2010 BC Guide in Determining Fitness to Drive
2010 BC Guide in Determining Fitness to Drive 2010 BC Guide in Determining Fitness to Drive
ConditionType of drivingimpairment andassessmentapproachPrimaryfunctionalabilityaffectedAssessment toolsXEpisodicimpairment:Medical assessment– likelihood ofimpairmentVariable –suddencognitive,motor orsensoryimpairmentDriver’s MedicalExamination ReportSpecialist’s reportXPersistentimpairment:FunctionalassessmentCognitiveDriver’s MedicalExamination ReportMOCA, MMSE,SIMARD-MD, Trails Aor Trails BDriveABLE assessmentCompensationThis section identifies whether or not a driver can compensate for the impairment caused bythe medical conditionGUIDELINESThis section outlines in table form the guidelines used by OSMV to determine whether anindividual with the identified medical condition is fit to drive.There may be multiple tables within a particular chapter. Each table indicates the medicalcondition(s) and licence class(es) to which the guidelines presented in that table apply. Anexample is shown on the following page.82
Private and commercial drivers who have XApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesPolicy rationaleThis section explains who the guidelines apply to.This section outlines the assessments that OSMV may request iffurther information is required. The assessments listed are those thatare specific to an individual with the identified medical condition.Case managers and adjudicators should also refer to the generalpolicies contained in part 2 of the manual when deciding theappropriate assessments to request, particularly where an individualhas multiple medical conditions or impairments.This section outlines the general driver fitness guidelines, e.g.:Individuals may drive if:Because the general driver fitness guidelines are often written for abroad audience, including physicians, OT’s and vision specialists,this section outlines the guidelines that OSMV will use operationallyto determine driver fitness. These guidelines are written as:OSMV may find individuals fit to drive if:This section outlines any conditions that OSMV will impose, byletter, on an individual who is found fit to drive.This section outlines any restrictions that OSMV will impose on thelicence of an individual who is found fit to drive.This section outlines OSMV’s re-assessment policy for individualswho are found fit to drive.This section explains the rationale for the policies outlined in thetable. Where a general policy rationale applies to all of the guidelineswithin a chapter, the policy rationale will be included before thetables.83
- 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: 9.4 Medical condition chapter templ
- 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: GUIDELINES13.6 Private and commerci
- Page 143 and 144: ConditionsRestrictionsRe-assessment
- Page 145 and 146: 14.3 Chronic renal disease and adve
Private and commercial drivers who have XApplicationAssessment guidel<strong>in</strong>es<strong>Fitness</strong> guidel<strong>in</strong>esOSMV determ<strong>in</strong>ationguidel<strong>in</strong>esConditionsRestrictionsRe-assessmentguidel<strong>in</strong>esPolicy rationaleThis section expla<strong>in</strong>s who the guidel<strong>in</strong>es apply <strong>to</strong>.This section outl<strong>in</strong>es the assessments that OSMV may request iffurther <strong>in</strong>formation is required. The assessments listed are those thatare specific <strong>to</strong> an <strong>in</strong>dividual with the identified medical condition.Case managers and adjudica<strong>to</strong>rs should also refer <strong>to</strong> the generalpolicies conta<strong>in</strong>ed <strong>in</strong> part 2 of the manual when decid<strong>in</strong>g theappropriate assessments <strong>to</strong> request, particularly where an <strong>in</strong>dividualhas multiple medical conditions or impairments.This section outl<strong>in</strong>es the general driver fitness guidel<strong>in</strong>es, e.g.:Individuals may drive if:Because the general driver fitness guidel<strong>in</strong>es are often written for abroad audience, <strong>in</strong>clud<strong>in</strong>g physicians, OT’s and vision specialists,this section outl<strong>in</strong>es the guidel<strong>in</strong>es that OSMV will use operationally<strong>to</strong> determ<strong>in</strong>e driver fitness. These guidel<strong>in</strong>es are written as:OSMV may f<strong>in</strong>d <strong>in</strong>dividuals fit <strong>to</strong> drive if:This section outl<strong>in</strong>es any conditions that OSMV will impose, byletter, on an <strong>in</strong>dividual who is found fit <strong>to</strong> drive.This section outl<strong>in</strong>es any restrictions that OSMV will impose on thelicence of an <strong>in</strong>dividual who is found fit <strong>to</strong> drive.This section outl<strong>in</strong>es OSMV’s re-assessment policy for <strong>in</strong>dividualswho are found fit <strong>to</strong> drive.This section expla<strong>in</strong>s the rationale for the policies outl<strong>in</strong>ed <strong>in</strong> thetable. Where a general policy rationale applies <strong>to</strong> all of the guidel<strong>in</strong>eswith<strong>in</strong> a chapter, the policy rationale will be <strong>in</strong>cluded before thetables.83