DOT Physical Exams - Nevada, IA
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FMCSA | FAA | USCG | FTA | FRA | PHMSANevada, IA DOT Physical - What You Need to Know
A DOT physical is an in-depth health evaluation mandated by the Department of Transportation for all drivers of commercial motor vehicles. This examination certifies that drivers are equipped physically, mentally, and emotionally to handle large vehicles on public streets safely. A medical examiner, verified by the National Registry of Certified Medical Examiners, conducts this test. Successful completion allows drivers to obtain a DOT medical certificate, necessary for keeping a valid CDL license in compliance with FMCSA regulations.
If regulated by another DOT body and need help recognizing the necessary physical, dial 800-221-4291 for assistance.
During your exam, the medical examiner will complete a thorough health assessment to determine if you meet the Federal Motor Carrier Safety Administration (FMCSA) medical standards. The process typically includes:
What Does a DOT Physical Include?
Vision Test
Urinalysis
Physical Examination
DOT Testing | DOT Breath Alcohol | DOT Consortium Services | MVR Reports Also Available
What is checked in a DOT Physical?
- Health history review and medication assessment
- Vision screening (corrective lenses allowed; minimum standards apply)
- Hearing assessment (forced whisper or audiometry)
- Blood pressure and pulse rate
- Physical examination (systems review)
- Urinalysis (specific gravity, protein, glucose)
In Nevada, WV, completion leads to a Medical Examiner's Certificate (MEC) valid for up to 24 months. Some conditions may require shorter certification or specialist documentation.
Who needs a DOT Physical?
In Nevada, CO, a valid DOT medical certificate (card) is necessary if you:
- Hold a commercial driver’s license (CDL) - class A, B, or C for interstate commerce
- Operate a vehicle over 10,001 lbs. GVWR in interstate commerce
- Transport over 8 passengers (for hire) or over 15 passengers (not for hire)
- Transport hazardous materials requiring placarding under DOT rules
- Are employed by entities under DOT agencies like FMCSA, FAA, FRA, FTA, or USCG needing DOT medical qualification
What to bring with you to a DOT Physical?
- Government-issued photo identification
- Eyewear (glasses/contact lenses) & associated prescription
- Detailed medication list & dosages
- CPAP usage records (if it applies)
- Specialist medical clearances (e.g., cardiology, sleep apnea, or diabetes)
- Recent A1C or blood pressure records if they are being tracked
Nevada, CT residents must prepare these for a thorough DOT physical examination.
What happens if I fail a DOT Physical?
- No Medical card will be issued
- Temporary disqualification
- Referral for treatment to your primary care doctor
- FMCSA exemptions for certain medical conditions
- Employer Notification
- Next Steps (address the medical issues and retake the exam)
Nevada, NV's specific protocols must be followed for resolution.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Suffering from vision loose with correction worse than 20/40 in each eye, inability to identify traffic light colors, or hearing loss preventing the detection of a whispered voice from 5 feet away.
- Blood Pressure & Heart Disease: Uncontrolled high blood pressure, recent cardiac arrest, stroke, uncontrolled chest pain, or a heart implantable defibrillator lacking clearance.
- Diabetes: Non-managed diabetes known for large low-blood-sugar episodes or issues like vision problems that hinder driving safely.
- Sleep Apnea & Respiratory Issues: Untreated apnea causing daytime drowsiness, or serious lung disorder affecting oxygen levels.
- Neurological Disorders: Epileptic disorders, conditions causing sudden blackout, dizziness, or uncontrolled shaking, barring exemptions.
- Substance Abuse: Active illegal drug use, alcohol addiction, or improper prescription medicine use negatively impacting driving skills.
- Psychiatric & Cognitive Disorders: Severe unmanaged mental disorders or cognitive dysfunction impairing quick thinking/reaction time.
Some medical issues can temporarily disqualify you until medical proof or documentation is given, like controlled blood pressure or managed diabetes. Some conditions are usually deemed permanently disqualifying under FMCSA rules, like untreated seizure issues or heart defibrillators.
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