2010 BC Guide in Determining Fitness to Drive

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GUIDELINES21.8 Private drivers with impaired visual acuityApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for privatedrivers who have impaired visual acuity.If further information regarding an individual’s visual acuity isrequired, OSMV will request: an Examination of Visual Functions (EVF), or a vision screening at an ICBC Point of Service, if an individualdoes not live in a community with an optometrist orophthalmologist.The recommended testing procedures are outlined in 21.20.If an individual has a visual acuity of between 20/50 and 20/70 withboth eyes open and examined together, OSMV will request an ICBCroad test. OSMV will not generally request an ICBC road test forindividuals who have a visual acuity of less than 20/70.Individuals may drive if they have visual acuity not less than 20/50(6/15) with both eyes open and examined together.OSMV may find individuals fit to drive if: they have visual acuity not less than 20/50 (6/15) with both eyesopen and examined together, or a functional assessment indicates that they have the functionalability required to drive a private vehicle.No conditions are required.OSMV will impose the following restriction on an individual whorequires corrective lenses in order to meet the fitness guidelines:# 21 Corrective lenses requiredIf the condition causing the impaired visual acuity is not progressive,no re-assessment, other than routine age-related re-assessment, isrequired. This includes: myopia hyperopia, and astigmatism.OSMV will re-assess individuals with cataracts annually until thecataracts are removed.OSMV will re-assess individuals with macular degeneration annually.OSMV will re-assess individuals with glaucoma and diabetic266
Policy rationaleretinopathy depending upon their visual acuity. Individuals with bestcorrected vision of 20/40 or better will be re-assessed every two years.Individuals with best corrected vision of 20/50 or worse will be reassessedannually.There is little research evidence regarding the level of visual acuityrequired for driving fitness. The minimum acuity requirement in theguideline is based on consensus medical opinion in Canada. Becausethere is no definitive level of acuity established for driving fitness,those who do not meet the acuity level in the guideline may request anindividual functional assessment.267
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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
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GUIDELINES12.6 Private and commerci
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12.7 Private drivers who have an an
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12.9 Commercial drivers who have an
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Chapter 13: Musculoskeletal Conditi
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ConditionType of drivingimpairment
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ConditionsRestrictionsRe-assessment
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14.3 Chronic renal disease and adve
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14.8 Private drivers with end-stage
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14.10 Private and commercial driver
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Level ofImpairmentMildlyImpairedMod
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15.8 Commercial drivers with modera
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15.10 Commercial drivers with sever
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Policy rationaleDrivers who require
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Chapter 16: Vestibular DisordersBAC
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One study identified that 32.5% of
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ConditionType ofdrivingimpairmentan
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Re-assessmentguidelinesPolicy ratio
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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
Page 229 and 230: 17.53 SyncopeSee the guidelines in
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Page 233 and 234: Chapter 18: Hearing LossBACKGROUND1
Page 235 and 236: GUIDELINES18.6 Private drivers with
Page 237 and 238: equirement for commercial drivers i
Page 239 and 240: PLEASE COMPLETE THE FOLLOWING: YES
Page 241 and 242: this manual. Axis IV addresses exte
Page 243 and 244: Negative symptoms are characterized
Page 245 and 246: Schizophrenia (Axis I)Schizophrenia
Page 247 and 248: 19.4 Effect of psychiatric disorder
Page 249 and 250: Suicidal ideationSuicidal ideation
Page 251 and 252: GUIDELINES19.6 Private and commerci
Page 253 and 254: Chapter 20: Cerebrovascular Disease
Page 255 and 256: Cerebrovascular accidentCVAs are th
Page 257 and 258: ConditionType of drivingimpairment
Page 259 and 260: GUIDELINES20.6 Private and commerci
Page 261 and 262: Re-assessmentguidelinesPolicy ratio
Page 263 and 264: 20.9 Private drivers who have had s
Page 265 and 266: 20.10 Commercial drivers who have h
Page 267 and 268: Visual field impairment refers to a
Page 269 and 270: Right homonymous hemianopiaBinasal
Page 271 and 272: An example of the effects of diabet
Page 273 and 274: Retinitis pigmentosaRetinitis pigme
Page 275 and 276: GlaucomaApproximately 67 million pe
Page 277 and 278: indicates that wait times of 6 mont
Page 279: Although telescopic spectacles, hem
Page 283 and 284: Policy rationaleIndividuals with be
Page 285 and 286: Re-assessmentguidelines cont’dPol
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Page 289 and 290: 21.13 Commercial drivers with a los
Page 291 and 292: 21.15 Private and commercial driver
Page 293 and 294: 21.17 Visual field impairmentsTypes
Page 295 and 296: 21.18 Examination of visual functio
Page 297 and 298: VISUAL FIELD TEST (VFT)For drivers
Page 299 and 300: To the Driver:Under section 29 of t
Page 301 and 302: Please note:Goldman, Esterman and H
Page 303 and 304: Cardiac syncopeCardiac syncope refe
Page 305 and 306: 22.7 Private drivers who have had a
Page 307 and 308: 22.9 Private drivers with recurrent
Page 309 and 310: 22.11 Commercial drivers who have h
Page 311 and 312: 22.13 Commercial drivers with recur
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Page 315 and 316: abnormal numbnesstingling and a cra
Page 317 and 318: ConditionType of drivingimpairment
Page 319 and 320: 23.8 Private and commercial drivers
Page 321 and 322: 23.10 Private drivers with single u
Page 323 and 324: 23.12 Private drivers with epilepsy
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Level of disabilityor worsening of
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Parkinson’s diseaseThere is a sma
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ConditionType of drivingimpairment
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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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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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