2010 BC Guide in Determining Fitness to Drive

14.9 Commercial drivers with end-stage renal diseaseApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessment guidelinesPolicy rationaleThese guidelines apply to driver fitness determinations for commercialdrivers who have end-stage renal disease.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 cognitive screening indicates that the cognitive functions necessary fordriving are impaired, OSMV will not request further assessments.If the treating physician, or cognitive screening, indicates possibleimpairment of the cognitive functions necessary for driving, OSMV willrequest a DriveABLE assessment.Individuals may drive if: cognitive screening or, where required, a cognitive functionalassessment indicates that their ability to drive is not impaired they routinely follow their prescribed dialysis regimen they do not drive if their dialysis treatment is delayed or circumstancesdo not allow them to maintain their dialysis schedule they remain under regular medical supervision by a nephrologist orinternist to ensure that any progression in their condition ordevelopment of co-morbid conditions is monitored, and their work schedule has been approved by their treating physician ascompatible with their dialysis regimen.OSMV may find individuals fit to drive if: they routinely follow their prescribed dialysis regimen, and the treating physician or cognitive screening does not indicate possibleimpairment of the cognitive functions necessary for driving or, wherethe treating physician or cognitive screening indicates possibleimpairment of the cognitive functions necessary for driving, afunctional assessment indicates that they have the functional abilityrequired for their class of licence held.OSMV will impose the following conditions on an individual who is foundfit to drive: you must not drive if your dialysis treatment is delayed orcircumstances do not allow you to maintain your dialysis schedule, and you must remain under regular medical supervision.No restrictions are required.OSMV will re-assess annually.Drivers with end-stage renal disease are at significant risk of cognitiveimpairment and general debility. Regular dialysis is required to maintainoverall functional ability.136