2010 BC Guide in Determining Fitness to Drive

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22.12 Commercial drivers with syncope with a treated or reversible causeApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations forcommercial drivers who have: syncope with a reversible cause, or syncope with a diagnosed and treated cause (e.g., pacemaker forbradycardia).OSMV will not generally request further information.Individuals who experience syncope with a reversible cause maydrive if the cause has been successfully treated.Individuals with syncope where the cause has been diagnosed andtreated may drive if it has been at least 1 month since successfultreatment.OSMV may find individuals fit to drive if the cause of the syncopehas been successfully treated.OSMV will impose the following condition on an individual who isfound fit to drive: you must report to OSMV and your physician if you have anotherepisode of syncope.No restrictions are required.No re-assessment, other than routine commercial re-assessment isrequired, unless re-assessment is required because of the underlyingmedical condition or treatment.296
22.13 Commercial drivers with recurrent situational syncopeApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for privatedrivers who have had two or more episodes of situational syncopewith an avoidable trigger (e.g., micturition syncope, defecationsyncope) within a 12 month period.OSMV will not generally request further information.Individuals may drive if it has been at least 1 week since their lastepisode of syncope.Individuals are fit to drive.No conditions are required.No restrictions are required.No re-assessment, other than routine commercial re-assessment, isrequired.297
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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
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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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Chapter 20: Cerebrovascular Disease
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Cerebrovascular accidentCVAs are th
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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 and 280: Although telescopic spectacles, hem
Page 281 and 282: Policy rationaleretinopathy dependi
Page 283 and 284: Policy rationaleIndividuals with be
Page 285 and 286: Re-assessmentguidelines cont’dPol
Page 287 and 288: Re-assessmentguidelines cont’dPol
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
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Page 313 and 314: Chapter 23: Seizures and EpilepsyBA
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
Page 329 and 330: 23.18 Commercial drivers with epile
Page 331 and 332: Level of disabilityor worsening of
Page 333 and 334: Parkinson’s diseaseThere is a sma
Page 335 and 336: ConditionType of drivingimpairment
Page 337 and 338: ConditionsRestrictionsRe-assessment
Page 339 and 340: 25.2 Prevalence and incidence of tr
Page 341 and 342: GUIDELINES25.6 Private and commerci
Page 343 and 344: Chapter 26: Intracranial TumoursBAC
Page 345 and 346: Some examples of compensatory mecha
Page 347 and 348: Re-assessmentguidelinesPolicy ratio
Page 349 and 350: i. aphasia (language disturbance)ii
Page 351 and 352: 27.2 Prevalence and incidence of co
Page 353 and 354: 27.4 Effect of cognitive impairment
Page 355 and 356: Chapter 28: Sleep DisordersBACKGROU
Page 357 and 358: An immediate reduction in daytime s
Page 359 and 360: 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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Re-assessmentguidelinesPolicy ratio
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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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