2010 BC Guide in Determining Fitness to Drive

GUIDELINES20.6 Private and commercial drivers who have had a TIAApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleThese guidelines apply to driver fitness determinations for privateand commercial drivers who have had a transient ischemic attack(TIA).OSMV will not generally request further information.Individuals may drive if: it has been at least 2 weeks since the TIA, and they follow any prescribed diagnostic or treatment regime.OSMV may find individuals fit to drive if: it has been at least 2 weeks since the TIA, and they follow any prescribed diagnostic or treatment regime.OSMV will impose the following conditions on an individual who isfound fit to drive: you must report any further TIAs to OSMV, and you must remain under regular medical supervision and followyour physician’s advice regarding treatment.No restrictions are required.OSMV will re-assess in one year. At that time, if the treatingphysician indicates that there have been no further TIAs or CVAs, nofurther re-assessment, other than routine commercial or age-relatedre-assessment, is required.The primary driver fitness concern with a TIA is the risk for a CVAafter a TIA. By definition, there are no persistent impairmentsassociated with a TIA. The risk for CVA is greatest immediatelyafter the TIA and decreases significantly overtime. Subject matterexperts recommended a minimum no-driving period of two weeks,with appropriate follow-up and treatment.245