COURSE PURPOSEYou will learn:
Americans with Disabilities Act Different types of disabilities Lift operations Proper securement techniques
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AMERICANS WITH DISABILITIES ACT
The purpose of the Americans with Disabilities Act of 1990 is to:
(1) to provide a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities;
(2) to provide clear, strong, consistent, enforceable standards addressing discrimination against individuals with disabilities;
(3) to ensure that the Federal Government plays a central role in enforcing the standards established in this Act on behalf of individuals with disabilities; and
(4) to invoke the sweep of congressional authority, including the power to enforce the fourteenth amendment and to regulate commerce, in order to address the major areas of discrimination faced day-to-day by people with disabilities.
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BASIC PARTS
Cite: 49CFR37 Transportation Services for Individuals with Disabilities
Cite: 49CFR38 Accessibility Specifications for Transportation Vehicles
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EMPLOYEE TRAINING
Requirement to train personnel to proficiency
Operate vehicles and equipment safely Provide level of service as required Treat individuals with disabilities in a
respectful, courteous way
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LIFT AND SECUREMENT USE
All “Common Wheelchairs” and their users must be transported
Common Wheelchair defined as:Not exceeding 30” wideNot exceeding 48” long, when
measured 2” above groundDoes not weight more than 600 lbs.
occupied Securement system MUST be
used to secure wheelchair (paratransit)
Cannot deny service on basis of difficulty in securing wheelchair 7
LIFT AND SECUREMENT USE
Must permit standees to use lift to enter vehicle
Each securement location must have a 3-point passenger restraint system
Can only require passenger restraint if ALL passengers are required to use
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LIFT AND SECUREMENT USE
Transfer from wheelchair to vehicle seat can be recommended, but not required
Where necessary or requested, drivers must assist with use of:Securement SystemRampLift
This assistance is required even if the driver must leave his/her seat to do so
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ADA QUESTIONS & ANSWERS
May a transit operator require common wheelchairs be secured to the vehicle? Yes
What kinds of securement equipment must be provided Two part securement system
May a transit operator deny boarding to a rider whose common wheelchair is difficult to secure No
Does a wheelchair user have to use the seatbelt and shoulder harness No - unless
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ADA QUESTIONS & ANSWERS
What if the accessibility equipment is missing or not working Must maintain
Does a wheelchair need brakes in order to use public transit No
Can a transit operator require a person to transfer from a wheelchair to a vehicle seat No
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MAINTENANCE OF LIFTS
Regular and frequent lift maintenance program must be developed and instituted
Drivers must report non-operating lifts by the most immediate means available
Every effort must be made to repair lifts before the next day of service
If vehicle with inoperative lift is on route with headways > 30 min., must provide alternate transportation
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MOBILITY AIDS AND LIFE SUPPORT SYSTEMS
Service animals must be allowed to accompany passengers
Passengers must be permitted to travel with life support, including:RespiratorsPortable Oxygen
Can only deny if to transport would violate rules concerning the transportation of hazardous materials
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PERSONS WITH DISABILITIES
Take the time necessary to allow passengers with disabilities to board
comfortably and safely: Be courteous Patient Accepting
The invisible barriers that continue to stand in the way of persons with
disabilities: Negative attitudes Fear Stereotyping Lack of knowledge 15
APPROPRIATE TERMINOLOGY
Use Disabled Non disabled Congenital disability Does not speak
Instead Of Handicapped Able-bodied Birth defect Mute or dumb
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Language plays a powerful and important role in shaping ideas and attitudes creating either a positive or insensitive view of people:
APPROPRIATE TERMINOLOGY
Proper Usage
Hearing impaired Partially sighted Speech impaired Blind People who are... Persons with…
Avoid Using
Victim Afflicted with Cripple Invalid Wheelchair bound Confined to a
wheelchair
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CONSIDER THIS
When we are very young, we depend on others for basic levels of care. Often as
we age, we are again dependent on others. For this reason, people in the
disabled community consider others as “temporarily abled.”
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VISUAL IMPAIRMENTSPeople can be born blind or become
blind later through an accident or disease. When transporting a visually
impaired person: Introduce yourself Offer assistance Use normal tone of voice Clear concise instructions Respect guide dog Use care in giving directions Notify the individual if you are leaving
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HEARING IMPAIRMENTSPersons with severe hearing
impairment rely upon their eyes for signals which represent ideas. When
you transport a person with a hearing impairment:
Introduce yourself Speak clearly and distinctly Provide a clear view of your mouth Use normal tone Speak directly to the person Careful of facial expression
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COGNITIVE DISABILITIESThe range of a persons disability may
be classified as mild, moderate, severe, or profound. When you
transport a person with developmental disabilities:
Introduce yourself Do not talk down to the person Offer assistance, but do not push it Give directions one step at a time Do not assume the person is sick Be patient Treat adults as adults
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SEIZURESThere are several different types of seizures convulsive
seizures or grand mal seizures are the most recognized, and the easiest to control with
medication. They should be allowed to run their course naturally. What should you do?
Stop the vehicle Leave the person in the seat belt if possible Protect them Don’t loosen any tight clothing Roll them to one side Stay with them Help re-orientate the person Notify dispatch Do not put anything in their mouth
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SEIZURESKeep in mind there are several different types
of seizures. There are three types of minor seizures:
Absence seizure – staring into space, rapid eye movements, eyes rolling back into the head.
Simple partial seizure – tremors or trembling along one side of the body, sensory distortions and hallucinations.
Complex partial seizure – inappropriate behaviors such as aimless walking, pulling at clothes and smacking lips.
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NEUROMUSCULAR CONDITIONS
Cerebral Palsy is the result of damage to the nerve tissues of the brain. Mobility problems are caused by imperfect muscle control. Decreased sense of balance May have extensive spasticity Experience problems in communicating May be fully capable intellectually and should be
treated as such
Multiple Sclerosis is a chronic degenerative disease of the central nervous system (brain and spinal cord). Extremes of strength Mobility coordination
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NEUROMUSCULAR CONDITIONS
Muscular Dystrophy is an inherited disease that causes increasing weakness in the muscles. Difficulty in walking Speech problems Poor vision
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OTHER DISABILITIES IMPAIRMENTS CONTINUED
Stroke occurs when the blood supply to a part of the brain is cut off. The person may:
Have difficulty walking Paralysis to one side Difficulty speaking Difficulty understanding what you say Difficulty judging distances Visual impairment
Spinal Cord Injury or disease affecting the spinal cord. The level of damage will determine what
movement or feeling remains: May have partial or complete paralysis of both legs May have partial or complete paralysis of both arms
and legs Paralysis on one side Loss of skin sensation
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OTHER DISABILITIES IMPAIRMENTS CONTINUED
Arthritis is a long-term condition causing pain and stiffness of the joints. It can occur in young people
as well as older people.
May have difficulty walking Maybe unable to walk May have difficulty with hand functions
Hidden disabilities can be one or a combination of impairments, such as epilepsy, heart or lung problems, diabetes, cancer or kidney failure.
May appear non-disabled May have difficulty climbing steps May be unable to walk short distances
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MOBILITY & ACCESSIBILITY
Wheelchairs provide mobility for persons with paralysis, muscle
weakness, lack of coordination, nerve damage, and/or stiffness in joints. When you transport a person who
uses a wheelchair: Do not automatically hang on a persons
wheelchair Offer assistance, but do not insist Talk directly to the person
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ASSISTANCE
One arm assist and two arm assist are two very simple, but incredibly helpful
techniques for assisting passengers to a standing position.
Make sure the person is steady before walking
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INSPECTIONIt is very embarrassing to arrive at your first
stop and find that you do not have the necessary tie-downs to secure a wheelchair
or that the equipment is inoperable. You must have four retractors w/proper floor
anchorage fittings Pull out retractor and inspect webbing Ensure retractors are locking Ensure metal parts are not cracked or damaged Ensure all hardware (nuts/bolts) are secure Ensure floor anchorages are clean and clear of all
dirt and debris
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INSPECTION CONT. One lap belt assembly or lap shoulder belt combination
Check shoulder belt anchorages for proper securement and operation
Inspect lap/shoulder belt webbing for damage or contaminates
Check buckles for damage and proper operation Check pin connector bushing to ensure it is not broken,
cracked or missing Inspect any other parts of the securement system and
accessories that may not be specifically indicated, but are pertinent to safe operation
Webbing Loops Belt cutter
Any parts in question should be immediately reported and replaced. Do not mix securement (manual/retractors)
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LIFT OPERATIONS The lift must always be operated from the ground. Greet your passengers Offer assistance Communicate Back onto lift Set the wheel locks Have the passenger place their hands in their lap Hold onto the wheelchair while in operation Raise the lift three inches off the ground and check the
toe plate Raise to floor level Push chair in as far as you can with control & set
wheel locks Push into vehicle and set wheel locks
Never leave a wheelchair sitting on the platform unattended
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LIFT OPERATION
Park in a suitable location
Open doors and secure
Press unfold button until lift reached floor level
BOARDING A PASSENGER
Assist passenger onto lit & set wheel locks
Ask passenger to turn off the power on a power chair
Make sure wheelchair clears the outer barrier
BOARDING A PASSENGER Make sure the
passengers feet and footrests are clear of the folded outer barrier
BOARDING A PASSENGER Push the UP
button on the lift control
Make sure the outer barrier folds and locks
Keep an eye on the passenger while the lift is rising
BOARDING A PASSENGER
Raise the lift to floor level
If possible assist the passenger off lift and into the vehicle, clear of bridge plate
Set wheel locks Partially fold the lift so
passenger cannot fall off lift while driver goes around to secure
MANUAL LIFT OPERATIONS
Remove cover from pump panel Remove pump arm from cover Insert pump arm into bleeder valve &
turn Once lift is deployed place pump arm
tighten the valve. Insert the pump arm into the pump
opening
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SECUREMENTThere are many different brands, styles
and models of wheelchairs many of which are challenging to secure.
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SECUREMENTIt may be necessary to use the webbing loop on a solid frame member to create
an anchorage point.
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SECUREMENT Make sure you have all of your
securements out and ready
Position the wheelchair in the securement station facing forwardOnce in place lock the wheel locks and
turn-off the power on a motorized wheelchair
While you are handling the wheelchair begin looking for anchorage points
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PennTRAIN
SECUREMENT LOCATIONS Locate mobility device in
center of the 4 floor attachments. Set wheel locks/turn off power.
Rear belts parallel with rear wheels.
Front belts flair out slightly for lateral stability.
Belts should not bend around any part of wheelchair/scooter.
PennTRAIN
REAR SECUREMENT
Apply to chair at a solid junction of frame, if possible about 2” below seat level.
Straps should be about 30-45 degrees.
Tighten securely
SECUREMENT Attach the lap/shoulder belt on the
occupantSecuring the passenger will always
require some minor physical contactAlways place the female lap belt section
with the release button on the aisle side of the passenger
Ensure a snug fit
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PennTRAIN
OCCUPANT RESTRAINT--LAP BELT
Locate lap belt low at pelvic area not over abdomen.
45-75 degrees from horizontal. Snug but not tight.
Postural belts on wheelchair frames are generally NOT designed for safety during
transportation!!!
PennTRAIN
OCCUPANT RESTRAINT-SHOULDER BELT
Locate over shoulder as shown at right.
Shoulder belt should be attached to lap belt.
If not spring tensioned leave some slack--fist test.
PennTRAIN
RECOGNIZING A WC19 WHEELCHAIR
Four labeled securement loops attached to wheelchair frame with hardened bolts
PennTRAIN
“TRANSIT OPTION” WHEELCHAIRS
Crash tested wheelchairs will have 4 attachment locations with hook logo and anchored with hardened bolts.
Use them if present