2010 BC Guide in Determining Fitness to Drive

17.12 Commercial drivers who have had CABG surgeryApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleThese guidelines apply to driver fitness determinations forcommercial drivers who have had coronary artery bypass graft(CABG) surgeryIf further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report, or additional information from the treating physicianIf cognitive screening indicates that the cognitive functions necessaryfor driving are impaired, OSMV will not request further assessments.If the treating physician, or cognitive screening, indicates possibleimpairment of the cognitive functions necessary for driving, OSMVwill request a DriveABLE assessment.Individuals may drive if: it has been 3 months or more since CABG surgery, and they have sufficient cognitive function to drive.OSMV may find individuals fit to drive if: the treating physician or cognitive screening does not indicatepossible impairment of the cognitive functions necessary fordriving, or where the treating physician or cognitive screening indicatespossible impairment of the cognitive functions necessary fordriving, a functional assessment indicates that they have thefunctional ability required for their class of licence held.No conditions are required.No restrictions are required.If the treating physician or cognitive screening indicates possiblecognitive impairment, OSMV will re-assess annually. Otherwise,OSMV will re-assess in accordance with routine commercial reassessment.The guidelines regarding cognitive screening are not included in theCCS recommendations. These have been added to address thepotential for persistent cognitive impairment associated with postoperativecognitive decline (POCD) following CABG surgery.170