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Home My WebLink About20070917 - VI-11 To: From: Date: Re: Mayor Hicks and City Councilmembers Melanie Mesko Lee September 12,2007 Prescription Drug/Over the Counter Drug Policy for TRAC Council Action Requested: Adopt the attached Prescription Drug/Over the Counter Drug Policy for TRAC. Background Information: The National Transportation Safety Board (NTSB) issued a directive to the Federal Transit Administration (PTA) to educate transit agencies, like TRAC, on the potential safety risks associated with prescription and over-the-counter medications by employees who perform safety sensitive duties. TRAC is under the general authority of the FT A, and has adopted applicable drug and alcohol use and testing policies as required. This additional directive is to provide guidance on the use of prescription and over the counter drugs and employees who perform safety sensitive functions- TRAC drivers and dispatchers_ It is not the City's intent, nor the intent of the policy, to force employees to unnecessarily submit confidential medical information. Instead, it provides guidance on when employees ought to seek medical assistance on the potential impact on any prescription drugs or over-the-counter medications on their safety sensitive functions as TRAC employees and when that information is to be shared with the City, as the employer. This policy has been reviewed by Met Council and they. recommend City approval of the policy_ If approved, the policy will be distributed to aU impacted employees. If you have any questions about this policy, please let me know. Clt}! of H.astj~s .. :l01 Fourth Street feat .. Has.1Jn(i1s, MN 55033-1955 .. P:6:51.-4.&f.23SO .. 1:651.-431-4082 .. wwiil'.ct.heatings.mn.iiS City of Hastings Over the Counter & Prescription Drug Policy Purpose The purpose of adopting an Over the Counter (OTe) & Prescription (Rx) Drug Policy is to act as a reminder for safety sensitive employees and their health providers to balance treating illnesses with the requirements of performing safety sensitive functions. The National Transportation Safety Board (NTSB) issued a directive to the Federal Transit Administration (FTA) to educate transit agencies, like TRAC, on the potential safety risks associated with prescription and over- the-counter medications by employees who perform safety sensitive duties. It is not the City's intent to force ill employees to work, nor to force employees who are eligible to work while being treated for an illness to stay off the job. The determination of eligibility to work will generally rest with the employee's physician and how the medication impacts the employee's ability to perform his or her job safely. The City of Hastings reserves the right to remove an employee from safety sensitive functions and obtain a second opinion if there are concerns about the employee's ability to perform. Applicability This policy applies to all employees designated as safety sensitive, and is in addition to the Transit Drug and Alcohol Testing policy adopted by the Hastings City Council. Employees must comply with the regulations outlined in each policy; and this policy has been adopted as an addendum to the Transit Drug and Alcohol Testing policy. Prescription Medications can be prescribed only by a licensed physician. If you are ill and plan to see your physician, you should: I. Advise your physician of the safety-sensitive nature of your job; 2. Provide your physician with the Medical Authorization Form (a copy of which is attached to the policy and which can be obtained from City Hall). 3. After prescribing medication, your physician must complete the authorization form. On the form, your physician will indicate if you are or are not permitted to work while taking the prescribed medication Over-the-Counter Medications · It is the responsibility of all safety sensitive employees taking over-the-counter medications to read all warning labels before selecting it for use while on working status. · Medications whose labels indicate they may affect mental functioning, motor skills, or judgment should not be selected. · If no alternate medication is available, employees should consult their physician for assistance. Employees have personal responsibility for assessing their fitness for duty when taking an Rx or over-the-counter medication. They should not report for duty, or remain on duty, if they are being adversely affected by a medication, even if they have a Medical Authorization Form or if the OTC label has no warning. Medical Authorization Form 1. Employees must have a completed Medical Authorization Form for each Rx medication prescribed for use while in working status, indicating whether they should be medically disqualified from performing safety sensitive functions while taking the medication. 2. Employees who are disqualified from performing their safety sensitive duties are to immediately inform the Assistant City Administrator (or designee) to explain their absence, the duration of the absence, and any other relevant information. 3. Absences as a result of medical disqualification will be categorized as sick leave. Employee attendance will be reviewed as part of the City's sick leave policy. 4. Employees who are not disqualified from performing safety sensitive duties while taking a prescribed medication may report to work. Employees must carry the physician's completed Medical Authorization Form with them while performing safety sensitive job duties the duration they are taking prescribed medication. 5. Employees who had previously been disqualified from performing safety sensitive duties and who are later released to work while taking a prescribed medication may report to work, as long as they submit the Medical Authorization Form to the Assistant City Administrator, indicating their ability to perform safety sensitive functions, at least 3 working days prior to their frrst scheduled shift back. 6. This form must be completed immediately when being prescribed a medication. Side Effects-Employees who experience side effects or who do not feel fit for duty, regardless of medications or previous approvals, must consult their physician and immediately refrain from performing hazardous activities, including driving and working with machinery. Confidentiality-Medical authorization forms will be kept in a confidential personnel medical file in the office of the Assistant City Administrator. Prohibited Behaviors The following behaviors are prohibited: · Using a prescription (Rx) medication that is not legally prescribed to the employee; · Using an Rx medication in excess of the prescribed dosage; · Using any medication which contains alcohol within 4 hours before performing safety sensitive functions; · Using any medication that adversely impacts the employee's ability to safely perform hislher safety sensitive job functions. Violations · Employees who violate section( s) of this policy will be immediately removed from safety-sensitive functions and may be subject to discipline, up to an including termination. · Once removed from duty, an employee may not be returned to performing safety sensitive duties until evaluated by a physician chosen by and paid for by the City of Hastings. · If the employees use of a prescription or over-the-counter drug has endangered the employee, other employees, or the public, or has contributed to an accident, the employee may be subject to discipline, up to an including termination. Contact Any questions about the City of Hastings Prescription and Over-The-Counter drug policy should contact: Melanie Mesko Lee Assistant City Administrator 651-480-2326 City of Hastings TRAC System Medical Authorization Form Release to Work for Prescription Medications New Prescription Employee-<:omplete the "Employee Section" of the form and provide to your physician to complete the "Physician Section". Once completed, return to the Assistant City Administrator. Physician-please consider the following information and complete the "Physician Section" on the reverse side. Thank you for your assistance. Prescription Renewal Employee-complete the "Employee Section" of the form, attach a copy of the prescription renewal label, and return to Assistant City Administrator. Considerations The following is a list of medications of concern if used while performing safety sensitive functions as an employee of the City of Hastings, TRAC transit department. This list is taken from Federal Transit Administration guidelines, and is not definitive nor all-inclusive. It is provided as a starting point for your consideration when evaluating if an employee is able to perform safety sensitive functions while taking a prescription medication. Analgesics-Aspirin w/codeine, Codeine, Darvocet, Darvon, Demero~ Dilaudid, Empirin Compound w/codeine, Levo-Dromoran, Methadone, Morphine, Percocet, Percodan, Soma Compound w/codeine, Talacet, Talwin, Tylenol w/codeine, and Vicodin. Anti-Motion Sickness-Anti vert, Dramamine, Marezine, Phenergan, Transderm-Scop. Tranquilizers & Sedatives-Ativan, Denadryl, Centrax, Compazine, Dalmane, Diazepam, Equani, Halcion, Haldol, Libritabs, Librium, Limbitrol, Paxipam, Phenergan, Prolixin, Serax, Stelazine, Thorazine, Tranxene, Valium, Vlarelease, Xanax. Antidepressants-Adapin, Amitriptyline, Asendin, Depro~ Desyrel, Elavil, Endep, Etrafon, Limbitrol, Lithium, Ludiomil, Marplan, Nardil, Norpramin, Pamelor, Parnate, Petrofrane, Sinequan, Surmontil, Tofranil, Triavil, Vivactil. Barbiturates-Alurate, Butisol, Dilantin, Mebaral, Nembutal, Pentobarbital, Secobarbital, Seconal, Sedapap, Tuinal. Skeletal Muscle Relaxants-Flexeril, Parafon, Soma. Non-Prescription Cough & Cold Remedies, Antihistamines-Bendadryl, Bromfed, Chlrotrimetron, Comtrex, Contac, Deconamine, Dimetapp, Dristan, Drixoral, Externdry~ Fedahist, Kronofed, Naldecon, Nolamin, Novafed, Omade, Phenergan, Rondec, Rynatan, Sinubid, Sinulin, Tavist-D. The employee should not be released to work unless you are comfortable that, given the safety- sensitive nature of this patient's job duties, his/her medical history, current condition and possible side effects of the prescribed medication(s), it is your professional opinion that the medication(s) will have no adverse influence on the employee's performance ofhislher safety-sensitive job duties. City of Hastings TRAC System Medical Authorization Form Release to Work for Prescription Medications Employee Section: Employee Name: I hereby authorize the City of Hastings to obtain information from my physician about this medical authorization. I understand that it is my obligation to inform the City of Hastings of any medication I intend to take for review and determination of my eligibility for work. Additionally, I understand that on-going or periodic use of prescription drugs and over-the counter medications, vitamins, and herbs require an Attachment B form, which may be required to be re-submitted annually each January. Employee's Safety-Sensitive Job Function check those that apply o Operate a transit bus. o Control the dispatch or movement of transit buses or trains. o Maintain/repair transit buses o Supervisor whose duties require the performance of any of the above functions. (Check those that apply.) Medication(s) currently being taken: I attest that the foregoing information is complete and correct Employee Signature Date ........................................................................ Physician Section: As the attending physician, I am aware of the job duties of this employee, who performs safety sensitive job duties for the City of Hastings TRAC system. l. 2. 3. PLEASE CHECK ONE OF THE FOLLOWING. o Employee may not perform safety-sensitive duties while taking this medication. Employee - give form to your supervisor. o Employee released to perform safety-sensitive duties while taking this medication. Employee - keep form on your person while at work. Physician's Printed Name Telephone No. Signature Date ........................................................................ City of Hastings Date Form Received: o Approved Notes: o Not Approved Received by: City of Hastings TRAC System Medical Authorization Form Release to Work for Over-the-Counter Medications Employee Section: Employee Name: I am a safety sensitive employee with the City of Hastings TRAC system. I take the following over-the- counter (OTC) medications as directed* on the package as needed: Please attach a copy of the label of each medication listed. *If not taken as directed, please explain: I understand that it is my obligation to inform the City of Hastings of any medication I intend to take for review and determination of my eligibility to work Additionally, I understand that ongoing or periodic use of prescription drugs and over-the-counter medications, vitamins/herbs require an Attachment B form, which must be resubmitted annually each January. Employee Signature Date City of Hastings TRAC System Medical Authorization Form Release to Work for Over-the-Counter Medications Attachment B Must be submitted annually Employee Section: Employee Name: I am a safety sensitive employee with the City of Hastings TRAC system. I take the following over-the- counter (OTC) medications as directed* on the package as needed: Please attach a copy of the label of each medication listed. *If not taken as directed, please explain: I understand that it is my obligation to inform the City of Hastings of any medication I intend to take for review and determination of my eligibility to work Additionally, I understand that ongoing or periodic use of prescription drugs and over-the-counter medications, vitamins/herbs require the completion of an Attachment B form, which must be resubmitted annually each January. Employee Signature Date City of Hastings TRAC System Medication List DRUGS WHICH NEED NOT BE REPORTED: The following drugs do not need to be reported unless known by City of Hastings or employee to cause problems, or if directed by physician. This list is not intended to be all-inclusive Antibiotics All Terienadine Theo-Dur Theopnilline Zephrex Diuril Enalapril HCTZ Hydrodiuril Hydrochlorothiazide Lasix Lisinopril Lopressor Methyldopa Moduretic Prinvil Procardia Vasoretic Vasotec Birth Control Pills All Dental Lidocaine Xylocaine Analgesics Acetominophen Advil Anacin-3 Anaprox Asprin Datril Fenoprofen Ibuprofen Indocin Medipren Motrin Nalfon Naprosyn Nuprin Panadol Rutin Trendar Tylenol Miscellaneous Ablalon A Opth. Drops Acyclovir Aristocort Beconase Carafate Cirnetidine Colbenemid Cortosone Digoxin Donnagel Ergotec Lanoxin Meclomen Prednisone Prilosec Synthroid Tagamet Vancenase Viagra Zantac Immunizations All Topical Agents (Lotions, Creams, etc.) (Drugs dispensed via patches are not included.) All Allergy, Asthma & Decongestants Alph-pned Brethaire Entex Guaifensin Hismanal Ipratropium Inhaler KenaIog Nasalide Phyenylpropanolamine PP A-GG-LA Pseudoephedrine Seldane Sine-Aid Sudafed T erbutaline Inhaler Terbutaline Antihypertensives Applies only ifused for hypertension specifically. Aldactide Aldactone Aldomet Calan Capoten Captopril Catapres TIS Catapress Chlorothiazide City of Hastings TRAC System Medication List MANDATORY REPORTABLE DRUGS WITH RESTRICTIONS: AU drugs not listed below must be reported, whether taken alone or in combination with other drugs. Drugs which may require restrictions, with typical constraints, include but are not limited to the following. Listed below are the DRUG, the CONSTRAINT (the time between when you can take the medication and perform your safety-sensitive job), and the RENEWAL TIME (how long the prescription would typically last). Effects of other medications or alcohol may alter stated constraints. Your doctor's recommendations may differ based on your circumstances. This list is not intended to be all-inclusive. Antivert - 24 hrs. - 1 mo. Atarax - 8 hrs. - 1 mo. Benedryl - 6 hrs. - 6 mos. Codiene - 6 hrs. 1 mo. Compazine - 8 hrs. - 1 mo. Darvocet - 6 hrs. - I mo Darvon - 6 hrs. - 1 mo. Deroerol - 8 hrs. - 1 mo Dimetane - 8 hrs. - 1 mo. Empirin wi codiene - 6 hrs. -I mo. EquagesicIMeprobamate - 8 hrs. - 1 mo. Flexeril - 8 hrs. - 1 mo. Hydrocodone - 8 hrs. - 1 mo. Hyphen - 8 hrs. 1 mo. Levsin - 12 hrs. - 1 year Lioresal - 8 hrs. - I mo. Lomotil - 6 hrs. 1 mo. Lortab - 8 hrs. - 1 mo. Meperdine - 8 hrs. - 1 mo. Mepergan - 8 hrs. - I mo. Meprobamate - 8 hrs. - I mo. Morphine - 8 hrs. - I mo. Naldecon - 6 hrs. 1 mo. Norgesic!Norgesic Forte - 8 hrs. - 3 mo. Paratles - 8 hrs. - 3 mo. ParafonlParafon Forte - 8 hrs. - 3 mos. PercocetIPercoddan - 8 hrs. - I mo. Percogesic - 6 hrs. - I mo. PhenerganlPhen w/codine - 8 hrs. - I mo. Probamate - 8 hrs. - 1 mo. Promethazine - 8 hrs. - 1 mo. Pyridium - 6 hrs. - I mo. Reglan - 12 hrs. - I yr. RobaxinlRobaxisol - 8 hrs. - I mo. Rutuss/Rutuss w/codine - 8 hrs. - I mo. Skelaxin - 6 hrs. - 3 mos. Soma w/codiene - 8 hrs - 3mo. Stadol- 8 hrs. - I mo. Talwin - 8 hrs. - I mo Tigan - 8 hrs. - I mo Torecan - 8 hrs. I mo. Tylenol w codiene #2, #4 - 8 hrs. - I mo. Tylox - 8 hrs. - 1 mo. Valium - 48 hrs - I mo. Vicodin - 8 hrs. - 1 mo. Vistaril - 8 hrs - 1 mo. Wygesic - 8 hrs. - 1 mo City of Hastings Resolution 09- -07 Adopting an Amendment to the Transit Drug and Alcohol Policy Addressing Over the Counter & Prescription Drug Use by Safety Sensitive Employees in the TRAC Department Whereas, the National Transportation Safety Board (NTSB) has issued a directive to the Federal Transit Administration (FT A) to educate transit agencies, like TRAC, on the potential safety risks associated with prescription and over-the-counter medications by employees who perform safety sensitive duties; and Whereas, Hastings TRAC provides transit service to the general public, and as such, is regulated by the FT A; and Whereas, annually, the City of Hastings reviews its drug and alcohol testing policy in compliance with FT A and other applicable federal and state regulations; and Whereas, the City has developed an addendum to that drug and alcohol testing policy to include policies regulating prescription drugs and over-the-counter medications, in compliance with FT A and other federal and state agency regulations. Now therefore, be it resolved, that the City Council of the City of Hastings hereby adopts and incorporates the Over-the-Counter and Prescription Drug Use Policy and forms as prepared by the City. Adopted by the City of Hastings this 17th day of September, 2007. Ayes: Nays: Absent: Paul J. Hicks, Mayor Melanie Mesko Lee City Clerk