in interstate commerce. Provisions of the vision exemption include an annual medical examination and an eye examination by an ophthalmologist or an optometrist.
At the annual recertification examination, the driver should present the current vision exemption and a copy of the specialist eye examination report. Certify the qualified driver for 1 year and issue a medical examiner's certificate with the "accompanied by" exemption checkbox marked and write "vision" to identify the type of Federal exemption.
The motor carrier is responsible for ensuring that the driver has the required documentation before driving a commercial vehicle. The driver is responsible for carrying both the vision exemption and the medical examiner's certificate while driving and keeping both current.
 

Physical qualifications and examinations

 
Physical qualifications and examinations
 
 
 
§ 391.42Schedule for use of medical examiners listed on the national Registry of Certified Medical Examiners.
 
On and after May 21, 2014, each medical examination required under this subpart must be conducted by a medical examiner that is listed on the National Registry of Certified Medical Examiners.
 
[77 FR 24130, Apr. 20, 2012]
 
Safety offer are required to confirm that the doctor’s our DOT certified Medical examiner.
 
At Trucker Exam Inc. our Doctor is certified. Call Ted to be enrolled your company into of office in which we do all of their CDL medical exam. Call do not be left out  1.800.542.2225f
 

Controlled Substances and Alcohol Use and Testing

Who must be tested?
  • All drivers, including part-time, holding a commercial driver's license (CDL) and operating CMVs (greater than 26,000 combined gross vehicle weight rating, or transporting more than 16 passengers, or placarded hazardous materials) on the public roadways must be U.S. Department of Transportation (DOT) drug and alcohol tested. This means any driver required to possess a CDL, including:
    • Drivers employed by Federal, State, and local government agencies.
    • Owner operators.
    • Equivalently licensed drivers from foreign countries.
    • For-hire motor carriers

Medical Examiner’s Certificate

Medical Examiner’s Certificate
49 CFR 391.43(g) addresses the distribution of the medical examiner’s certificate. If the medical examiner finds that the driver is physically qualified to drive a commercial motor vehicle in accordance with §391.41(b), the medical examiner shall complete a medical examiner’s certificate and furnish one copy to the driver and one copy to the motor carrier that employs the driver. A release form is not required. The motor carrier is required to keep a copy of the certificate in the driver qualification file.

Did you Know

drug testingThis is why there are medically unqualified commercial drivers on the road and contributes to increased crashes. Large truck and bus crashes result in over 125,000 injuries every year and more than 5000 deaths.
So the Federal Motor Carrier Safety Administration has established the NRCME-the national registry of CERTIFIED medical examiners to promote highway safety and reduce crashes, injuries and fatalities.
The FMCSA estimates that 40,000 medical examiners are needed to be listed on the National Registry to serve the approximately 6 million commercial drivers annually.

Certified Medical Examiner Test

Summary:
FMCSA establishes a National Registry of Certified Medical Examiners (National Registry) with requirements that all medical examiners who conduct physical examinations for interstate commercial motor vehicle (CMV) drivers meet the following criteria: Complete certain training concerning FMCSA's physical qualification standards, pass a test to verify an understanding of those standards, and maintain and demonstrate competence through periodic training and testing.
 
Safety Manger:
 
 FMCSA willrequire that motor carriers and drivers use only those medical examiners on the Agency'sNational Registry and will only accept as valid medical examiner's certificates issuedby medical examiners listed on the National Registry. FMCSA is developing the National Registry program to improve highway safety and driver health by requiring that medical examiners be trained and certified so they can determine effectively whether a CMV driver's medical fitness for duty meets FMCSA's standards

DOT monocular vision

 
The FMCSA Vision Exemption Program is for monocular vision. The vision exemption is issued for a maximum of 2 years and is renewable.
The driver must be otherwise qualified under 49 CFR 391.41(b)(1-13) or hold another valid medical exemption to legally operate a commercial motor vehicle in interstate commerce. Provisions of the vision exemption include an annual medical examination and an eye examination by an ophthalmologist or an optometrist.
At the annual recertification examination, the driver should present the current vision exemption and a copy of the specialist eye examination report. Certify the qualified driver for 1 year and issue a medical examiner's certificate with the "accompanied by" exemption checkbox marked and write "vision" to identify the type of Federal exemption.
The motor carrier is responsible for ensuring that the driver has the required documentation before driving a commercial vehicle. The driver is responsible for carrying both the vision exemption and the medical examiner's certificate while driving and keeping both current.
 

Safety Manger

 
DOT driver qualification exams.
 
I know exactly what youthe Safety Manger are looking for in an office that does DOT Medical exam.
 
•Our TEI Doctor has athorough understanding of the DOT requirements 49 CFR 391.41.
 
•TEI examiners have thepublic safety first when performing the certification DOT exam and not try tobuild a primary care physician relationship with driver. Not trying to turn thedrive into a treating patient.
 
•TEI will tocommunicate with you and your staff. Call 1- 800-542-2225
 

Marijuana Medcal card Truck Driving

DOT Drug Testing
These drugs have no currently accepted medical use in the United States, have a high abuse potential, and are not considered safe, evenunder medical supervision. These substances include many opiates, opiatederivatives, and hallucinogenic substances. Heroin and marijuana are examplesof Schedule I drugs. The exception criteria of 49 CFR 41(b) (12) (ii) does notapply to any Schedule I substance.
 
                     The driver taking medical marijuana cannot be certified.
 
Any CDL driver, even those authorized to use marijuana formedical purposes, which tests positive for marijuana, will be violation will beentered on the Employers CSA Safety Measurement System
 

Driver who need a CDL Medical Exam

Persons who must be medically examined and certified.Except as provided in §391.67, the following persons must be medically examined and certified in accordance with §391.43 as physically qualified to operate a commercial motor :(a) Any person who has not been medically examined and certified as physically qualified to operate a commercial motor vehicle;(b)(1) Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the 24 months; or(2) Any driver authorized to operate a commercial motor vehicle only with an exempt intracity zone pursuant to §391.62, or only by operation of the exemption in §391.64, if such driver has not been medically examined and certified as qualified to drive in such zone during the preceding 12 months; and(c) Any driver whose ability to perform his/her normal duties has been impaired by a physical or mental injury or disease

Driver Medical Card Validation

New FMCSA Initiative - Driver Medical Card Validation
The Federal Motor Carrier Safety Administration (FMCSA) and its State partners will be conducting random verifications of driver Medical Examiner's Certificates (MEC) during enforcement activities. The purpose of these validations is to obtain verbal confirmation that the medical examination was conducted and the information on the Medical Examination Certificate is accurate. It is not to evaluate the driver's medical fitness to operate a CMV.
We will take the following steps to validate the authenticity of MECs:
1. Contact the Medical Examiner's (ME) office at the telephone number indicated on the certificate;
2. Explain the inquiry's purpose and indicate that it is intended solely to confirm that the document presented by the driver matches the records maintained by the ME. Direct contact with the actual ME is not required - an authorized staff member may provide the requested information; and
3. Provide the driver's name and date of birth, the date of issuance of the MEC and any restrictions indicated thereon and request verbal confirmation of the information provided.
The FMCSA appreciates the MEs' cooperation in our effort to eliminate the use of fraudulent MECs and to keep medically unqualified drivers off our nation's highways.

Drivers Forms

.
 
Qualifications of Drivers Forms:
 
The forms provided on this page are sample forms, forinformational purposes to assist the public in complying with the Federal MotorCarrier Safety Regulations (FMCSA). Although you may use these forms to satisfyregulatory requirements, FMCSA does not require that you download and use theseparticular forms.
 
Part 391 - Qualifications of Drivers
 
Medical Examiner Report
 
Medical Examiner's Certificate
 
Annual Review of Driving Record
 
Application for Employment
 
Driver's Certification of Violations
 
Inquiry to State Agency for Driver's Record
 
Multiple-Employer Drivers
 
Request for Information from Previous Employer
 

Drivers Forms

 
Qualifications of Drivers Forms:
 
The forms provided on this page are sample forms, forinformational purposes to assist the public in complying with the Federal MotorCarrier Safety Regulations (FMCSA). Although you may use these forms to satisfyregulatory requirements, FMCSA does not require that you download and use theseparticular forms.
 
Part 391 - Qualifications of Drivers
 
Medical Examiner Report
 
Medical Examiner's Certificate
 
Annual Review of Driving Record
 
Application for Employment
 
Driver's Certification of Violations
 
Inquiry to State Agency for Driver's Record
 
Multiple-Employer Drivers
 
Request for Information from Previous Employer
 
 
 

Driver personal File

Driver Qualification Files relate to the class of vehicle, not the type of license. Per 49 CFR Part 391, Driver Qualification Files must be maintained for anyone who operates a Commercial Motor Vehicle (CMV). In 49 CFR Part 390.5, a CMV is defined as a vehicle involved in interstate commerce with a gross vehicle weight rating or gross combination weight rating, of 10,001 pounds or more, or that is designed to transport more than 8 people for hire or more than 15 people not for hire, or that transports hazardous materials in a quantity that requires placards.
 
Qualifications of Drivers Forms:
                                       
The forms provided on this page are sample forms, for informational purposes to assist the public in complying with the Federal Motor Carrier Safety Regulations (FMCSA). Although you may use these forms to satisfy regulatory requirements, FMCSA does not require that you download and use these particular forms.
Medical Examiner ReportMedical Examiner's Certificate,Annual Review of Driving Record,Application for Employment,Driver's Certification of Violations,Inquiry to State Agency for Driver's RecordMultiple-Employer Drivers,Request for Information from Previous Employer

When Is Medical Certification Required?

Medical certification in accordance with Federal Motor Carrier Safety Administration (FMCSA) physical qualification standards is required when the driver is operating a commercial vehicle in interstate commerce that:
  • Has a combined gross vehicle weight or weight rating of 10,0001 lbs. or more.
  • Is designed or used to transport 9-15 passengers (including the driver) for compensation.
  • Is designed or used to transport 16 or more passengers (including the driver) whether for compensation or not.
  • Transports hazardous materials in quantities that require placarding under the hazardous materials regulations.
When a driver returns from an illness or injury that interferes with driving ability, the driver must undergo a medical examination even if the medical examiner's certificate has not expired.
The medical examiner is responsible for certifying only drivers who meet the physical qualification standards. Certification cannot exceed 2 years, and at the discretion of the FMCSA medical examiner, may be less than 2 years. The Federal Vision and Diabetes Exemption Programs require annual medical certification.
The medical examiner's certificate expires at midnight of the day, month, and year written on the certificate. There is no grace period on the expiration. The driver must be re-examined and re certified to continue to drive legally.
 sources :
Federal Motor Carrier Safety Administration (FMCSA) Medical Examiner Handbook

Tests

Tests
Thank You
Lon Edwards

Diabetes Mellitus FMCSA Reg.

Diabetes Mellitus (trucker driver)
 
The driver with diabetes mellitus who does not use insulin is eligible for certification, unless the driver also has a disqualifying complication, comorbidity, or fails to meet one or more of the other standards for qualification.
You may choose to consult with the primary care provider and/or specialist to adequately assess driver medical fitness for duty. When requesting additional evaluation, including a copy of the Medical Examination Report form description of the driver role and medical standards is helpful.
 
Remember that the provider treating the driver is primarily concerned with minimizing target organ damage associated with elevated levels of blood glucose. As a medical examiner, your assessing any driver with diabetes mellitus for the risk of a severe hypoglycemic episode is the most critical and challenging safety issue.
NOTE: If the driver with diabetes mellitus uses insulin, use the Federal Diabetes Exemption Program and insulin therapy guidelines to determine certification status.

Who can perform a CDL Medical Exam

The Federal Motor Carrier Safety Regulations identify a person who can be a medical examiner by two criteria: professional licensure and scope of practice that includes performing physical examinations.
 
Medical examiner means a person who is licensed, certified, and/or registered, in accordance with applicable State laws and regulations, to perform physical examinations. The term includes, but is not limited to, doctors of medicine and osteopathy, advanced practice nurses, physician assistants and chiropractors. 49 CFR 390.5 Definitions
 
When the Federal Motor Carrier Safety Administration (FMCSA) completes the notice-and-comment rulemaking for the proposed National Registry of Certified Medical Examiners, healthcare professionals will be required to be trained and certified and listed on a national registry to perform physical examinations of truck and bus drivers. At this time, FMCSA does not endorse any medical examiner training, education or certification programs, and healthcare professionals are not required to be listed on a registry or other database to perform driver physical examinations.
 
Clinck below foe a medical exam form:
 
 
 
If you have more question call 559 431-2648  Trucker Exam Inc. is locataed at E-Z trip truck stop in Fresno ,Ca.

CDL High Blood Pressure (DEF.)

Truck Driver,
 
Stage 1 hypertension is usually asymptomatic, and blood pressure (BP) in this range is considered a low risk for hypertension-related acute incapacitation. However, all hypertensive drivers should be strongly encouraged to pursue consultation with a primary care provider to ensure appropriate therapy and healthcare education. 
               Stage 2 hypertension is considered an absolute indication for antihypertensive drug therapy, and the driver should seek initiation or evaluation of therapy to lower blood pressure (BP). Effective BP management includes routine primary provider follow-up and periodic screens for the presence of target organ damage and clinical manifestations of cardiovascular disease.
Stage 3 hypertension carries a high risk for the development of acute hypertension-related symptoms that could impair judgment and driving ability. Acute manifestations of elevated blood pressure (BP) can include sudden stroke, acute pulmonary edema, subarachnoid hemorrhage, aortic dissection, or aortic aneurysm rupture.
Meningismus, acute neurological deficits, abrupt onset of shortness of breath, or severe, ripping back or chest pain could signal an impending hypertensive catastrophe that requires immediate cessation of driving and emergency medical care. Symptoms of hypertensive urgency such as headache and nausea are likely to be more subtle, subacute in onset, and more amenable to treatment than a hypertensive emergency.
If you have any question call 1-800-542-2225
 
DISCLAIMER: Trucker Exam Inc is providing this informationas a public service. The information is provided as an informal educationaladvisory program. The information is not an official statement on the law orFederal regulations or industry related issues. Trucker Exam Inc is a servicethat is continually under development. The user should be aware that, while wetry to keep the information timely and accurate, there often will be a delaybetween official publication of the information and their appearance in thisadvisory. Due to the limited scope of material covered in each advisory, thisadvisory/FYI is not a complete source of all Federal DOT Medical Exam and DOT alcohol/ drug testing regulations or issues. Therefore, we make no expressed orimplied guarantees of the factual or legal accuracy of the informationprovided. We will make every effort to correct errors brought to our attention.
 
 
 

TRUCK DRIVER HIGH BLOOD PRESSURE


Driver Risks Associated With Hypertension:
 
Hypertension alone is unlikely to cause sudden collapse; however, hypertension is a potent risk factor for the development of more serious cardiovascular disease (CVD), peripheral vascular disease, and chronic renal insufficiency. BP greater than or equal to 140/90 is deemed high for most individuals without other significant cardiovascular risk factors.
 
In individuals ranging from 40 to 89 years of age, for every 20 mm Hg systolic or 10 mm Hg diastolic increase in BP, there is a doubling of mortality from both ischemic heart disease and stroke. The relationship between BP and risk of a CVD event is continuous, consistent, and independent of other risk factors. Both elevated systolic and diastolic BP are risk factors for coronary heart disease (CHD).
If you have more question call
 
 
 
 
 

                                

Certified Medical Examiners

Dear Safety Manager,
The National Registry of Certified Medical Examiners (National Registry) is a new Federal Motor Carrier Safety Administration (FMCSA) program. It requires all medical examiners (MEs) who wish to perform physical examinations for interstate commercial motor vehicle (CMV) drivers to be trained and certified in FMCSA physical qualification standards. Medical examiners that have completed the training and successfully passed the test are included in an on line directory on the National Registry website.
 
Dr Lon Edwards will be sitting for his test in October 2012. Do to the decrease in Dot Medical Exammer. It will be very hard for drivers to find a qualified doctor to do the DOT medical exam.
 
If you transfer your Random Drug program over to Trucker Exam Inc. (no annual fees). You only  pay for the drug testing at $55, 00, no charges for alcohol testing.
 
This will save your company hundreds of dollars.
Trucker Exam Inc. will guarantee that all your drives will be seen for their DOT Medical Exam. No waiting ,same day appointments.
To sign up reply with your E-M, TEI will send you an agreement and information. Do not be left out. DER musts confirm that Medical Examiners is Certified by 2014
Please no calls
SAVE HUNDREDS OF DOLLARS and GUARANTEE THAT YOUR drivers will BE SEEN BY A CERTIFIED DOCTOR only Fresno Ca area
 
www.dotmedicalexam.com                                www.truckerexam@yahoo.com

Noy yet a ruling (Summary Sleep apnea)

CDL Physical Examination The following is a summary of a few of the recommendations:
An individual with a diagnosis of Obstructive Sleep Apnea may be certified to drive a CMV if that individual meets the following criteria:
  • has untreated OSA with an apnea-hypopnea index (AHI) ≤ 20, and
  • has no daytime sleepiness, or
  • has OSA that is being effectively treated
Drivers should be disqualified immediately or denied certification if they:
  • report that they have experienced excessive sleepiness while driving or have experienced a crash associated with falling asleep, or
  • have an AHI greater than 20, until adherent to Positive Airway Pressure (PAP).
    • They can be conditionally certified based on the criteria for Continuous Positive Airway Pressure (CPAP) compliance as outlined in Guideline 3; or
  • have been found to be non-compliant with their CPAP treatment at any point, or
  • have a BMI > than 33 kg/m2 (pending evaluation by a sleep study)
  • individuals recently diagnosed with OSA may be conditionally certified for one month during which time they will be started on CPAP therapy:
    • Compliance should be monitored and assessed during scheduled intervals
    • Certification should depend on proof of continued compliance with treatment
    • Compliance = minimum 4 hours per night, 70% of nights
  • preferred method of diagnosis is polysomnography (PSG)
  • PAP is the preferredmethod of therapy
  • individuals with OSA who are treated with PAP must demonstrate compliance with treatment and this must be documented objectively
  • individuals who meet the criteria for certification should be provided with education on: the importance of sleep, lifestyle changes, importance of treatment compliance and consequences of untreated Obstructive Sleep Apnea

New DOT Medical Law

If you have any question please send me your questionconcern . I will try to answer your question on the new DOT Medical Exam Law. Youu can ask me about sleep apnea ,high blood pressure.or what ever is on your mind .