2010 BC Guide in Determining Fitness to Drive

More documents

Recommendations

Info

ForewordWe are pleased to present the 2010 BC Guide in Determining Fitness to Drive.The Guide replaces the 1997 BC Guide for Physicians in Determining Fitness to Drive a MotorVehicle, 7th edition. A companion piece to the Guide – The BC Driver Fitness Handbook forMedical Professionals -- a handbook for the use of doctors who may have to consider a patient’sfitness to drive, will be published in the spring of 2011.While the Guide represents a departure in how driver fitness policy is articulated in BC, it continuesthe 46 years of collaboration between the BC Medical Association (BCMA) and the Office of theSuperintendent of Motor Vehicles (OSMV).The policies and procedures in this Guide are the result of a lengthy and intensive process. In March2006, OSMV, in partnership with the BCMA, launched the Guide to Drive Project. Over the courseof four years, the BCMA played an integral role in creating medical condition guidelines and adecision making framework for OSMV.The Guide represents the BCMA and OSMV‟s continuing commitment to anchor driver fitnessdeterminations on the best-evidence available. In response to case law, the Guide presents anapproach to driver fitness focused on functional ability to driver rather than diagnosis.Implementation of the 2010 BC Guide in Determining Fitness to Drive reflects a continuingcommitment to public safety while allowing the maximum driving privilege possible.i
AcknowledgmentsResearcherBonnie M. Dobbs, PhDDirector of ResearchDivision of the Care of the ElderlyDepartment of Family MedicineUniversity of AlbertaDirector, Medically At-Risk Driver Centre, AlbertaDriver Fitness Reform Initiative Project TeamThomas Broeren, Legal policy consultant, Gordium Associates (Canada) Inc.Shannon Craig, Operational policy consultant, Gordium Associates (Canada) Inc.Carole Gamble, OSMV AdjudicatorBlair Grant, Manager, Driver Licensing Standards, ICBCMarie McCloskey, OSMV Case ManagerDr. John McCracken, OSMV Medical ConsultantKevin Murray, OSMV Case ManagerMargot Tubman, Project Manager, Gordium Associates (Canada) Inc.Driver Fitness Reform Initiative Steering CommitteeDr. Ian Gillespie, BC Medical AssociationLisa Howie, Deputy Superintendent of Motor Vehicles,Nancy Letkeman, Director Policy and Research BranchLisa Laupland, ICBC, Manager Licensing Support ServicesSteve Martin, Superintendent of Motor VehiclesStephanie Melvin, Director, OSMV Hearings and Fair PracticesDriver Fitness Reform Initiative Advisory CommitteeJennifer Kroeker-Hall, Manager, Driver Licensing PolicyDr. Ian Gillespie, BC Medical AssociationDavid Dunne, Director, Road Safety, BCAA Traffic Safety Foundationii
Page 1: Ministry of Public Safety and Solic
Page 5 and 6: Table of Contents (click on any ite
Page 7 and 8: 11.7 Private and commercial drivers
Page 13 and 14: BACKGROUND ........................
Page 15 and 16: PART 1:BACKGROUND1
Page 17 and 18: Appendix 2: Excerpts from the MVA t
Page 19 and 20: Chapter 2: The Driver Fitness Progr
Page 21 and 22: for the exercise of discretion by O
Page 23 and 24: 1. SCREENINGA driver disclosesa med
Page 25 and 26: 2.3 Roles and responsibilitiesOSMV
Page 27 and 28: Medical practitionersMedical practi
Page 29 and 30: Chapter 3:Driver Fitness Program Pr
Page 31 and 32: Because of these limitations, OSMV
Page 33 and 34: Example: the temporary storage of i
Page 35 and 36: Motor functions (including sensorim
Page 37 and 38: an individual with poor contrast se
Page 39 and 40: 3.5 Best informationDriver fitness
Page 41 and 42: Chapter 4: Introduction to the Poli
Page 43 and 44: 3. DETERMINATIONFrom2. AssessmentAn
Page 45 and 46: Once identified, a DMER is mailed t
Page 47 and 48: 5.3 Screening aging driversDefiniti
Page 49 and 50: 5.5 Transient impairmentsDefinition
Page 51 and 52: Chapter 6: Assessment Policies and
Page 53 and 54:
6.2 Assessments will only be reques
Page 55 and 56:
6.4 Requesting specialist assessmen
Page 57 and 58:
Policy6.5.1 If a case manager or ad
Page 59 and 60:
Persistent and episodic impairments
Page 61 and 62:
further assessment. Drivers who sco
Page 63 and 64:
6.9.4 A case manager or adjudicator
Page 65 and 66:
ASSESSMENT PROCEDURESCase manager o
Page 67 and 68:
A driver fitness determination is a
Page 69 and 70:
Policy rationaleBecause individuals
Page 71 and 72:
7.5.3 Generally, an individual whos
Page 73 and 74:
7.6.2 In particular, the case manag
Page 75 and 76:
7.8.3 Whether an individual can com
Page 77 and 78:
in order to be fit to drive, the ca
Page 79 and 80:
has the judgment and willingness to
Page 81 and 82:
Policy7.11.1 If a case manager or a
Page 83 and 84:
(e) the medical condition results i
Page 85 and 86:
7.12 Communicating a decisionPolicy
Page 87 and 88:
7.13 Determination proceduresThe fo
Page 89 and 90:
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 and 142:
Page 143 and 144:
ConditionsRestrictionsRe-assessment
Page 145 and 146:
14.3 Chronic renal disease and adve
Page 147 and 148:
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 155 and 156:
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:
Page 173 and 174:
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 185 and 186:
Page 187 and 188:
17.15 Private drivers who have vent
Page 189 and 190:
Page 191 and 192:
17.19 Private drivers who have sust
Page 193 and 194:
17.21 Commercial drivers who have s
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
17.27 Private drivers with atrioven
Page 201 and 202:
17.28 Commercial drivers with atrio
Page 203 and 204:
17.29 Private drivers with permanen
Page 205 and 206:
17.31 Private drivers who have decl
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
Page 237 and 238:
equirement for commercial drivers i
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:
Page 253 and 254:
Chapter 20: Cerebrovascular Disease
Page 255 and 256:
Cerebrovascular accidentCVAs are th
Page 257 and 258:
Page 259 and 260:
Page 261 and 262:
Page 263 and 264:
20.9 Private drivers who have had s
Page 265 and 266:
20.10 Commercial drivers who have h
Page 267 and 268:
Visual field impairment refers to a
Page 269 and 270:
Right homonymous hemianopiaBinasal
Page 271 and 272:
An example of the effects of diabet
Page 273 and 274:
Retinitis pigmentosaRetinitis pigme
Page 275 and 276:
GlaucomaApproximately 67 million pe
Page 277 and 278:
indicates that wait times of 6 mont
Page 279 and 280:
Although telescopic spectacles, hem
Page 281 and 282:
Policy rationaleretinopathy dependi
Page 283 and 284:
Policy rationaleIndividuals with be
Page 285 and 286:
Re-assessmentguidelines cont’dPol
Page 287 and 288:
Re-assessmentguidelines cont’dPol
Page 289 and 290:
21.13 Commercial drivers with a los
Page 291 and 292:
Page 293 and 294:
21.17 Visual field impairmentsTypes
Page 295 and 296:
21.18 Examination of visual functio
Page 297 and 298:
VISUAL FIELD TEST (VFT)For drivers
Page 299 and 300:
To the Driver:Under section 29 of t
Page 301 and 302:
Please note:Goldman, Esterman and H
Page 303 and 304:
Cardiac syncopeCardiac syncope refe
Page 305 and 306:
22.7 Private drivers who have had a
Page 307 and 308:
22.9 Private drivers with recurrent
Page 309 and 310:
22.11 Commercial drivers who have h
Page 311 and 312:
22.13 Commercial drivers with recur
Page 313 and 314:
Chapter 23: Seizures and EpilepsyBA
Page 315 and 316:
abnormal numbnesstingling and a cra
Page 317 and 318:
Page 319 and 320:
Page 321 and 322:
23.10 Private drivers with single u
Page 323 and 324:
23.12 Private drivers with epilepsy
Page 325 and 326:
Page 327 and 328:
Page 329 and 330:
23.18 Commercial drivers with epile
Page 331 and 332:
Level of disabilityor worsening of
Page 333 and 334:
Parkinson’s diseaseThere is a sma
Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
25.2 Prevalence and incidence of tr
Page 341 and 342:
Page 343 and 344:
Chapter 26: Intracranial TumoursBAC
Page 345 and 346:
Some examples of compensatory mecha
Page 347 and 348:
Page 349 and 350:
i. aphasia (language disturbance)ii
Page 351 and 352:
27.2 Prevalence and incidence of co
Page 353 and 354:
27.4 Effect of cognitive impairment
Page 355 and 356:
Chapter 28: Sleep DisordersBACKGROU
Page 357 and 358:
An immediate reduction in daytime s
Page 359 and 360:
28.5 CompensationIndividuals with s
Page 361 and 362:
OSMV determinationguidelines cont
Page 363 and 364:
Page 365 and 366:
Policy rationaleThe general approac
Page 367 and 368:
Chapter 29: Prescription and Over-T
Page 369 and 370:
Examples of newer antihistamines in
Page 371 and 372:
Stimulants (for ADHD)Examples of st
Page 373 and 374:
AntiepilepticsIn general, individua
Page 375 and 376:
Sedating EffectLowModerateHighTCAsd
Page 377 and 378:
dizziness, andblurred or double vis
Page 379 and 380:
Page 381 and 382:
30.2 Effect of general debility and
Page 383 and 384:
Page 385 and 386:
Appendix 1: Glossary of TermsCommer
Page 387 and 388:
Medical assessmentis any kind of as
Page 389 and 390:
Transient impairmentmeans a tempora
Page 391 and 392:
must cause to be issued to the appl
Page 393 and 394:
(ii) cancel the person's driver's l
Page 395 and 396:
Appendix 3: Aging DriversAbout agin
Page 397 and 398:
Percentadults. The survey also foun
Page 399 and 400:
Appendix 4: Licence ClassesThe tabl
Page 401 and 402:
Appendix 5: Drafting and Approval P
Page 403:
drivers, this means that BC commerc
show all

2010 BC Guide in Determining Fitness to Drive

Create successful ePaper yourself

Delete template?

Save as template?