What action should be taken if scarring of the tympanic membranes is noted during a commercial driver's examination?

When scarring of the tympanic membranes is observed during a commercial driver's examination, the appropriate action is to document this finding. Documentation is crucial in the medical examination process, as it provides a record of the driver's health status and any potentially relevant medical conditions. Scarring, which could indicate previous ear infections or other issues, should be noted for future reference and follow-up, but it does not by itself disqualify a driver from certification.

Proper documentation assists in ensuring that any future concerns can be addressed, and it supports continuity of care if the driver has other medical evaluations or conditions that could relate to their fitness for duty. Other actions, such as disqualifying the driver or deferring certification pending evaluations from specialists, may not be necessary without further evidence that the scarring impacts the driver’s hearing abilities or overall fitness to drive. Thus, documenting the finding is not only a regulatory requirement but also a responsible medical practice.