2010 BC Guide in Determining Fitness to Drive

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25.5 CompensationIndividuals who have experienced a persistent impairment of motor or sensory function may beable to compensate. An occupational therapist, driver rehabilitation specialist, driver examineror other medical professional may recommend specific compensatory vehicle modifications orrestrictions based on an individual functional assessment.Some examples of compensatory mechanisms are shown in the following table.Motor impairment Steering wheel spinner knob Restriction to automatic transmission orpower-assisted brakesSensory (vision) impairment Scanning horizon more frequently Turning head 90◦ to maximize areascanned Large left and right side mirrors326
GUIDELINES25.6 Private and commercial drivers with a traumatic brain injuryApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsThese guidelines apply to driver fitness determinations for privateand commercial drivers who have suffered a traumatic brain injury(TBI).If the driver has epilepsy as a result of the TBI, also see theguidelines in Chapter 23.If further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report additional information from the treating physician, or an assessment from a specialist.If the treating physician indicates possible impairment of one or moreof the functions necessary for driving, OSMV will request functionalassessment(s) as appropriate for the type(s) of impairment and classof licence held, unless there has been no significant change in theindividual’s condition or functional ability since a previous functionalassessment.Individuals may drive if: they retain sufficient movement and strength to perform thefunctions necessary for driving vehicles in their licence class they have sufficient cognitive and visual function to drive safely any pain associated with their condition or treatment for theircondition does not adversely affect their ability to drive safely where required, a road test or other functional assessmentindicates that they are able to compensate for any loss offunctional ability required for driving, and where permitted, they only drive with any vehicle modificationsand devices required to compensate for their functionalimpairment.OSMV may find individuals fit to drive if: the treating physician does not indicate possible impairment ofthe functions necessary for driving, or where the treating physician indicates that there may beimpairment of the functions necessary for driving, a functionalassessment indicates that they have the functional ability requiredfor their class of licence held.No conditions are required.327
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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
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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
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
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
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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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Page 331 and 332: Level of disabilityor worsening of
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Page 335 and 336: ConditionType of drivingimpairment
Page 337 and 338: ConditionsRestrictionsRe-assessment
Page 339: 25.2 Prevalence and incidence of tr
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
Page 361 and 362: OSMV determinationguidelines cont
Page 363 and 364: ConditionsRestrictionsRe-assessment
Page 365 and 366: Policy rationaleThe general approac
Page 367 and 368: Chapter 29: Prescription and Over-T
Page 369 and 370: Examples of newer antihistamines in
Page 371 and 372: Stimulants (for ADHD)Examples of st
Page 373 and 374: AntiepilepticsIn general, individua
Page 375 and 376: Sedating EffectLowModerateHighTCAsd
Page 377 and 378: dizziness, andblurred or double vis
Page 379 and 380: Re-assessmentguidelinesPolicy ratio
Page 381 and 382: 30.2 Effect of general debility and
Page 383 and 384: 30.5 Private and commercial drivers
Page 385 and 386: Appendix 1: Glossary of TermsCommer
Page 387 and 388: Medical assessmentis any kind of as
Page 389 and 390: 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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