2010 BC Guide in Determining Fitness to Drive

28.7 Private and commercial drivers with treated OSAApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesThese guidelines apply to driver fitness determinations for private andcommercial drivers who have obstructive sleep apnea (OSA) that has beentreated or surgically treated.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 a sleep study report, or an assessment from a respirologist.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 possible persistentimpairment of the cognitive functions necessary for driving, OSMV willrequest a DriveABLE assessment, unless there has been no significantchange in the individual’s condition or cognitive ability since a previousfunctional assessment.Individuals may drive if: the effectiveness of their treatment has been established through repeatsleep monitoring where applicable, they remain compliant with their treatment regime.For CPAP treatment, compliance means a minimum of 4 hours of useon at least 70% of nights, objectively documented. the results of a cognitive screening test such as MOCA, MMSE,SIMARD-MD, Trails A or Trails B indicate that they have sufficientcognitive function to drive, or where required, a DriveABLEassessment indicates that they are fit to drive they understand the nature of their condition and the potential impact onfitness to drive, and they agree to report any episodes of sleep at the wheel to their treatingphysician and OSMV.OSMV may find individuals fit to drive if: the effectiveness of their treatment has been established through repeatsleep monitoring where applicable, they remain compliant with their treatment regime.For CPAP treatment, compliance means a minimum of 4 hours of useon at least 70% of nights, objectively documented. the results of a cognitive screening test such as MOCA, MMSE,SIMARD-MD, Trails A or Trails B indicate that they have sufficientcognitive function to drive, or where required, a DriveABLEassessment indicates that they are fit to drive they understand the nature of their condition and the potential impact onfitness to drive, and they agree to report any episodes of sleep at the wheel to their treatingphysician and OSMV.348