DOT Physical Exams - South Dakota
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South Dakota DOT Physical - What You Need to Know
The DOT physical is an in-depth health screening mandated by the U.S. Department of Transportation for drivers of commercial motor vehicles. This test is essential to ensure that drivers are fit physically, mentally, and emotionally to handle large vehicles safely on the highways. A certified medical examiner (CME) from the National Registry of Certified Medical Examiners (NRCME) conducts the assessment. Successfully passing the exam results in obtaining a DOT medical certificate, also known as a Medical Examiners Certificate or DOT medical card, necessary for keeping a CDL license valid under FMCSA rules. If you are subject to other DOT regulations and need help understanding the specific exam required, you can contact us at 800-221-4291.
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
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What is checked in a DOT Physical?
- Review of medical history and medication list
- Eye test with optional corrective lenses to meet minimum vision requirements
- Hearing test either through audiometry or forced whisper check
- Pulse rate and blood pressure assessment
- Physical evaluation of bodily systems
- Urine test for specific gravity, protein, and sugar
After passing, a Medical Examiner's Certificate (MEC) might be granted for a period of up to 24 months in South Dakota. Certain conditions could necessitate a shorter certification period or further specialist evaluation.
Who needs a DOT Physical?
Possession of a valid DOT medical certificate (card) is necessary if you:
- Have a CDL class A, B, or C for interstate commerce
- Operate a vehicle over 10,001 lbs. gross vehicle weight rating in interstate transit
- Transport 8+ paid passengers or 15+ unpaid passengers
- Convey hazardous materials requiring placarding by DOT
- Work for DOT-governed employers like FMCSA, FAA, FRA, FTA, or USCG, needing medical qualification
This applies in South Dakota too.
What to bring with you to a DOT Physical?
- Official photo ID issued by government
- Glasses/contact lenses with prescription
- Medication list including doses
- Usage data for CPAP machines if needed
- Clearances from specialists like cardiology, sleep apnea, or diabetes experts
- Recent logs of A1C levels and blood pressure if monitored
State requirements in South Dakota mandate these items.
What happens if I fail a DOT Physical?
- No medical card issued
- Temporary disqualification
- Referral to your primary care for treatment
- FMCSA exemptions available for select medical issues
- Employer receives notification
- Next steps involve addressing medical concerns before retrying the exam
This is also applicable in South Dakota.
What Will Fail a DOT Physical?
Medical Conditions That Can Fail a DOT Physical
- Vision & Hearing: Inability to achieve 20/40 vision in each eye even with correction, trouble distinguishing traffic signal colors, or hearing issues affecting a forced whisper test at 5 feet.
- Blood Pressure & Heart Disease: Blood pressure above 180/110 mmHg, recent heart attack or stroke, unchecked angina, or an implanted defibrillator lacking medical clearance.
- Diabetes: Unmanaged diabetes causing frequent hypoglycemia or issues like neuropathy and impaired vision affecting safe vehicle operation.
- Sleep Apnea & Respiratory Problems: Untreated obstructive sleep apnea leading to daytime sleepiness, or severe respiratory disease impacting oxygen levels.
- Neurological Disorders: Epilepsy or seizures without exemption, conditions resulting in unpredictable unconsciousness, dizziness, or tremors not under control.
- Substance Use: Use of illicit substances, alcohol addiction, or misuse of prescribed medications affecting driving abilities.
- Mental & Cognitive Disorders: Severe and unstable mental illnesses such as schizophrenia, bipolar disorder with recent episodes, or cognitive issues impacting decision-making and reaction times.
Temporary or permanent disqualification applies depending on the medical issue. Conditions such as seizure disorders without treatment or implanted defibrillators are typically deemed permanent disqualifications per FMCSA standards.
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