2010 BC Guide in Determining Fitness to Drive

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12.10 Private and commercial drivers who have deep-vein thrombosisApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleThese guidelines apply to driver fitness determinations for privateand commercial drivers who have deep-vein thrombosis.OSMV will not generally request further information.An individual may not drive if they have acute DVT that is untreated.An individual with DVT may drive if: they are being treated with an anticoagulant, and the treating physician states that treatment is effective.OSMV may find individuals fit to drive if: they are being treated with an anticoagulant, and the treating physician states that treatment is effective.An individual may not drive if they have acute DVT that is untreated.No conditions are required.No restrictions are required.OSMV will not re-assess, other than routine commercial or agerelatedre-assessmentThe primary concern with DVT is the risk of sudden incapacitationdue to a pulmonary embolism. Acute DVT that is untreated is atransient impairment. Once treated, OSMV will find the individualfit to drive.122
Chapter 13: Musculoskeletal ConditionsBACKGROUND13.1 About musculoskeletal conditionsThis chapter is concerned with diseases or injuries that have a persistent impact on themusculoskeletal system. Musculoskeletal refers to the system of muscles, tendons, ligaments,bones, joints, cartilage and other connective tissues. The musculoskeletal system is responsiblefor body movement and stability. Examples of chronic musculoskeletal conditions that mayhave a persistent impact on driving are: diseases of the joints, e.g. rheumatoid arthritis and osteoarthritis disabilities of the spine, e.g. degenerative disc disease or permanent injuries deformity, e.g. scoliosis, and loss of limb.Some musculoskeletal conditions, or procedures to treat the conditions, may result in temporaryimpairment of the functions necessary for driving, including fractures, temporary braces andcasts, hip and knee replacements, and various orthopedic surgeries. These are consideredtransient impairments.13.2 Prevalence and incidence of musculoskeletal conditionsStatistics on the prevalence and incidence of musculoskeletal conditions in general are difficultto obtain because of the broadness of the category and the diversity of conditions within thecategory. Research suggests that musculoskeletal conditions are a leading cause of pain andphysical disability. In Canada, the Ontario Health Survey (1994) found that musculoskeletalconditions are responsible for 54% of all long-term disability, 40% of all chronic conditions, and24% of all restricted activity days. A study in the United States found that the leading causes ofdisability included back or spine problems, stiffness or deformity of limbs and arthritis.Arthritis is an umbrella term referring to a group of more than 100 medical conditions. Two ofthe most common forms of arthritis are osteoarthritis (OA) and rheumatoid arthritis (RA). It isestimated that 9.6% of males and 18.0% of females 60 years of age and older worldwide havesymptomatic OA.RA also has a worldwide distribution with an estimated prevalence of 1 to 2%. Both theincidence and prevalence of RA increase with age and both are two to three times greater inwomen than in men.123
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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
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
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Page 95 and 96: 9.4 Medical condition chapter templ
Page 97 and 98: Private and commercial drivers who
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Page 101 and 102: PercentFigure 1 - Prevalence of Dia
Page 103 and 104: neuropathy, nephropathy, cardiovasc
Page 105 and 106: 11.7 Private and commercial drivers
Page 107 and 108: 11.8 Private drivers with diabetes
Page 109 and 110: 11.9 Commercial drivers with diabet
Page 111 and 112: 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
Page 123 and 124: PART B - HYPOGLYCEMIA11a. Has the p
Page 125 and 126: Produce my glycemic log for my doct
Page 127 and 128: Deep-vein thrombosisDeep-vein throm
Page 129 and 130: Aneurysms less than 5 cm in diamete
Page 131 and 132: GUIDELINES12.6 Private and commerci
Page 133 and 134: 12.7 Private drivers who have an an
Page 135: 12.9 Commercial drivers who have an
Page 139 and 140: ConditionType of drivingimpairment
Page 143 and 144: ConditionsRestrictionsRe-assessment
Page 145 and 146: 14.3 Chronic renal disease and adve
Page 149 and 150: 14.8 Private drivers with end-stage
Page 151 and 152: 14.10 Private and commercial driver
Page 153 and 154: Level ofImpairmentMildlyImpairedMod
Page 157 and 158: 15.8 Commercial drivers with modera
Page 159 and 160: 15.10 Commercial drivers with sever
Page 161 and 162: Policy rationaleDrivers who require
Page 163 and 164: Chapter 16: Vestibular DisordersBAC
Page 165 and 166: One study identified that 32.5% of
Page 167 and 168: ConditionType ofdrivingimpairmentan
Page 169 and 170: Re-assessmentguidelinesPolicy ratio
Page 171 and 172: 16.8 Private and commercial drivers
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
Page 181 and 182: 17.9 Commercial drivers with corona
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17.15 Private drivers who have vent
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17.17 Private and commercial driver
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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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GUIDELINES19.6 Private and commerci
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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
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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
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22.13 Commercial drivers with recur
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Chapter 23: Seizures and EpilepsyBA
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abnormal numbnesstingling and a cra
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23.10 Private drivers with single u
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23.12 Private drivers with epilepsy
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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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ConditionsRestrictionsRe-assessment
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25.2 Prevalence and incidence of tr
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Chapter 26: Intracranial TumoursBAC
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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
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27.4 Effect of cognitive impairment
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Chapter 28: Sleep DisordersBACKGROU
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An immediate reduction in daytime s
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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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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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