Fitness to Drive

see section on  "Assessing Fitness to Drive"  (at Austroads website)

  • Occasionally, there may be concerns about whether a patient will comply with advice not to drive and the doctor feels compelled to inform the driving authority (but see Confidentiality)

Examples:

9a General Anaesthetic <  24 hours after GA
9b Local Anaesthetic Whilst anaesthetised region impairs motor, perceptual or cognitive functioning
11e Atrial fibrillation After acute episode, which causes dizziness or syncope, until condition is stabilised
11l Deep Vein Thrombosis < 2 weeks post event, subject to clinic assessment.
11v Syncope < 4 weeks after an episode of unknown cause.
 If recurrent episodes, refer to relevant specialist for assessment.
14b Isolated Seizure 3-6 months. Consultant opinion recommended.
22o Transient Ischaemic Attacks On advice of physician. Persons having recurrent events that could impair driving should not drive until neurological investigation leads to effective prophylaxis.

If the patient has one of these conditions they should be told they should not drive. The problem occurs if you believe the patient is not going to comply with this advice. Section 3.2.1 of the booklet highlights the problem.

3.3.1 Under national uniform Driver licensing law already in place in all States and Territories, any person, professional or otherwise, who reports a drive to a driver licensing authority, in good faith, is protected from civil and criminal liability.

If this is necessary the following form can be used:

 

Disclaimer: Note: The information described here relates solely to operational matters in the Emergency Department.  Every effort has been made to verify the accuracy of the content. However, neither the author or the hospital will take responsibility for errors resulting from its use.  Please refer to your own departmental guidelines and verify all clinical decisions with a reliable source.  

Date Last Reviewed: 05/08/2004