Does Dot Medical Exam Test For Drugs

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Prepare For Your Dot Drug Testing

Commercial drivers should go through DOT drug testing as part of their biannual medical checkup. It is performed by a nurse or doctor after the main physical exam. The DOT keeps a register of medical practitioners who can approve drivers as fit for work. For further information on DOT drug testing, contact your health care provider.

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How Does A Drug Test Work

While starting a business is exciting, there are also many things to consider. If you have a job that requires a drug test, do you think youll pass?

Im not talking about a random drug test. Im talking about a drug test for your new job.

It is essential to realize that while most companies require a random drug test, most do not need a drug test for your new position. Many new businesses dont require a drug test at all.

If you are a newbie, youre probably thinking, Well, I guess Ill have to take a drug test for my new job then. But what if youve already taken a drug test before?

Will you have to take another one?

You might be thinking, Drug tests are expensive, and Im just not sure Id pass one.

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What Drugs/substances Are Tested For With A Dot Test

The following is a list of substances that DOT drug tests check for:

  • Opiates/morphine

In 2015, marijuana and amphetamines were the most common substances found in DOT drug test results for commercial motor vehicle drivers. Nonetheless, positive results remained low for commercial drivers, with just 1.85% of the total number of DOT test results. However, the department is still pushing to see a lower number to ensure transportation safety across the country.

Who Needs A Dot Physical Exam

Dot Physical Drug Test You

A DOT physical exam is required by the Federal Motor Carrier Safety Administration for all commercial drivers.

Commercial drivers include drivers of vehicles that carry more than fifteen people, or you are paid for vehicles that are expected to carry more than eight people.

It is also required for drivers of vehicle that carry dangerous or hazardous materials that normally warrants the vehicle to carry a warning sign and for interstate drivers of heavy-duty trucks with a combined weight of more than 10,000 pounds.

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Drug Test For Dot Physical

Last updated Apr 10, 2021 at 4:55PM | Published on Oct 10, 2020 | DOT Exams, Drug Testing

We have a provider who in the past worked in a facility that whenever a driver has a history of previous illegal substance abuse they gave them a drug screen with every physical in order to certify.

Today we had a driver that admitted to previous use and refused a drug screening for his physical.

Do you have any thoughts? I am stumped as I never have had a provider drug screening during a physical without the request of a company.

If the examiner decides they need such a test in order to qualify the driver and the driver refuses, the examiner may disqualify the driver and report it to the national registry. This would cause the FMCSA to investigate should they then receive a qualified entry shortly thereafter from another examiner who may not be made aware of the drivers history.

The DOT physical exam requirements do not include a drug test, only requires a a urine sample. This is used to screen kidneys for potential medical conditions.

There is no Federal prohibition resulting from a driver testing positive on a non-DOT drug test. 49 CFR §40.13 requires that DOT and non-DOT testing be completely separate.

This is true for DOT drug test under CFR 382.

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Which Jobs Are Required To Undergo Dot Drug Tests

Albeit all companies have the option to have their employees tested for drug and alcohol use, some are mandated by law to do so. Anyone deemed within DOT regulations as a safety-sensitive employee is required to undergo DOT drug testing. If you hold any of the jobs listed below, you are considered a safety-sensitive employee.

  • Federal Aviation Administration Aircraft dispatchers, flight crew/attendants, ground security coordinators, etc.
  • Federal Railroad Administration Hours of Service Act personnel, engine & train workers, signal service workers, or train dispatchers.
  • Federal Transit Administration Vehicle operators, controllers, mechanics, and armed security.
  • Pipeline and Hazardous Materials Safety Administration Emergency response workers, maintenance, and operations crew.
  • S. Coast Guard Crew members who operate a commercial vessel.

What About Prescription Drugs

Do Nurses Get Drug Tested? Are Nurses Randomly Drug Screened?

You may use prescription drugs and pass the drug test if you meet certain conditions stipulated in the Code of Federal Regulations , which are lists or schedules of controlled substances, such as opiates, opiate derivatives, hallucinogenic substances, depressants, and stimulants.

Non-Schedule I drugs may be used under the following exceptions:

  • If a licensed medical practitioner who is familiar with the drivers medical history and assigned duties has prescribed the drug and
  • If they have educated the driver that the prescribed substance or drug will not hamper the drivers ability to safely operate a commercial motor vehicle.

If the medical practitioner prescribes the medication without insight into the assigned duties, this renders the driver medically unqualified and the abovestated exceptions do not apply, even though the driver might have legally obtained the medication.

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Accurate Certified Dot Exams Drug And Alcohol Screening And More

Maintain your DOT medical certificate and commercial driver license through drug testing in La Verne, Chino Hills, Pomona, Claremont, and Chino Hills. The doctors and nurses Pomona Valley Health Centers know how stressful the DOT physical can be, so they provide total support and professionalism before, during and after your exam. For all your medical needs throughout your life, theyre here to prioritize your good health through knowledge, expertise and compassion.

To schedule an appointment at a PVHC location near you, call 909-630-7829 or to use the online form.

Dot Physicals: Do They Include A Drug Test

If youre a commercial motor carrier, then you know the drill: at least once every two years you need to have a DOT physical exam to renew your medical card. These exams are conducted by certified medical examiners whose job it is to evaluate you for a wide range of medical conditions and ensure youre healthy enough to safely operate a motor vehicle.

In addition to a general physical examination, your DOT physical will include a urinalysis. But unless the examiner requests a second sample be given for a DOT drug test , the urine sample you provide during the exam isnt used to detect drug use but to screen for medical conditions such as diabetes instead. Its important to note that if your employer does require a pre-employment drug test at the same time, that the examiner will be very clear with you about the testing procedures during your appointment.

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Having Drug Traces In Your System Isnt The Only Disqualifier

Certain health conditions may also cause you to fail the DOT physical exam, such as uncontrolled diabetes, poor vision, epilepsy, heart disease, mental disorders, and loss or impairment of limbs. All of these health issues can potentially hinder your ability to provide a safe service to clients and protect the safety of the general public. Of course, failing the drug test due to traces of drugs and alcohol in your system will disqualify you to obtain a commercial license as well. This strict testing is meant to protect the lives of those you may be driving as well as other drivers on the road with you.

Failing A Dot Drug Test

What Does Dot Physical Urine Test For

Unfortunately, some people are going to fail drug tests. It happens. If you fail a conventional pre-employment drug test, youre going to lose the job opportunity. Most companies will not hire people whove failed drug tests.

In some rare situations, they might give you another chance. The company may work with you and give you another opportunity once youve completed a course.

If youre dealing with a DOT physical and drug test, youll have to jump through another hoop too. First, you have to remember that your potential employer asked for the drug test. That company likely wont hire you now.

Any failed drug test will be reported to the Federal Motor Carrier Safety Administration Drug and Alcohol Clearing House.

Before you can begin working again, youll have to complete a course with a DOT-approved substance abuse counselor. Once this happens, you can try getting another driving job.


Being approved by the Department of Transportation is exciting. Youre one step closer to getting a good job and creating a life for yourself.

However, you must remember that youll have to complete the DOT physical. Although it doesnt include a drug test, most trucking companies will make you take one anyway.

Therefore, you have to stop abusing drugs before trying to get a trucking job. Stop a few weeks before the interview to avoid losing the job opportunity.

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What About Prescribed Medications

While the standard DOT physical urinalysis doesnt screen for drugs, you will need to speak with the medical examiner concerning any prescribed medications youre currently taking. If you have a condition, such as heart disease, neurological or mental conditions, diabetes, high blood pressure, or have recently undergone surgery, you will need to disclose any medication that can possibly impair your driving.

There are certain medications that may prohibit you from operating a CMV while youre on the drug, although this decision is left to the judgment of the medical examiner. You will usually need to bring with you the prescription and a note from your specialist or primary care physician, indicating the potential effects of the medicine. It is then up to the medical examiners discretion to give you the green light to obtain a medical certificate.

However, if the medical examiner feels that your ability to drive safely on the roads is affected by your condition or the medication used to treat it, then you may be temporarily disqualified.

After youve weaned off the prescribed medication, you can then go back for a follow-up exam and be re-evaluated. There are cases in which you will be issued a medical card. However, it wont be valid for the typical 24 month period, and you may need to be reexamined in shorter time increments.

Getting A Dot Physical

Who is required to get a DOT physical?

The DOT physical requirement is determined by your employer, but you will likely need to have one done if you meet the following criteria:

  • You are paid to operate a vehicle that carries over eight people.
  • You operate a vehicle that carries over 15 people, such as a bus.
  • You operate a motor vehicle for commerce between states, and that vehicle has a gross combined weight of over 10,000 pounds.
  • You transport hazardous materials in a vehicle that requires a placard.

How do you get a DOT physical?

You must pass all requirements in order to get your DOT health card.

There are three main steps to this process:

  • Schedule your DOT exam appointment with a DOT medical examiner. Find a location to get your DOT certification from a UCHealth clinic today.
  • Get your DOT physical examination. This includes a health history review, reviewing if you need to have immunizations, a physical exam captured in your Medical Examination Report, and a urinalysis to assess your fitness and eligibility for a commercial drivers license.
  • Send off your report. When your exam is completed, your DOT physical form results will be sent to the National Registry of Certified Medical Examiners , and if you pass all tests, you will shortly receive the Medical Examiners Certificate that is used to prove your eligibility as a commercial driver.
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    What Does A Dot Physical Consist Of

    A DOT physical is fairly consistent with any other type of physical examination performed under the care of a physician. Youll begin by disclosing your medical history and outlining any prescribed drugs that youre currently on.

    The medical history component of the exam consists of:

    • Prescribed medications

    Once this is completed, youll move on to the physical exam.

    The physical exam will check various functions of your body, including:

    • Measuring your blood pressure and pulse
    • Determining if your vision falls within the 20/40 minimum requirement in each eye
    • A hearing test to assess if your auditory acuity is capable of perceiving a forced whisper
    • If the driver fails the whisper test, the driver must pass an audiometer test to be qualified to drive a CMV
  • A survey for any spinal deformities
  • Neurological reflex examination to test coordination
  • Oral examination to rule out any issues with breathing or swallowing
  • Testing to determine if you have an impairment in lung or heart functions
  • A hernia examination
  • Urinalysis to check for potential kidney issues
  • If you pass the exam successfully, you will receive a medical card or certificate from the medical examiner. The card usually lasts for 24 months, barring any reasons the examiner requests you to be rechecked sooner.

    Need More Information About The Physical

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    Dr. Eric Carson is a 2014 FMCSA National Registry Certified Medical Examiner, and is qualified to perform CDL/DOT physicals, as well as BAT and Drug Testing through a split urine collection . Appointments are preferred, and are available 6 days a week.

    TeamCME offers DOT Physicals throughout the nation. Dr. Eric Carson is a member of TeamCME where he is regularly updated with industry training.

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    Turn To Tenstreet With Your Dot Physical Questions

    Tenstreet makes it easy to submit medical records and med card updates to prospective and current employers through our Driver Pulse App. Your documents can be stored and updated using your mobile device of choice, making it easier than ever to give carriers what they need so you can get hired and stay employed.

    Find jobs and store your driving documentation by downloading the app now!

    Do You Get A Drug Test During A Dot Physical

    The DOT physical exam requirements do not include a drug test, but you will be required to submit a urine sample. This is used to screen your kidneys for potential medical conditions.

    However, companies require a pre-employment drug test. Your employer may request that you have a drug screen done while you take your DOT physical. That drug test typically screens for marijuana, cocaine, opiates, phencyclidine and amphetamines/methamphetamines.

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    Is A Drug Test Part Of Dot Physical

    If you drive a commercial motor vehicle , you will have to undergo a Department of Transportation physical exam. The DOT physical assesses whether a driver is healthy enough to operate a CMV. For example, if you have health issues like sleep apnea, diabetes, poor vision and high blood pressure, you could be a hazard on the road if your medical condition becomes unmanageable while driving. There are a number of tests given during the DOT test.

    If You Pass The Testing With Flying Colors A Two

    DOT Physical Exam In Las Vegas

    If you dont suffer from any of the ailments listed above and you are not found with any drugs or alcohol in your system, a two-year card is the most standard. Once the two years has expired, you will need to perform another simple assessment to be cleared for another card. If you develop any medical conditions during this time, a one-year card may be given or a temporary three-month card to give you enough time to speak with your doctor and see what treatments may help you.

    Hopefully this article has given you the preparation you need before going in to your DOT physical exam. For more information regarding DOT drug and alcohol testing, contact New Era Drug Testing.

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    Are You Given A Drug Test As Part Of A Dot Physical

    If you drive a commercial motor vehicle , you will have to undergo a Department of Transportation physical exam. The DOT physical assesses whether a driver is healthy enough to operate a CMV. For example, if you have health issues like sleep apnea, diabetes, poor vision and high blood pressure, you could be a hazard on the road if your medical condition becomes unmanageable while driving. There are a number of tests given during the DOT test.

    Testing For Sleep Apnea

    At this time there is no new law requiring sleep apnea testing as part of the DOT physical for truck drivers. However, DOT does require that truck drivers get a medical examination in order to hold a CDL license. The medical examiner is the one who decides if the driver needs sleep apnea testing.

    If diagnosed with moderate to severe sleep apnea, you are considered unsafe to drive and you will lose your CDL until youre treated for sleep apnea and deemed safe to drive again by your medical examiner. For additional information go to Sleep Apnea Rules.

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