2010 BC Guide in Determining Fitness to Drive

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17.30 Commercial drivers with permanent pacemakersApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations forcommercial drivers with permanent pacemakers.If further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report additional information from the treating physician, or an assessment from a cardiologist.Individuals may drive if: it has been at least 1 month since pacemaker implant they have not experienced any episodes of impaired level ofconsciousness since the implant they show normal sensing and capture on a post-implant ECG,and they have their pacemaker checked regularly at a pacemakerclinic and the checks reveal no pacemaker malfunction.OSMV may find individuals fit to drive if: it has been at least 1 month since pacemaker implant they have not experienced any episodes of impaired level ofconsciousness since the implant they show normal sensing and capture on a post-implant ECG,and they have their pacemaker checked regularly at a pacemakerclinic and the checks reveal no pacemaker malfunction.No conditions are required.No restrictions are required.OSMV will re-assess in accordance with routine commercial reassessment.190
17.31 Private drivers who have declined an ICD or have an ICD implanted asprimary prophylaxisApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for privatedrivers who: have had an implantable cardioverter defibrillator (ICD)implanted as a primary prophylaxis, or have declined an ICD recommended as primary prophylaxisWhen implanted as a primary prophylaxis, the ICD is implanted toprevent sudden cardiac death in individuals considered to be at highrisk but who have not had an episode of ventricular arrhythmia.Individuals whose ICD also regulates pacing for bradycardia mustalso meet the guidelines for permanent pacemakers outlined in 17.29If further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report additional information from the treating physician, or an assessment from a cardiologist.Individuals may drive if: they are assessed as NYHA Class I, II or III it has been at least 4 weeks since ICD implant (if applicable), and they have their ICD checked regularly at a device clinic and thechecks reveal no ICD malfunction.OSMV may find individuals fit to drive if: they are assessed as NYHA Class I, II or III, and if they have been treated with an ICD:- there is no evidence of ICD malfunction, and- they have not suffered an impaired level of consciousness ordisability as a result of delivery of ICD therapy within the pastsix months.OSMV will impose the following condition on an individual who hasbeen treated with an ICD and is found fit to drive: you must report to OSMV if you suffer an impaired level ofconsciousness or disability as a result of delivery of ICD therapy.No restrictions are required.If the individual’s condition is controlled and stable, OSMV will reassessevery five years, unless a shorter period is recommended bythe treating physician or routine age-related re-assessment applies.191
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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
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8.3 Reconsideration proceduresThe f
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Chapter 9:Introduction to the Medic
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9.4 Medical condition chapter templ
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Private and commercial drivers who
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Chapter 11: Diabetes - Hypoglycemia
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PercentFigure 1 - Prevalence of Dia
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neuropathy, nephropathy, cardiovasc
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11.8 Private drivers with diabetes
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11.9 Commercial drivers with diabet
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RestrictionsRe-assessmentguidelines
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Policy rationaleSevere hypoglycemia
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11.12 Private drivers who have pers
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11.13 Commercial drivers who have a
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11.14 Commercial drivers who have a
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11.15 Commercial drivers who have p
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PART B - HYPOGLYCEMIA11a. Has the p
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Produce my glycemic log for my doct
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Deep-vein thrombosisDeep-vein throm
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Aneurysms less than 5 cm in diamete
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GUIDELINES12.6 Private and commerci
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12.7 Private drivers who have an an
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12.9 Commercial drivers who have an
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Chapter 13: Musculoskeletal Conditi
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ConditionType of drivingimpairment
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ConditionsRestrictionsRe-assessment
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14.3 Chronic renal disease and adve
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14.8 Private drivers with end-stage
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14.10 Private and commercial driver
Page 153 and 154: Level ofImpairmentMildlyImpairedMod
Page 155 and 156: GUIDELINES15.6 Private and commerci
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 173 and 174: 16.10 Private and commercial driver
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
Page 193 and 194: 17.21 Commercial drivers who have s
Page 199 and 200: 17.27 Private drivers with atrioven
Page 201 and 202: 17.28 Commercial drivers with atrio
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Page 207 and 208: 17.33 Private drivers where ICD the
Page 209 and 210: 17.35 Commercial drivers who have d
Page 211 and 212: 17.37 Commercial drivers with inher
Page 213 and 214: 17.39 Commercial drivers with medic
Page 215 and 216: 17.41 Private drivers with surgical
Page 217 and 218: 17.43 Private drivers with mitral v
Page 219 and 220: 17.45 Private drivers with congesti
Page 221 and 222: 17.46 Commercial drivers with conge
Page 223 and 224: 17.47 Private drivers with left ven
Page 225 and 226: 17.49 Private drivers with a heart
Page 227 and 228: 17.51 Private drivers with hypertro
Page 229 and 230: 17.53 SyncopeSee the guidelines in
Page 231 and 232: Stable coronary syndromes - waiting
Page 233 and 234: Chapter 18: Hearing LossBACKGROUND1
Page 235 and 236: GUIDELINES18.6 Private drivers with
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Page 239 and 240: PLEASE COMPLETE THE FOLLOWING: YES
Page 241 and 242: this manual. Axis IV addresses exte
Page 243 and 244: Negative symptoms are characterized
Page 245 and 246: Schizophrenia (Axis I)Schizophrenia
Page 247 and 248: 19.4 Effect of psychiatric disorder
Page 249 and 250: Suicidal ideationSuicidal ideation
Page 251 and 252: GUIDELINES19.6 Private and commerci
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Cerebrovascular accidentCVAs are th
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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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21.15 Private and commercial driver
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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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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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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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