Preventative Health

Pre-Placement Exams

Urine Drug Screen Programs

Driver Preventative Maintenance Program

DOT requirements

Diet & Weight Loss Programs

DOT / CMV Health Requirements

Vaccine Information Statement

Flu v.s. COVID-19 Symptoms 

Sleep Disorders

 General: 

 

 You must provide your medical examiner with the following information:

•    Date onset of Sleep Apnea / Sleep Disturbance, if known.

•    Name and location of treating health care professional.

•    What interventions have been done.

•    Medications you are taking.

•    Treatment plan.

•    Side effects of medication. 

•    Report: Any history of chest pain, shortness of breath, swelling of ankles, dizziness or fatigue, excessive sleepiness during normal wake period, accident from falling asleep

 

Report: Is sleep apnea treated?  If so, with what and how often?  Last visit to doctor? If on CPAP, what is the compliance from the download?  Any co-morbidities: CAD, MI, CVA, diabetes?

 

 

 

Drivers at risk for sleep apnea will be identified using clinical predictive model (STOP BANG or similar). Your medical examiner will assess:  BMI, neck circumference, Malampatti class, subjective sleepiness (Epworth / Berlin), comorbid conditions, age, gender.

 

A sleep study will be reqiured for any examinee with a BMI ≥35 or any examinee with a STOP-BANG score indicating the examinee is at high risk for a sleep disorder in conjunction with  with a BMI ≥ 30.

 

 

 

 

 

 


 

Testing:  Drivers identified as significant risk for sleep apnea will be referred for testing. 

 

Certification:

Driver without sleep apnea:  Certify up to two years

Driver with risk of sleep apnea:  Certify limited time; 1-3 months recommended depending on availability of testing and treatment in the driver’s area.

Driver with sleep apnea and stable on CPAP: May certify up to one year

 

Do Not Certify: 

Driver with very high risk:  Driver has been in an accident because they fell asleep, admits to excessive sleepiness during major wake period

Driver is not compliant:  Driver with sleep apnea not compliant with PAP treatment

 

 

CPAP Compliance:  Minimum of 4 hours use per night on 70% of nights

 

Special Situations:

 

Driver with sleep apnea and states compliant but does not have documentation:  May consider a limited certification card depending on examiner’s knowledge of driver.  Maximum of 30 day certification

 

 

Driver with sleep study showing significant sleep apnea but has not yet received CPAP machine:  Do not certify.