2010 BC Guide in Determining Fitness to Drive

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17.10 Private and commercial drivers with asymptomatic coronary artery diseaseor stable anginaApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for privateand commercial drivers who have : asymptomatic coronary artery disease, or stable angina.OSMV will not generally request further information.No restrictions.Individuals are fit to drive.No conditions are required.No restrictions are required.OSMV will re-assess every five years, unless routine commercial orage-related re-assessment applies.168
17.11 Private drivers who have had CABG surgeryApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleThese guidelines apply to driver fitness determinations for privatedrivers who have had coronary artery bypass graft (CABG) surgeryIf further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report, or additional information from the treating physician.If cognitive screening indicates that the cognitive functions necessaryfor driving are not impaired, OSMV will not request furtherassessments.If the treating physician, or cognitive screening, indicates possibleimpairment of the cognitive functions necessary for driving, OSMVwill request a DriveABLE assessment.Individuals may drive if: it has been 1 month or more since CABG surgery, and they have sufficient cognitive function to drive.OSMV may find individuals fit to drive if: the treating physician or cognitive screening does not indicatepossible impairment of the cognitive functions necessary fordriving, or where the treating physician or cognitive screening indicatespossible impairment of the cognitive functions necessary fordriving, a functional assessment indicates that they have thefunctional ability required to drive a private vehicle.No conditions are required.No restrictions are required.If the treating physician or cognitive screening indicates possiblecognitive impairment, OSMV will re-assess annually. Otherwise,OSMV will re-assess every five years, unless routine age-related reassessmentapplies.The guidelines regarding cognitive screening are not included in theCCS recommendations. These have been added to address thepotential for persistent cognitive impairment associated with postoperativecognitive decline (POCD) following CABG surgery.169
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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
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ASSESSMENT PROCEDURESCase manager o
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A driver fitness determination is a
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Policy rationaleBecause individuals
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7.5.3 Generally, an individual whos
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7.6.2 In particular, the case manag
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7.8.3 Whether an individual can com
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in order to be fit to drive, the ca
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has the judgment and willingness to
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Policy7.11.1 If a case manager or a
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(e) the medical condition results i
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7.12 Communicating a decisionPolicy
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7.13 Determination proceduresThe fo
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During the reconsideration, the adj
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8.3 Reconsideration proceduresThe f
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Chapter 9:Introduction to the Medic
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9.4 Medical condition chapter templ
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Private and commercial drivers who
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Chapter 11: Diabetes - Hypoglycemia
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PercentFigure 1 - Prevalence of Dia
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neuropathy, nephropathy, cardiovasc
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11.8 Private drivers with diabetes
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11.9 Commercial drivers with diabet
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RestrictionsRe-assessmentguidelines
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Policy rationaleSevere hypoglycemia
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11.12 Private drivers who have pers
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11.13 Commercial drivers who have a
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11.14 Commercial drivers who have a
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11.15 Commercial drivers who have p
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PART B - HYPOGLYCEMIA11a. Has the p
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Produce my glycemic log for my doct
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Deep-vein thrombosisDeep-vein throm
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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
Page 167 and 168: ConditionType ofdrivingimpairmentan
Page 169 and 170: Re-assessmentguidelinesPolicy ratio
Page 171 and 172: 16.8 Private and commercial drivers
Page 175 and 176: Individuals who have undergone valv
Page 177 and 178: Episodic impairmentThe potential ep
Page 179 and 180: GUIDELINES17.6 Policy rationaleThes
Page 181: 17.9 Commercial drivers with corona
Page 187 and 188: 17.15 Private drivers who have vent
Page 191 and 192: 17.19 Private drivers who have sust
Page 193 and 194: 17.21 Commercial drivers who have s
Page 199 and 200: 17.27 Private drivers with atrioven
Page 201 and 202: 17.28 Commercial drivers with atrio
Page 203 and 204: 17.29 Private drivers with permanen
Page 205 and 206: 17.31 Private drivers who have decl
Page 207 and 208: 17.33 Private drivers where ICD the
Page 209 and 210: 17.35 Commercial drivers who have d
Page 211 and 212: 17.37 Commercial drivers with inher
Page 213 and 214: 17.39 Commercial drivers with medic
Page 215 and 216: 17.41 Private drivers with surgical
Page 217 and 218: 17.43 Private drivers with mitral v
Page 219 and 220: 17.45 Private drivers with congesti
Page 221 and 222: 17.46 Commercial drivers with conge
Page 223 and 224: 17.47 Private drivers with left ven
Page 225 and 226: 17.49 Private drivers with a heart
Page 227 and 228: 17.51 Private drivers with hypertro
Page 229 and 230: 17.53 SyncopeSee the guidelines in
Page 231 and 232: 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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Re-assessmentguidelinesPolicy ratio
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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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21.15 Private and commercial driver
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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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