2010 BC Guide in Determining Fitness to Drive

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1. SCREENINGA driver disclosesa medicalcondition to ICBC,or fails visionscreening, atlicence applicationor renewalTheOSMVreceivesacrediblereportTheOSMVreceivesa reportpursuantto MVAs. 230A scheduledreassessmentintervalexpiresA driver turns80 or a routineage relatedscreening isdueA driver appliesfor acommercialclass licence ora routinecommercialscreening is dueA DMER is mailed to the driver2. ASSESSMENT (subject to revision)A physician conducts a driver’s medical examination,documents the results on the DMER and sends the DMER tothe OSMVAn intake agent reviews the DMER and any other relevantinformation and decides whether a driver fitness determinationis requiredIs a determinationrequired?NoYesIs a reassessmentInterval required?NoEnd of processYesThe intake agent schedules areassessmentAn adjudicator or case manager reviews the DMER and anyother relevant information and decides whether furtherinformation is required in order to make a determinationIs further informationrequired?NoTo3. DeterminationYesThe adjudicator or casemanager requestsmedical and/orfunctional assessments28
3. DETERMINATIONFrom2. AssessmentAn adjudicator or case manager reviews the DMER and anyother assessment results, driving record, other information onfile and medical condition guidelines and determines whetherdriver is fit to driveIs the driver fit to drive?NoYesIs a reassessmentInterval required?The adjudicator orcase manager sendsthe driver a lettercommunicating thedeterminationYesNoThe adjudicator or case managerschedules a reassessmentAre conditions orrestrictions required?YesNoEnd of process4. RECONSIDERATIONNoDoes the driver ask for areview of the decision?YesAn adjudicator or case manager reconsiders the decisionand may request additional assessments. At theconclusion of the reconsideration, the adjudicator or casemanager sends the individual a letter either confirming theoriginal determination or substituting a new determinationEnd of process29
Page 1 and 2: Ministry of Public Safety and Solic
Page 3 and 4: AcknowledgmentsResearcherBonnie M.
Page 5 and 6: Table of Contents (click on any ite
Page 7 and 8: 11.7 Private and commercial drivers
Page 13 and 14: BACKGROUND ........................
Page 15 and 16: PART 1:BACKGROUND1
Page 17 and 18: Appendix 2: Excerpts from the MVA t
Page 19 and 20: Chapter 2: The Driver Fitness Progr
Page 21 and 22: for the exercise of discretion by O
Page 23 and 24: 1. SCREENINGA driver disclosesa med
Page 25 and 26: 2.3 Roles and responsibilitiesOSMV
Page 27 and 28: Medical practitionersMedical practi
Page 29 and 30: Chapter 3:Driver Fitness Program Pr
Page 31 and 32: Because of these limitations, OSMV
Page 33 and 34: Example: the temporary storage of i
Page 35 and 36: Motor functions (including sensorim
Page 37 and 38: an individual with poor contrast se
Page 39 and 40: 3.5 Best informationDriver fitness
Page 41: Chapter 4: Introduction to the Poli
Page 45 and 46: Once identified, a DMER is mailed t
Page 47 and 48: 5.3 Screening aging driversDefiniti
Page 49 and 50: 5.5 Transient impairmentsDefinition
Page 51 and 52: Chapter 6: Assessment Policies and
Page 53 and 54: 6.2 Assessments will only be reques
Page 55 and 56: 6.4 Requesting specialist assessmen
Page 57 and 58: Policy6.5.1 If a case manager or ad
Page 59 and 60: Persistent and episodic impairments
Page 61 and 62: further assessment. Drivers who sco
Page 63 and 64: 6.9.4 A case manager or adjudicator
Page 65 and 66: ASSESSMENT PROCEDURESCase manager o
Page 67 and 68: A driver fitness determination is a
Page 69 and 70: Policy rationaleBecause individuals
Page 71 and 72: 7.5.3 Generally, an individual whos
Page 73 and 74: 7.6.2 In particular, the case manag
Page 75 and 76: 7.8.3 Whether an individual can com
Page 77 and 78: in order to be fit to drive, the ca
Page 79 and 80: has the judgment and willingness to
Page 81 and 82: Policy7.11.1 If a case manager or a
Page 83 and 84: (e) the medical condition results i
Page 85 and 86: 7.12 Communicating a decisionPolicy
Page 87 and 88: 7.13 Determination proceduresThe fo
Page 89 and 90: During the reconsideration, the adj
Page 91 and 92: 8.3 Reconsideration proceduresThe f
Page 93 and 94:
Chapter 9:Introduction to the Medic
Page 95 and 96:
9.4 Medical condition chapter templ
Page 97 and 98:
Private and commercial drivers who
Page 99 and 100:
Chapter 11: Diabetes - Hypoglycemia
Page 101 and 102:
PercentFigure 1 - Prevalence of Dia
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neuropathy, nephropathy, cardiovasc
Page 105 and 106:
11.7 Private and commercial drivers
Page 107 and 108:
11.8 Private drivers with diabetes
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11.9 Commercial drivers with diabet
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RestrictionsRe-assessmentguidelines
Page 113 and 114:
Policy rationaleSevere hypoglycemia
Page 115 and 116:
11.12 Private drivers who have pers
Page 117 and 118:
11.13 Commercial drivers who have a
Page 119 and 120:
11.14 Commercial drivers who have a
Page 121 and 122:
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
Page 139 and 140:
ConditionType of drivingimpairment
Page 141 and 142:
Page 143 and 144:
ConditionsRestrictionsRe-assessment
Page 145 and 146:
14.3 Chronic renal disease and adve
Page 147 and 148:
Page 149 and 150:
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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Page 157 and 158:
15.8 Commercial drivers with modera
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15.10 Commercial drivers with sever
Page 161 and 162:
Policy rationaleDrivers who require
Page 163 and 164:
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
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Individuals who have undergone valv
Page 177 and 178:
Episodic impairmentThe potential ep
Page 179 and 180:
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
Page 185 and 186:
Page 187 and 188:
17.15 Private drivers who have vent
Page 189 and 190:
Page 191 and 192:
17.19 Private drivers who have sust
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17.21 Commercial drivers who have s
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Page 197 and 198:
Page 199 and 200:
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
Page 211 and 212:
17.37 Commercial drivers with inher
Page 213 and 214:
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
Page 227 and 228:
17.51 Private drivers with hypertro
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17.53 SyncopeSee the guidelines in
Page 231 and 232:
Stable coronary syndromes - waiting
Page 233 and 234:
Chapter 18: Hearing LossBACKGROUND1
Page 235 and 236:
GUIDELINES18.6 Private drivers with
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equirement for commercial drivers i
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PLEASE COMPLETE THE FOLLOWING: YES
Page 241 and 242:
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
Page 251 and 252:
Page 253 and 254:
Chapter 20: Cerebrovascular Disease
Page 255 and 256:
Cerebrovascular accidentCVAs are th
Page 257 and 258:
Page 259 and 260:
Page 261 and 262:
Page 263 and 264:
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
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21.13 Commercial drivers with a los
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21.17 Visual field impairmentsTypes
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21.18 Examination of visual functio
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VISUAL FIELD TEST (VFT)For drivers
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To the Driver:Under section 29 of t
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Please note:Goldman, Esterman and H
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Cardiac syncopeCardiac syncope refe
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22.7 Private drivers who have had a
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22.9 Private drivers with recurrent
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22.11 Commercial drivers who have h
Page 311 and 312:
22.13 Commercial drivers with recur
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Chapter 23: Seizures and EpilepsyBA
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abnormal numbnesstingling and a cra
Page 317 and 318:
Page 319 and 320:
Page 321 and 322:
23.10 Private drivers with single u
Page 323 and 324:
23.12 Private drivers with epilepsy
Page 325 and 326:
Page 327 and 328:
Page 329 and 330:
23.18 Commercial drivers with epile
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Level of disabilityor worsening of
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Parkinson’s diseaseThere is a sma
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Page 337 and 338:
Page 339 and 340:
25.2 Prevalence and incidence of tr
Page 341 and 342:
Page 343 and 344:
Chapter 26: Intracranial TumoursBAC
Page 345 and 346:
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
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:
Page 365 and 366:
Policy rationaleThe general approac
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Chapter 29: Prescription and Over-T
Page 369 and 370:
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
Page 389 and 390:
Transient impairmentmeans a tempora
Page 391 and 392:
must cause to be issued to the appl
Page 393 and 394:
(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
Page 399 and 400:
Appendix 4: Licence ClassesThe tabl
Page 401 and 402:
Appendix 5: Drafting and Approval P
Page 403:
drivers, this means that BC commerc
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2010 BC Guide in Determining Fitness to Drive

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