2010 BC Guide in Determining Fitness to Drive

28.8 Private drivers with narcolepsyApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for privatedrivers who have narcolepsy.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 respirologist.If cognitive screening indicates that the cognitive functions necessaryfor driving are impaired, OSMV will not request further assessments.If the treating physician, or cognitive screening, indicates possiblepersistent impairment of the cognitive functions necessary fordriving, OSMV will request a DriveABLE assessment, unless therehas been no significant change in the individual’s condition orcognitive ability since a previous functional assessment.Individuals may drive if: they have had no daytime sleep attacks, with or without treatment,during the past 12 months they have had no episodes of cataplexy, with or withouttreatment, during the past 12 months, and the results of a cognitive screening test such as MOCA, MMSE,SIMARD-MD, Trails A or Trails B indicate that they havesufficient cognitive function to drive, or where required, aDriveABLE assessment indicates that they are fit to drive.OSMV may find individuals fit to drive if: they have had no daytime sleep attacks, with or without treatment,during the past 12 months they have had no episodes of cataplexy, with or withouttreatment, during the past 12 months, and the treating physician or cognitive screening does not indicatepossible impairment of the cognitive functions necessary fordriving or, where the treating physician or cognitive screeningindicates possible impairment of the cognitive functionsnecessary for driving, a functional assessment indicates that theyhave the functional ability required to drive a private vehicle.No conditions are required.No restrictions are required.OSMV will re-assess annually. If no episodes or attacks are reported,OSMV may assess less frequently upon the recommendation of thetreating physician.350