Primary Care Providers
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- Gwenda O’Neal’
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1 Primary Care Providers Role in DOT Certifications Regional Urgent Care Michelle Hagen, PA-C, MPAS Jennifer Blackler, PA-C, MPAS Learning Objectives Understand the key elements of the DOT Physical Understand the new changes being implemented by the DOT on the examiner Understand the Primary Care Provider s role in preparing their patients for the DOT Physical 1
2 Who Does DOT Physicals? Examiner Standards Placed Currently, anyone can perform DOT physicals MD, DO, PA, NP, & Chiropractors Currently, no national data base to track drivers If a driver is not certified by one provider he may go down the street, change his story and get certified Limited education previously available The purpose of training medical examiners is to decrease the number of crashes, injuries, and fatalities but ensuring drivers are medically qualified to operate a CMV. 2
3 Why is this Important? MVA s that involve large trucks result in increased fatality for the other vehicle Crash with vehicles 2x mass = 6x risk of death in the lighter vehicle On average a CMV has 20X the mass of an SUV Driver fatigue is the #1 cause of fatalities in the US involving Commercial Motor Vehicles Withholding driver certification is a sensitive VERY issue Make the right call for the driver yet keep in mind the safety of others. Drivers/companies are charged for repeat exams Family of 7 die after pickup is hit by truck- Marana, AZ
4 New Examiner Regulations DOT examiners will be required to prove their registry t t status Training program- $695 Estimated hours online Initial 50 question test at testing center Additional training every 5 years Retest every 10 years Hard deadline is May 21, Unregistered providers will no longer perform DOT physicals Must report all physicals with demographics to the FMCSA on a monthly basis New Regs = Increased Demand Currently 200,000 examiners for over 6M drivers in the US 1:30 In 2014 Estimated 50,000 for nearly 12M drives by :240 4
5 DOT Basics Non-Discretionary Standards Vision- 20/40 in each eye Hearing- less then 40db hearing loss in better ear Epilepsy - disqualifies Diabetes- insulin use disqualifies 5
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8 What can the PCP do to help? Be aware of your patient s occupation Keep good control on your patient s chronic medical issues- including proof of testing CAD DM OSA Document any side effects of meds Could their health affect their ability to drive? MAIN QUESTIONS TO ASK COULD THEY HAVE AN INCAPACITATING EVENT WHILE DRIVING? 8
9 Typical Truck Driver Male Over 40 years old Sedentary Overweight Smoker Poor eating habits Less healthy than the average citizen More than 2 medical conditions CV disease prevalent 9
10 Some main considerations Hearing/vision HTN Heart disease Pulmonary disease Diabetes Neurologic problem Musculoskeletal issues Mental Health status Substance Abuse Medication use Hearing and Vision Hearing Vision so Cannot have hearing loss greater than 40db in better ear without hearing aid Minimum 20/40 in each Cannot have monocular vision If needs correction for test, needs correction for driving Please have their retinal screens UTD if indicated 10
11 Hypertension - Good Blood Pressure control by PCP is essential - DOT currently follows JNC 6 guidelines - Blood pressure needs to be below 140 systolic and 90 diastolic regardless of medication - Uncontrolled HTN - New certification will get 1 year certification - Recertification will get 3 month certification - Patient will be sent to PCP for medication adjustment/treatment - If unable to pass blood pressure restrictions after 3 month certification, driver will be disqualified. Coronary Artery Disease New PCI without MI- 1 week waiting period approval and documentation from cardiology max of 6 months certification ETT in 3-6 months after ETT may have 1 year certification 11
12 Coronary Artery Disease New MI- 2 month waiting period ETT 4-6 weeks after MI approval from cardiologist to return to work max 1 year certification History of PCI/MI- Need ETT every 2 years max 1 year certification Diabetes Challenges to glucose control for long haul CMV operator Concomitant illness Emotional conditions Fatigue Lack of sleep Skipped meals Poor diet Stress 12
13 Diabetes- Undiagnosed Random UA may show glucose Random blood sugar if glucosuria identified Encourage follow up with PCP for treatment Will likely only have a 3 month certification unless patient expresses significant symptoms Will d h d d H b A1 d Will need to have documented Hgb A1c and treatment prior to coming back for repeat DOT certification 13
14 Diabetes- Current Diagnosis Watch for hypoglycemia Driver must carry a rapidly absorbing glucose tablet Disqualify if experiences hypoglycemia incoherency Diabetes Non-discretionary standards Disqualified Insulin-dependent d UNLESS has a diabetic waiver from endocrinologist every 2 years Diagnosis of Diabetic Neuropathy Diagnosis of unstable proliferative retinopathy Loss of proprioception Diagnosis of autonomic neuropathies such as cardiovascular autonomic neuropathy that causes resting tachycardia and orthostatic hypotension One hypoglycemic episode in last 12 months or 2 or more episodes in last 5 years DOCUMENT, DOCUMENT, DOCUMENT 14
15 Pulmonary Asthma Please document if - FCV <65% - PaO2 <65% - Frequency and Severe Episodes - Severe cough - Poor Med Tolerance These disqualify so we need to know! Other Pulm issues Please document if.. -Untreated Sleep Apnea -Active Tuberculosis -Hypoxemia at rest -02 Equipment to assist breathing As these disqualify as well. 15
16 Obstructed Sleep Apnea Patient must supply recent CPAP log Must demonstrate use the majority of the time Undiagnosed OSA Daytime sleepiness is RED FLAG! Examiner will evaluate risk factors and recommend or require screening tests Anticipate the need 16
17 Neurologic Disorders Epilepsy-disqualify UNLESS 10years with no meds, no unprovoked seizures Vertigo-please indicate when symptom-free for 2 months Meniere s Disease -disqualifies Labyrinthine Fistula-disqualifies Narcolepsy-disqualifies TBI-severe disqualifies, Moderate-case by case Neurology Continued Multiple Sclerosis: Certifiable if no significant neuro changes no no significant MRI changes, Needs specialist eval. Huntington s: Disqualify (because progressive) Parkinson s: Disqualify (because progressive) Stroke: Wait period: --1 year if no seizure risk (cerebellum/brainstem) --5 years with risk of seizure (cortical/subcortical) 17
18 Neurologic Disorders All of the previously listed disorders require additional clearance from a neurologist before they go in for their DOT certification exam Musculoskeletal Amputation: Disqualify unless passes a Skilled Performance Evaluation (SPE) Strength: Have to be able to have good strength for pushing gas pedals and griping 18
19 Mental Illness Depression: With adequate treatment, we can qualify Disqualify if suicidal, wait 1 year Mood Disorder: We can certify 6 months if no suicide attempts Bipolar Have to be non-psychotic, symptom-free for 6 months. Disqualify if suicidal for 1 year or if severe depression or mania Schizophrenia: Disqualifies (recommended not to certify) Substance Abuse Neither drug testing ti nor alcohol l testing ti is required in DOT physical Drug testing Employer if required to drug testing preemployment, but not required to do Alcohol testing Alcohol abuse: If successfully completed Substance Abuse Professional (SAP) program Drug Abuse: If no residual disqualifying physical condition i Proof of successful return-to-duty requirements: (SAP) Comply with rehab, negative result on return drug test 19
20 Medications Schedule I, Methadone or Suboxone Disqualify Antcoags: If for stroke: Disqualifies Anticonvulsants: If for seizures: Disqualifies. If for pain or psych disorders, ok. Amphetamine, Narcotic or any other habit-forming drug: Recommended no use of these 20
21 The exception lies with PCP: A driver may use such a substance or drug if prescribed by a licensed medical practitioner who: is familiar with the driver s medical history and assigned duties; and has advised the driver that the prescribed substance or drug will not adversely affect the driver s ability to safely operate a CMV WE NEED THIS DOCUMENTED! Case Study 44 year old male presents to your primary care office complaining of low back pain for 1 week. He states that he is an over the road trucker and he sits a lot. He has tried IBU 600mg TID for 2 days as well as heat with relief. Describes pain as an ache with no radiculopathy. He states that the pain is worse after he drives more than 4 hours. It is not limiting his activity. He has not history of serious back issues or surgeries. His knees bother him sometimes but feels healthy otherwise. The patient is new to your clinic. ROS negative except above mentioned, exertional SOB, frequent urination, occasional headaches, fatigue 21
22 Case Study No Medications other than IBU prn No allergies No surgeries Family History significant for CAD & DM in his father and older brother, both living. Mom is living, has fibromyalgia. Social History significant for occasional beer, non smoker, employed with Wal-Mart as a truck driver distributing from Cheyenne, WY to Fargo, ND. Vitals: Case study BP 138/96 P 88 R 20 T 99.1F Weight 300lbs Height 72 inches BMI 41 Pain 1/10 Exam: HEENT- Normal CV- RRR without Murmur, Lungs- CTA bilaterally Abdomen- soft, nontender, +BS, unable to evaluate for masses due to gross abdominal adiposity i Back- Normal (normal inspection, no tenderness, FROM ) Extremities- mild non-pitting edema in lower extremities bilaterally, no clubbing Neuro- 2+/4 DTR s x 4, CN 2-12 grossly intact, distal sensation normal 22
23 Case Study Assessment- 1) Backache Plan- Meloxicam 15mg daily for pain relief, Heat or ice to the area as needed Stretch Stay active Follow up PRN Wait Rewind Anything else? Case study Take the opportunity to discuss his health risks HTN Obesity Possible DM Possible OSA Fasting Labs: UA, CBC, CMP and Lipid panel EKG Blood Pressure monitoring with follow up When does his DOT certification expire? Prepare him for an easy and seamless exam YOU ARE THE GOOD COP, BLAME THE DOT EXAMINERS! 23
24 Take Home Messages Use upcoming DOT certification exams as a way to persuade patient s into preventative testing EKG s Sleep Studies Basic labs- fasting glucose Any driver with a history of CAD needs an ETT and cardiology approval every 2 years Any neuro condition, needs clearance from neurology Any habit-forming drugs, need clear documentation from prescriber References
25 Thank You! 25
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