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Niagara Frontier Transportation Authority Rx & OTC Medications PowerPoint PPT Presentation


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Niagara Frontier Transportation Authority Rx & OTC Medications. Obstacles, Challenges & Resistance. Niagara Frontier Transportation Authority Concerns Understaffing resulting in “work’ being cut. Employee compensation Unions Concerns - 13 separate unions

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Niagara Frontier Transportation Authority Rx & OTC Medications

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Niagara frontier transportation authority rx otc medications

Niagara Frontier Transportation Authority

Rx & OTC

Medications


Obstacles challenges resistance

Obstacles, Challenges & Resistance

  • Niagara Frontier Transportation Authority Concerns

    • Understaffing resulting in “work’ being cut.

    • Employee compensation

  • Unions Concerns- 13 separate unions

    • Union will comply only with polices and procedures that are mandated by state / federal regulation or contractually negotiated.

    • Employee compensation


Incremental progression

Incremental Progression

  • 2003

Utilized New York State 19-A Vehicle & Traffic Law medical regulations to create several forms and postings relating to the use of RX & OTC medication(s).


Article 19a of the new york state vehicle and traffic law

Article 19A of the New York State Vehicle and Traffic Law

§509-l: No person shall:

a) consume a drug, controlled substance or an intoxicating liquor, regardless of its alcoholic content, or be under the influence of an intoxicating liquor or drug, within six hours before going on duty or operating, or having physical control of a bus, or


Commissioner s regulations

Commissioner’s Regulations

§6.10(b)(11): A person is physically qualified to drive a bus If he or she:

does not use an amphetamine, narcotic, or any habit-forming drug


Niagara frontier transportation authority rx otc medications

Prescribing Physician Certification


Niagara frontier transportation authority rx otc medications

Prescribing Physician Certification


Niagara frontier transportation authority rx otc medications

Notice Posted in all NFTA Facilities


Niagara frontier transportation authority rx otc medications

Notice Posted in all NFTA Facilities


Incremental progression1

Incremental Progression

  • 2006

Added questions on health history form requiring the disclosure of the use of RX & OTC medication(s).


Incremental progression2

Incremental Progression

  • 2009

Introduced Rx & OTC education during “new hire” orientation. Which includes PowerPoint and hand-outs.


Niagara frontier transportation authority rx otc medications

Monitoring

Street Supervisors

Medical Department

Passenger Concerns


Street supervisors

Street Supervisors

Assess for evidence of driver impairment during accident investigation

Review bus video for evidence of impairment

Refer to Medical Department for evaluation if any concerns


Monitoring medical

Monitoring - Medical

Drivers fill out questionnaire listing all medications at annual or biennial 19A physical exam – same as pre-placement

Drivers are questioned about medications by nurse on return to work following sick leave

Medical evaluation on referral from supervisor

Medical referral following customer complaint or concern


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