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2010 BC Guide in Determining Fitness to Drive

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5.5 Transient impairmentsDef<strong>in</strong>itionsTransient impairmentmeans a temporary impairment of the functional ability <strong>to</strong> drive wherethere is little or no likelihood of a recurr<strong>in</strong>g episodic, or ongo<strong>in</strong>gpersistent, impairment. Examples of transient impairments are:the after-effects of surgery, e.g. the time <strong>to</strong> recover from theanaesthetic and the surgery itselfPolicyfractures and casts, post-orthopedic surgeryconcussioneye surgery, e.g. cataract surgeryuse of orthopaedic braces (<strong>in</strong>clud<strong>in</strong>g neck), andcardiac <strong>in</strong>flammation and <strong>in</strong>fections.5.5.1 The <strong>Drive</strong>r <strong>Fitness</strong> Program does not screen <strong>in</strong>dividuals withtransient impairments.Policy rationaleOSMV does not need <strong>to</strong> know when a driver has experienced a transientimpairment. In these cases, a doc<strong>to</strong>r may rely on best practices <strong>to</strong> tell apatient, for example, “don’t drive for 6 weeks after your abdom<strong>in</strong>alsurgery.” The Canadian Medical Association (CMA) <strong>Guide</strong> forPhysicians when Determ<strong>in</strong><strong>in</strong>g <strong>Fitness</strong> <strong>to</strong> <strong>Drive</strong> (2007) conta<strong>in</strong>s guidel<strong>in</strong>esfor physicians for many transient impairments associated with a range ofmedical conditions.5.6 Cancell<strong>in</strong>g or restrict<strong>in</strong>g a licence because of an immediatepublic safety riskPolicy5.6.1 If the <strong>in</strong>formation obta<strong>in</strong>ed dur<strong>in</strong>g screen<strong>in</strong>g reveals an immediaterisk <strong>to</strong> public safety, OSMV may direct IC<strong>BC</strong> <strong>to</strong> cancel or restrict alicence without further assessment.35

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