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Maryland Transit Administration Prescription & Over-the Over the-Counter Counter Drug Policy The following behaviors are prohibited: VUsing a Prescript ion medication t hat is not legally prescribed for you. VUsing a Prescript ion or Over-t he- Count er medication in excess of the prescribed dosage. Í Maryland Transit Administration Prescription & Over-the Over the-Counter Counter Drug Policy The following behaviors are prohibited: prohibited: VUsing any medicat ion t hat contains alcohol wit hin four hours of report ing for work. VUsing any medicat ion t hat adversely impact s your ability to safely perform your safety sensit ive job functions. Maryland Transit Administration Prescription Medication
Maryland Transit Administration Prescription & Over-the Over the-Counter Counter Drug Policy Safety Sensitive Employee’s responsibility before taking a PRESCRIP TION PRESCRIP TION medication V obtain form 1C1 from - your Supervisor - the MTA’s Benefits Department at 410-767-3850 (if you forget once you have reached your Doctor’s office you can request one be faxed by calling the MTA’s Benefits Department) Maryland Transit Administration Prescription & Over-the Over the-Counter Counter Drug Policy FORM 1C1 Maryland Transit Administration Prescription & Over-the Over the-Counter Counter Drug Policy You complete this section of form 1C1 prior to giving it to your Doctor. R ELEA SE TO WOR K FORM FOR PR ESC R IPTION MED IC A TION S Emplo y ees Sect io n: N a me: ___ __ __ __ ___ _ SS# : _ __ ___ __ __ __ __ Emplo y ee’s FTA Safety Sensitiv e Jo b Functio n - check tho se tha ta pply Opera te a transit bus o r tra in Opera te a non-rev enue serv ice v ehicle requir ing a C D L ( e.g . truckso v er 25 ,00 0 lbs.) Co nt ro l the dispatch or movement oftransit buses or trains M a int a in/repa ir t ransit buses o r t ra ins o r t he elect ro -mechanica l sy st ems cont ro lling train movement. C a rry a firea rm f o r securit y purpo ses. Superv iso r w ho se dut ies require t he perf o rma nce of a ny of t he abov e f unct ions. (C heck which a pplies) Medica t io ns currently being ta ken __ ___ __ __ __ ___ __ __ __ ___ __ _ I a tt est t hat t he fo reg o ing info rma tion is co mplet e a nd co rrect . Emplo y ee Sig nat ure __ __ __ __ ___ __ __ __ __ D a t e_ __ __ __ _
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U.S. Department of Transportation F
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REPORT DOCUMENTATION PAGE Form Appr
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Introduction The National Transport
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Policy The “Dear Colleague” let
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Policy System Name: Utah Transit Au
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UTA Management Drug & Alcohol Polic
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POLICY Number 1C1 Effective Date: 3
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Release To Work Form 1C1 Maryland T
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ALCOHOL AND DRUG POLICY 2001 Revisi
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ALCOHOL AND DRUG POLICY Alcohol Pos
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OVER-THE-COUNTER MEDICATION To be C
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Subject: Substance Abuse- Drug Free
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SECTION XXX MEDICATION Applicants -
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Policy System Name: ATC/Vancom of N
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PROCEDURES
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In the third approach, the employer
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MEDICATION APPROVAL FORM (For Safet
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Procedures System Name: Maryland Tr
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Maryland Transit Administration SAF
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Procedures System Name: Orange Coun
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OVER-THE-COUNTER MEDICATION To be C
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Subject: Substance Abuse- Drug Free
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Disadvantages: Neither employees no
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Los Angeles County Metropolitan Tra
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Asendin Tablets X Aspirin X Astemiz
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Training The “Dear Colleague” l
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OVER-THE-COUNTER MEDICINES What’s
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ADVICE FOR AMERICANS ABOUT SELF-CAR
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Fact is, today’s OTC med icines
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You can help yourself read the labe
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■ Do not use laxatives when you h
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PREGNANCY AND BREAST-FEEDING Drugs
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■ Never call medicine candy to ge
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For free bulk quantities, write: CO
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Training Aid Name: How to Read a Dr
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InteliHealth: Page 2 of 3 © 2002,
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Training Aid Name: Prescription Med
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Health Care: Prescription Medicines
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Training Aid Name: Quick Tips -When
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When you pick up your medicine at t
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Training Aid Name: A Guide to Manag
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Speak up The more information your
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Rx & OTC Medications Safety-sensiti
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Legal drugs can be a problem Legal
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Employee Substance Abuse Training
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Transit Employees Responsibility Pr
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PRESCRIPTION AND OVER-THE-COUNTER D
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Summary of Do's and Don'ts Medicati
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Training Aid Name: Public Transport
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MODULE 8: PRESCRIPTION DRUGS Notes
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View Graph 8-3 Since each of these
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Notes to the Instructor MODULE 9: O
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Other Substances View Graph 9-4 Bes
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Notes to the Instructor MODULE 10:
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Many times a marijuana joint is use
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Module 8: Prescription Drugs Exerci
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Module 9: Over-the-Counter Drugs Ex
Page 130 and 131: Prescription Drugs 8-1 MODULE 8: PR
Page 132 and 133: Prescription Drugs 8-3 TRANSIT EMPL
Page 134 and 135: Prescription Drugs 8-5 DRIVING SKIL
Page 136 and 137: Over-the-Counter Drugs 9-2 OVER-THE
Page 138 and 139: Over-the-Counter Drugs 9-4 COMMONLY
Page 140 and 141: Over-the-Counter Drugs 9-6 MODULE 9
Page 142 and 143: Combining Drugs 10-2 EFFECTS OF COM
Page 144 and 145: Combining Drugs 10-4 MODULE 10 DISC
Page 146 and 147: MODULE 8: PRESCRIPTION DRUGS Prescr
Page 148 and 149: Notes Prescription Drugs 41
Page 150 and 151: MODULE 9: OVER-THE-COUNTER DRUGS Ma
Page 152 and 153: Notes Over-the-Counter Drugs 45
Page 154 and 155: MODULE 10: COMBINING DRUGS Each of
Page 156 and 157: Notes Combining Drugs 49
Page 158 and 159: Module 8: Prescription Drugs Exerci
Page 160 and 161: Prescription & Over-the-Counter (OT
Page 162 and 163: Anti-Motion Sickness: Can cause; dr
Page 164 and 165: Antidepressants: Can cause; seizure
Page 166 and 167: Muscle Relaxers: Can cause; drowsin
Page 168 and 169: Points to Remember Every one is an
Page 170 and 171: RETENTION TIMES OF DRUGS IN URINE G
Page 172 and 173: MARYLAND TRANSIT ADMINISTRATION OVE
Page 174 and 175: Maryland Transit Administration Pre
Page 190 and 191: PRESCRIPTION AND OVER-THE- COUNTER
Page 192 and 193: NTSB Directive The National Transpo
Page 194 and 195: Definitions (Rx) • Prescription d
Page 196 and 197: Definitions (OTC) • Over-The-Coun
Page 198 and 199: FTA Recommended Policy Elements FTA
Page 200 and 201: Suggested Elements of an Rx/OTC Pol
Page 202 and 203: Suggested Management/ Supervisor Re
Page 204 and 205: Suggested Employee Roles and Respon
Page 206 and 207: Employee Warnings • Do not take l
Page 208 and 209: Employee Warnings (Cont.) • Chang
Page 210 and 211: Suggested Employer Physician/MRO Re
Page 212 and 213: Medical Review Procedural Model 2 (
Page 214 and 215: Suggested Employee Awareness Traini
Page 216 and 217: Summary • The primary objective o
Page 218 and 219: Common Anti-inflammatory and Pain M
Page 220 and 221: Common Antihistamines* (List not al
Page 222 and 223: Common Muscle Relaxants* (List not
Page 224 and 225: Common Stimulants* (List not all-in
Page 226 and 227: Possible Side Effects of Common OTC
Page 228 and 229: Possible Side Effects of OTC Cold a
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Common OTC Stimulants (List not all
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Post-Accident Documentation for Det
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17) If no alcohol test occurred bec
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1a) Name of medication: 1b) How muc
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APPENDICES
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BY ORDER OF THE SECRETARY OF THE AI
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AFI48-123 22 MAY 2001 163 A7.32.4.
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Rx and OTC Medication Lists Name: A
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MEDICATION WAIVERS - 134 -
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DISCUSSION: Medication side effects
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CLASS 2A: NO WAIVER ACTION REQUIRED
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CLASS 2B: INFORMATION ONLY , CHRONI
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CLASS 3: CHRONIC USE REQUIRING WAIV
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Rx and OTC Medication Lists Name: V
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a result, Glaxo-Wellcome has volunt
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ACIP Influenza Recommendations - AF
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stopped. Note that the nasal spray
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in completing the FAA required docu
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Heart/cardiac medications: The FAA
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containing cocaine ("TAC"). There i
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Rx and OTC Medication List Name: Me
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NOTE: 1. Mouthwashes - Scope, Liste
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HOW DO THESE MEDICATIONS AFFECT YOU
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Internet Resources/Reference Materi
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