2010 BC Guide in Determining Fitness to Drive

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OSMV will re-assess annually.Re-assessmentguidelinesPolicy rationaleIf the treating physician indicates on two consecutive annual reassessmentsthat: awareness has been regained, and there have been no episodes of hypoglycemia unawareness withinthe past yearthe conditions listed above will be removed and the applicableguidelines for private drivers with diabetes will apply.Persistent hypoglycemia unawareness presents the greatest risk forhypoglycemia while driving. The guidelines permit private drivers tocontinue to drive provided they are able to maintain stable bloodglucose and allows follow more stringent glucose monitoringrequirements.102
11.13 Commercial drivers who have an episode of severe hypoglycemiaApplicationAssessmentguidelinesFitness guidelinesOSMVdeterminationguidelinesConditionsThese guidelines apply to driver fitness determinations for commercial driverswho have had an episode of severe hypoglycemia within the previous 6months. If the episode was caused by hypoglycemia unawareness, see theguidelines under 11.14.Driver fitness determinations will be made by case managers.If further information is required, OSMV will request: a Doctor’s Report on Commercial Driver with Diabetes on Insulincompleted by the treating physician. To complete this form, the individualmust have the results of an HbA1C test taken within the previous 3months, and a Driver’s Report – Commercial Driver with Diabetes on Insulincompleted by the applicant.Individuals may drive if: they have provided their treating physician with a blood glucose log of atleast 4 readings per day for 30 days, in which less than 5% of the readingsare below 4.0 mmol/L their treating physician has indicated to OSMV that they have reestablishedstable glycemic control and OSMV has determined that theyare fit to resume driving. The period of time required to re-establishglycemic control will vary on a case-by-case basis, and upon return to driving, they test their blood glucose immediately beforedriving and approximately every hour while driving, and do not drive iftheir blood glucose level is below 6.0 mmol/LIf after six months there are no further episodes, they may continue to drive ifthey follow the regular guidelines for drivers with diabetes.OSMV may find individuals fit to drive if: they have provided their treating physician with a blood glucose log of atleast 4 readings per day for 30 days, in which less than 5% of the readingsare below 4.0 mmol/L, and their treating physician has indicated to OSMV that they have reestablishedstable glycemic control. The period of time required to reestablishglycemic control will vary on a case-by-case basis.OSMV will impose the following conditions on an individual who is found fitto drive: you must report to OSMV and your physician if you have an episode ofsevere hypoglycemia for the next six months, you must test your blood glucose concentrationimmediately before driving and approximately every hour while driving,and for the next six months you must not drive, or you must stop driving, whenyour blood glucose level falls below 6.0 mmol/L and you must not resumedriving until your blood glucose level has risen above 6.0 mmol/L afterfood ingestion.103
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Ministry of Public Safety and Solic
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AcknowledgmentsResearcherBonnie M.
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Table of Contents (click on any ite
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11.7 Private and commercial drivers
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BACKGROUND ........................
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PART 1:BACKGROUND1
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Appendix 2: Excerpts from the MVA t
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Chapter 2: The Driver Fitness Progr
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for the exercise of discretion by O
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1. SCREENINGA driver disclosesa med
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2.3 Roles and responsibilitiesOSMV
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Medical practitionersMedical practi
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Chapter 3:Driver Fitness Program Pr
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Because of these limitations, OSMV
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Example: the temporary storage of i
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Motor functions (including sensorim
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an individual with poor contrast se
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3.5 Best informationDriver fitness
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Chapter 4: Introduction to the Poli
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3. DETERMINATIONFrom2. AssessmentAn
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Once identified, a DMER is mailed t
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5.3 Screening aging driversDefiniti
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5.5 Transient impairmentsDefinition
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Chapter 6: Assessment Policies and
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6.2 Assessments will only be reques
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6.4 Requesting specialist assessmen
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Policy6.5.1 If a case manager or ad
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Persistent and episodic impairments
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further assessment. Drivers who sco
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6.9.4 A case manager or adjudicator
Page 65 and 66: ASSESSMENT PROCEDURESCase manager o
Page 67 and 68: A driver fitness determination is a
Page 69 and 70: Policy rationaleBecause individuals
Page 71 and 72: 7.5.3 Generally, an individual whos
Page 73 and 74: 7.6.2 In particular, the case manag
Page 75 and 76: 7.8.3 Whether an individual can com
Page 77 and 78: in order to be fit to drive, the ca
Page 79 and 80: has the judgment and willingness to
Page 81 and 82: Policy7.11.1 If a case manager or a
Page 83 and 84: (e) the medical condition results i
Page 85 and 86: 7.12 Communicating a decisionPolicy
Page 87 and 88: 7.13 Determination proceduresThe fo
Page 89 and 90: During the reconsideration, the adj
Page 91 and 92: 8.3 Reconsideration proceduresThe f
Page 93 and 94: Chapter 9:Introduction to the Medic
Page 95 and 96: 9.4 Medical condition chapter templ
Page 97 and 98: Private and commercial drivers who
Page 99 and 100: Chapter 11: Diabetes - Hypoglycemia
Page 101 and 102: PercentFigure 1 - Prevalence of Dia
Page 103 and 104: neuropathy, nephropathy, cardiovasc
Page 105 and 106: 11.7 Private and commercial drivers
Page 107 and 108: 11.8 Private drivers with diabetes
Page 109 and 110: 11.9 Commercial drivers with diabet
Page 111 and 112: RestrictionsRe-assessmentguidelines
Page 113 and 114: Policy rationaleSevere hypoglycemia
Page 115: 11.12 Private drivers who have pers
Page 119 and 120: 11.14 Commercial drivers who have a
Page 121 and 122: 11.15 Commercial drivers who have p
Page 123 and 124: PART B - HYPOGLYCEMIA11a. Has the p
Page 125 and 126: Produce my glycemic log for my doct
Page 127 and 128: Deep-vein thrombosisDeep-vein throm
Page 129 and 130: Aneurysms less than 5 cm in diamete
Page 131 and 132: GUIDELINES12.6 Private and commerci
Page 133 and 134: 12.7 Private drivers who have an an
Page 135 and 136: 12.9 Commercial drivers who have an
Page 137 and 138: Chapter 13: Musculoskeletal Conditi
Page 139 and 140: ConditionType of drivingimpairment
Page 143 and 144: ConditionsRestrictionsRe-assessment
Page 145 and 146: 14.3 Chronic renal disease and adve
Page 149 and 150: 14.8 Private drivers with end-stage
Page 151 and 152: 14.10 Private and commercial driver
Page 153 and 154: Level ofImpairmentMildlyImpairedMod
Page 157 and 158: 15.8 Commercial drivers with modera
Page 159 and 160: 15.10 Commercial drivers with sever
Page 161 and 162: Policy rationaleDrivers who require
Page 163 and 164: Chapter 16: Vestibular DisordersBAC
Page 165 and 166: One study identified that 32.5% of
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ConditionType ofdrivingimpairmentan
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Re-assessmentguidelinesPolicy ratio
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16.10 Private and commercial driver
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Individuals who have undergone valv
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Episodic impairmentThe potential ep
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GUIDELINES17.6 Policy rationaleThes
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17.9 Commercial drivers with corona
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17.11 Private drivers who have had
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17.15 Private drivers who have vent
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17.19 Private drivers who have sust
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17.21 Commercial drivers who have s
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17.27 Private drivers with atrioven
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17.28 Commercial drivers with atrio
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17.29 Private drivers with permanen
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17.31 Private drivers who have decl
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17.33 Private drivers where ICD the
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17.35 Commercial drivers who have d
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17.37 Commercial drivers with inher
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17.39 Commercial drivers with medic
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17.41 Private drivers with surgical
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17.43 Private drivers with mitral v
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17.45 Private drivers with congesti
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17.46 Commercial drivers with conge
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17.47 Private drivers with left ven
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17.49 Private drivers with a heart
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17.51 Private drivers with hypertro
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17.53 SyncopeSee the guidelines in
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Stable coronary syndromes - waiting
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Chapter 18: Hearing LossBACKGROUND1
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GUIDELINES18.6 Private drivers with
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equirement for commercial drivers i
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PLEASE COMPLETE THE FOLLOWING: YES
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this manual. Axis IV addresses exte
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Negative symptoms are characterized
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Schizophrenia (Axis I)Schizophrenia
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19.4 Effect of psychiatric disorder
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Suicidal ideationSuicidal ideation
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GUIDELINES19.6 Private and commerci
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Chapter 20: Cerebrovascular Disease
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Cerebrovascular accidentCVAs are th
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ConditionType of drivingimpairment
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20.9 Private drivers who have had s
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20.10 Commercial drivers who have h
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Visual field impairment refers to a
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Right homonymous hemianopiaBinasal
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An example of the effects of diabet
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Retinitis pigmentosaRetinitis pigme
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GlaucomaApproximately 67 million pe
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indicates that wait times of 6 mont
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Although telescopic spectacles, hem
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Policy rationaleretinopathy dependi
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Policy rationaleIndividuals with be
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Re-assessmentguidelines cont’dPol
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Re-assessmentguidelines cont’dPol
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21.13 Commercial drivers with a los
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21.17 Visual field impairmentsTypes
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21.18 Examination of visual functio
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VISUAL FIELD TEST (VFT)For drivers
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To the Driver:Under section 29 of t
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Please note:Goldman, Esterman and H
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Cardiac syncopeCardiac syncope refe
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22.7 Private drivers who have had a
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22.9 Private drivers with recurrent
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22.11 Commercial drivers who have h
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22.13 Commercial drivers with recur
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Chapter 23: Seizures and EpilepsyBA
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abnormal numbnesstingling and a cra
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23.10 Private drivers with single u
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23.12 Private drivers with epilepsy
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23.18 Commercial drivers with epile
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Level of disabilityor worsening of
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Parkinson’s diseaseThere is a sma
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ConditionsRestrictionsRe-assessment
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25.2 Prevalence and incidence of tr
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Chapter 26: Intracranial TumoursBAC
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Some examples of compensatory mecha
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i. aphasia (language disturbance)ii
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27.2 Prevalence and incidence of co
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27.4 Effect of cognitive impairment
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Chapter 28: Sleep DisordersBACKGROU
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An immediate reduction in daytime s
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28.5 CompensationIndividuals with s
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OSMV determinationguidelines cont
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ConditionsRestrictionsRe-assessment
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Policy rationaleThe general approac
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Chapter 29: Prescription and Over-T
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Examples of newer antihistamines in
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Stimulants (for ADHD)Examples of st
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AntiepilepticsIn general, individua
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Sedating EffectLowModerateHighTCAsd
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dizziness, andblurred or double vis
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30.2 Effect of general debility and
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Appendix 1: Glossary of TermsCommer
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Medical assessmentis any kind of as
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Transient impairmentmeans a tempora
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must cause to be issued to the appl
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(ii) cancel the person's driver's l
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Appendix 3: Aging DriversAbout agin
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Percentadults. The survey also foun
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Appendix 4: Licence ClassesThe tabl
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Appendix 5: Drafting and Approval P
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drivers, this means that BC commerc
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2010 BC Guide in Determining Fitness to Drive

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