Answers.Graded A+
LTCCS
large truck crash causation study, 2001-2003, reported in 2006
#1 cause of fatalities with big trucks?
driver fatigue
DOT organization
all subcategories are separate entities and require different things
What is covered in NRCME training?
federal motor carrier safety administration (FMCSA)
How long does NRCME certification last?
10 years with a 5 year update class
once a driver is certified, what is the longest it lasts?
2 years
SPE
skill performance evaluation
Three copies of driver's certificate: who gets them and who has original for how long?
driver, employer get copies
examiner keeps original for 3 years
Non discretionary standards
immediately DQ the driver, examiner MUST follow standards
discretionary guides/recommendations
limits steered by recommendations and examiners judgement
list the non discretionary DQers
Hx of epilepsy, failed hearing exam, failed Vx exam, active insulin dependent DM
who oversees medical certification process?
office of medical programs
how many X more is mortality rate for passenger vehicle vs large truck, in a crash between the two?
passenger vehicle 5X more likely to die
, where are physical standards for drivers listed?
49 CFR 391.41
define CMV
commercial motor vehicle: any self propelled or towed MV used on a highway in interstate commerce to
transport passengers or property...10k lbs or more, 8+ passengers for $$, 15+ passengers not for $$,
hazardous materials
where is CMV defined?
40 CFR 390.5
where are medical examiner qualifications found?
49 CFR 391.43
Where are general qualifications for CMV drivers found?
49 CFR 391.11
list non-discretionary standards
loss of limb, limb impairment, CV condition, respiratory dysfunction, HTN, RA/OA/orthopedic/muscular,
mental disorder, drug use, alcoholism
"average" driver demographics
male, 40+, sedentary, obese, smoker, poor eating habits
"average" driver medical health
less healthy than average citizen, 2+ medical conditions, CV disease
list 9 occupational stressors for CMV drivers
type of route, schedule, finances, vehicle, road conditions, environmental, type of cargo
when can a driver on insulin be certified?
if he/she has FMCSA waiver - 49 CFR 391.64 OR federal exemption program
FMCSA definition of "severe hypoglycemia"
seizure, LOC, need assistance from others, impaired cog fxn
if severe hypoglycemia, ask if driver has had reactions how frequently?
1+ in last 12 months
2+ in last 5 years
what happens if driver has loss of proprioception? what about peripheral neuropathy?
DQ and DQ