2010 BC Guide in Determining Fitness to Drive

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13.7 Private and commercial drivers who have a chronic musculoskeletalconditionApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesThese guidelines apply to driver fitness determinations for privateand commercial drivers who have a chronic musculoskeletalcondition, including: diseases of the joints disabilities of the spine, and deformity.If further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report, or additional information from the treating physician.If the treating physician indicates: loss of range of motion, and/or weaknessOSMV will request an ICBC road test, unless there has been nosignificant change in the individual’s condition or functional abilitysince a previous functional assessment.If an ICBC driver examiner recommends further assessment, OSMVmay request: additional information regarding the individual’s medicalcondition, and/or an assessment from an occupational therapist or driverrehabilitation specialist.Individuals may drive if: they retain sufficient movement and strength to perform thefunctions necessary for driving for their class of licence held pain associated with the condition, or the drugs used to treat thecondition, do 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: their treating physician does not indicate a loss of range of motionor weakness that may impair their functional ability to drive, or where their treating physician does indicate a loss of range ofmotion or weakness that may impair their functional ability todrive, a functional assessment indicates that they have thefunctional ability required for their class of licence held.128
ConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleNo conditions are required.OSMV will restrict individuals’ licences so that they are only allowedto drive vehicles that have the permitted modifications and devicesrequired to compensate for their functional impairment. This mayinclude one or more of the following restrictions:25 Fitted prosthesis/leg brace required26 Specified vehicle modifications required28 Restricted to automatic transmissionOSMV will not re-assess, other than routine commercial or agerelatedre-assessment, unless re-assessment is recommended by thetreating physician.The impact of a loss of limb on fitness to drive is variable and mustbe determined by an individual functional assessment.129
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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
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
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 and 136: 12.9 Commercial drivers who have an
Page 137 and 138: Chapter 13: Musculoskeletal Conditi
Page 139 and 140: ConditionType of drivingimpairment
Page 141: GUIDELINES13.6 Private and commerci
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
Page 183 and 184: 17.11 Private drivers who have had
Page 187 and 188: 17.15 Private drivers who have vent
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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17.23 Private and commercial driver
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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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