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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Rx & OTC
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).
§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
§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
Added questions on health history form requiring the disclosure of the use of RX & OTC medication(s).
Introduced Rx & OTC education during “new hire” orientation. Which includes PowerPoint and hand-outs.
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
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