However, a waiver may be granted to an individual requiring the use of diabetic medications provided the individual meets all of the following: There has been no incident of a severe hypoglycemic reaction or symptomatic hyperglycemia and the individual has been free from insulin reaction resulting in loss of consciousness, attention or awareness or the requirement of assistance from another person, for the preceding 12 months; The driver submits to a diabetic examination every 6 months, and submits the results of the examination and the results of the Hemoglobin A1C HbA1C test on a form provided by the Department.
This includes the review of self-monitoring blood glucose logs. The driver submits to an annual dilated eye examination and submits the results of the examination on a form provided by the Department; Individuals, upon hire to drive a school bus, shall manage their diabetes by complying with the following requirements: Self-monitoring blood glucose 1 hour before driving, and at least every 4 hours while driving or while otherwise on duty, by using a portable blood glucose monitoring device with a computerized memory.
Notwithstanding the provisions, a waiver may be granted to an individual who has recently suffered from a severe hypoglycemic reaction or symptomatic hyperglycemia as long as the individual has been free from severe hypoglycemic reactions or symptomatic hyperglycemia for the preceding 12 months and the subsequent severe hypoglycemic reaction or symptomatic hyperglycemia occurred while the individual was under the care of a treating physician, during or concurrent with a nonrecurring transient illness, toxic ingestion or metabolic imbalance.
The above waiver will only be granted if the treating physician submits written certification indicating it is a temporary condition or isolated incident not likely to recur. A reviewing health care provider finding that the individual previously qualified for a waiver is not complying with the requirements or is otherwise no longer qualified for the waiver shall promptly report these findings to the Department and the waiver will be rescinded.
Hearing Impairment DL A person who is required to wear a hearing aid to meet the standards of this paragraph shall be tested by an audiologist or a licensed physician—M. The individual who performs the test shall certify that the person has passed the test.
A person who requires a hearing aid to meet the requirements of this paragraph shall also have a speech reception threshold of 40 decibels H. Presented at 50 decibels H. The tested shall use C. Neurological DLA. Orthopedic DLA. Other conditions that affect safe driving DLA. Psychiatric DLA. In this section, we provide recommendations for achieving this balance. Patients should be advised of medical conditions, procedures and medications that may impair driving performance.
A reference list of medical conditions and medications that may impair driving performance, with recommendations for each one, can be found in Chapter 9.
If you fail to follow these laws, you may be liable for patient and third-party injuries. Reduce the impact of breaching patient confidentiality. However, you can do several things to reduce the impact of breaching confidentiality on the patient-physician relationship.
Before reporting your patient to the DMV, tell your patient what you are about to do. Even in states that offer anonymous reporting, it is a good idea to be open with your patients. When submitting your report, provide only the information required. By providing your patients with as much information as possible, you can involve them in the process and give them a greater sense of control. In the event of a patient or third-party crash injury, thorough documentation may protect you against a lawsuit.
What should you do if you find yourself in a particularly challenging situation? In this section, we offer recommendations for several potential situations:. If a patient threatens to sue, there are several steps you can take to protect yourself in the event of a lawsuit:.
Be aware that physician-patient privilege does not prevent you from reporting your patient to the DMV. Situation 2: Should I report an unsafe driver even if my state does not have any reporting laws? This patient is clearly violating the law, and several questions are raised: Is the physician responsible for upholding the law at the expense of breaching patient confidentiality?
Since the license has been revoked by the DMV, is the driving safety of the patient now in the care of the DMV, the physician, or both? Medical restrictions to driving: The awareness of patients and doctors. Postgraduate Medical Journal. Attitudes of physicians toward elderly drivers and driving policy. Journal of the American Geriatrics Society. Interface with the legal system. WB Saunders Company; Accessed January 20, Patient confidentiality and pharmacy practice. The Consult Pharmacist.
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