2010 BC Guide in Determining Fitness to Drive

GUIDELINES28.6 Private and commercial drivers with untreated OSAApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesThese guidelines apply to driver fitness determinations for privateand commercial drivers who have untreated obstructive sleep apnea(OSA).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 respirologist.If 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 possiblepersistent impairment of the cognitive functions necessary fordriving, OSMV will request a DriveABLE assessment, unless therehas been no significant change in the individual’s condition orcognitive ability since a previous functional assessment.Individuals may drive if: they have no history of sleep related motor vehicle crashes orsleep at the wheel in the last 5 years the results of a cognitive screening test such as MOCA, MMSE,SIMARD-MD, Trails A or Trails B indicate that they havesufficient cognitive function to drive, or where required, aDriveABLE assessment indicates that they are fit to drive they understand the nature of their condition and the potentialimpact on fitness to drive they agree to report any episodes of sleep at the wheel to theirtreating physician and OSMV, and for commercial drivers, they have not declined furtherinvestigation or treatment of OSAHS where it has beenrecommended by their treating physician.OSMV may find individuals fit to drive if: they have no history of sleep related motor vehicle crashes orsleep at the wheel in the last 5 years the results of a cognitive screening test such as MOCA, MMSE,SIMARD-MD, Trails A or Trails B indicate that they havesufficient cognitive function to drive, or where required, aDriveABLE assessment indicates that they are fit to drive they understand the nature of their condition and the potential346