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2010 BC Guide in Determining Fitness to Drive

2010 BC Guide in Determining Fitness to Drive

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17.15 Private drivers who have ventricular fibrillation with no reversible causeApplicationAssessmentguidel<strong>in</strong>es<strong>Fitness</strong> guidel<strong>in</strong>esOSMVdeterm<strong>in</strong>ationguidel<strong>in</strong>esConditionsRestrictionsRe-assessmentguidel<strong>in</strong>esThese guidel<strong>in</strong>es apply <strong>to</strong> driver fitness determ<strong>in</strong>ations for privatedrivers who have ventricular fibrillation (VF) with no reversiblecause. These guidel<strong>in</strong>es do not apply <strong>to</strong> drivers who have VF due <strong>to</strong>any of the follow<strong>in</strong>g reversible causes: VF with<strong>in</strong> 24 hours of myocardial <strong>in</strong>farction VF dur<strong>in</strong>g coronary angiography VF with electrocution, or VF secondary <strong>to</strong> drug <strong>to</strong>xicity.If VF has a reversible cause, it is considered a transient condition.The Canadian Cardiovascular Society recommendation for VF with areversible cause is <strong>in</strong>cluded <strong>in</strong> 17.55.If further <strong>in</strong>formation regard<strong>in</strong>g an <strong>in</strong>dividual’s medical condition isrequired, OSMV will request: a <strong>Drive</strong>r’s Medical Exam<strong>in</strong>ation Report additional <strong>in</strong>formation from the treat<strong>in</strong>g physician, or an assessment from a cardiologist.If cognitive screen<strong>in</strong>g <strong>in</strong>dicates that the cognitive functions necessaryfor driv<strong>in</strong>g are impaired, OSMV will not request further assessments.If the treat<strong>in</strong>g physician, or cognitive screen<strong>in</strong>g, <strong>in</strong>dicates possibleimpairment of the cognitive functions necessary for driv<strong>in</strong>g, OSMVwill request a <strong>Drive</strong>ABLE assessment.Individuals may drive if: it has been 6 months or more s<strong>in</strong>ce their last episode of VF, and they have sufficient cognitive function <strong>to</strong> drive.OSMV may f<strong>in</strong>d <strong>in</strong>dividuals fit <strong>to</strong> drive if: it has been at least six months s<strong>in</strong>ce their last episode of VF, and the treat<strong>in</strong>g physician or cognitive screen<strong>in</strong>g does not <strong>in</strong>dicatepossible impairment of the cognitive functions necessary fordriv<strong>in</strong>g or, where the treat<strong>in</strong>g physician or cognitive screen<strong>in</strong>g<strong>in</strong>dicates possible impairment of the cognitive functionsnecessary for driv<strong>in</strong>g, a functional assessment <strong>in</strong>dicates that theyhave the functional ability required <strong>to</strong> drive a private vehicle.No conditions are required.No restrictions are required.If the treat<strong>in</strong>g physician or cognitive screen<strong>in</strong>g <strong>in</strong>dicates possiblecognitive impairment, OSMV will re-assess annually. Otherwise,OSMV will re-assess every five years, or as recommended by thetreat<strong>in</strong>g physician, unless rout<strong>in</strong>e age-related re-assessment applies.173

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