2010 BC Guide in Determining Fitness to Drive
2010 BC Guide in Determining Fitness to Drive 2010 BC Guide in Determining Fitness to Drive
17.44 Commercial drivers with mitral valve prolapseApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations forcommercial drivers with mitral valve prolapse.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 they are asymptomatic. Individuals who aresymptomatic may drive if: they have been assessed for arrhythmia with a Holter, and they meet any applicable guidelines related to arrhythmias.OSMV may find individuals fit to drive if:they are asymptomatic, orwhere they are symptomatic they have been assessed forarrhythmia with a Holter, and they meet any applicable guidelinesrelated to arrhythmias.No conditions are required.No restrictions are required.OSMV will re-assess in accordance with routine commercial reassessment.204
17.45 Private drivers with congestive heart failure*If a Left Ventricular Assist Device is implanted, see 17.45.1ApplicationAssessment guidelinesThese guidelines apply to driver fitness determinations for private driverswith congestive heart failure.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.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.Fitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleIf the treating physician indicates concerns regarding a lack of stamina orgeneral debility, OSMV will request an ICBC road test.Individuals may drive if: they are assessed as NYHA Class I, II, or III they are not receiving intermittent inotropes, and they have sufficient cognitive function to drive.OSMV may find individuals fit to drive if: they are assessed as NYHA Class I, II, or III they are not receiving intermittent inotropes, 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 to drive a private vehicle.No conditions are required.No restrictions are required.If the treating physician or cognitive screening indicates possible cognitiveimpairment, OSMV will re-assess annually. Otherwise, OSMV will reassessevery 5 years or in accordance with routine age-related reassessment,unless more frequent re-assessment is recommended by thetreating physician.In addition to the CCS recommendations for congenital heart failure, whichaddress the risk of episodic impairment, these guidelines include additionalrequirements to address potential persistent impairments associated with thecondition.205
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17.45 Private drivers with congestive heart failure*If a Left Ventricular Assist Device is implanted, see 17.45.1ApplicationAssessment guidel<strong>in</strong>esThese guidel<strong>in</strong>es apply <strong>to</strong> driver fitness determ<strong>in</strong>ations for private driverswith congestive heart failure.If further <strong>in</strong>formation regard<strong>in</strong>g an <strong>in</strong>dividual’s medical condition isrequired, OSMV will request: a <strong>Drive</strong>r’s Medical Exam<strong>in</strong>ation Report additional <strong>in</strong>formation from the treat<strong>in</strong>g physician, or an assessment from a cardiologist.If cognitive screen<strong>in</strong>g <strong>in</strong>dicates that the cognitive functions necessary fordriv<strong>in</strong>g are impaired, OSMV will not request further assessments.If the treat<strong>in</strong>g physician, or cognitive screen<strong>in</strong>g, <strong>in</strong>dicates possibleimpairment of the cognitive functions necessary for driv<strong>in</strong>g, OSMV willrequest a <strong>Drive</strong>ABLE assessment.<strong>Fitness</strong> guidel<strong>in</strong>esOSMV determ<strong>in</strong>ationguidel<strong>in</strong>esConditionsRestrictionsRe-assessmentguidel<strong>in</strong>esPolicy rationaleIf the treat<strong>in</strong>g physician <strong>in</strong>dicates concerns regard<strong>in</strong>g a lack of stam<strong>in</strong>a orgeneral debility, OSMV will request an IC<strong>BC</strong> road test.Individuals may drive if: they are assessed as NYHA Class I, II, or III they are not receiv<strong>in</strong>g <strong>in</strong>termittent <strong>in</strong>otropes, and they have sufficient cognitive function <strong>to</strong> drive.OSMV may f<strong>in</strong>d <strong>in</strong>dividuals fit <strong>to</strong> drive if: they are assessed as NYHA Class I, II, or III they are not receiv<strong>in</strong>g <strong>in</strong>termittent <strong>in</strong>otropes, and the treat<strong>in</strong>g physician or cognitive screen<strong>in</strong>g does not <strong>in</strong>dicate possibleimpairment of the cognitive functions necessary for driv<strong>in</strong>g or, wherethe treat<strong>in</strong>g physician or cognitive screen<strong>in</strong>g <strong>in</strong>dicates possibleimpairment of the cognitive functions necessary for driv<strong>in</strong>g, afunctional assessment <strong>in</strong>dicates that they have the functional abilityrequired <strong>to</strong> drive a private vehicle.No conditions are required.No restrictions are required.If the treat<strong>in</strong>g physician or cognitive screen<strong>in</strong>g <strong>in</strong>dicates possible cognitiveimpairment, OSMV will re-assess annually. Otherwise, OSMV will reassessevery 5 years or <strong>in</strong> accordance with rout<strong>in</strong>e age-related reassessment,unless more frequent re-assessment is recommended by thetreat<strong>in</strong>g physician.In addition <strong>to</strong> the CCS recommendations for congenital heart failure, whichaddress the risk of episodic impairment, these guidel<strong>in</strong>es <strong>in</strong>clude additionalrequirements <strong>to</strong> address potential persistent impairments associated with thecondition.205
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